Take Assesment - Amazealign

1. Have you worn braces or clear aligners before? *

This helps our orthodontic team understand your dental movement history.

Yes I have had braces or aligners in the past

No This will be my first orthodontic treatment

2. What is your age? *

AmazeAlign provides customized plans tailored for teens and adults.

13–17 Teen

18–45 Adult

46+ Mature adult

What would you most like to improve? *

Tap the picture that looks most like your smile.

Gaps

Crowding

Crooked

Overbite

Underbite

Crossbite

Open bite

Shifted after braces

Not sure yet — I'd like a doctor's review

4. Do you currently have any of the following? *

A healthy oral foundation ensures safe, successful aligner results.

Cavities or tooth pain Untreated cavities, toothache, or sensitive teeth

Gum or periodontal problems Bleeding gums, swelling, or history of periodontal care

Missing teeth One or more extracted or missing teeth

None of these Healthy teeth and gums ready for treatment

I'm not sure I haven't visited a dentist recently

5. Which treatment option fits your lifestyle? *

Select the wear schedule that best fits your daily routine.

6. When is the best time for our team to contact you? *

Our smile specialists will follow up at the time most convenient for you.

Morning 9:00 AM – 12:00 PM

Afternoon 12:00 PM – 5:00 PM

Evening 5:00 PM – 8:00 PM

Where should we send your results? *

We'll reach out in the evening.

First name *

Last name *

Email address *

Mobile number *

ZIP code *

State

Preferred contact method

How did you hear about us? (optional)

Referral or promo code (optional)

Anything else we should know? (optional)

I agree to the AmazeAlign Terms & Conditions and acknowledge the AmazeAlign Privacy Policy. * Optional: text me about my assessment, products, services, appointments, customer support, and other AmazeAlign updates. Message frequency varies. Message and data rates may apply. Reply STOP to opt out.

Smile Assessment — AmazeAlign

1. Have you worn braces or clear aligners before? *

2. What is your age? *

What would you most like to improve? *

4. Do you currently have any of the following? *

5. Which treatment option fits your lifestyle? *

6. When is the best time for our team to contact you? *

Where should we send your results? *

Items in your cart

Surprise gift on your first order

Order Summary

Smile Assessment — AmazeAlign

1. Have you worn braces or clear aligners before? *

2. What is your age? *

What would you most like to improve? *

4. Do you currently have any of the following? *

5. Which treatment option fits your lifestyle? *

6. When is the best time for our team to contact you? *

Where should we send your results? *

Items in your cart

Apply Coupon

Surprise gift on your first order

Order Summary