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FREE E-CONSULTATION FORM

​Please follow the instructions to submit the 5 required photos. If you prefer, you can also send us the photos to info@lineaclear.com.

Upload your pictures

1. Front smile

Upload a picture of your full smile from the front, as shown on the example

Front Image
Front
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2. Right side smile

Upload a picture of your smile from the right side, use your hand as shown on the example. Make sure your upper and lower teeth are touching.

Right-side Image
Right-side
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3. Left side smile

Upload a picture of your smile from the left side, use your hand as shown on the example. Make sure your upper and lower teeth are touching.

Left-side Image
Left-Side
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4. Upper smile

Upload a picture of your upper smile as shown on the example

Upper Image
upper
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5. Lower smile

Upload a picture of your lower smile, as shown on the example

Lower Image
Lower
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Title

Email

Firstname

City

Lastname

Country

Age

Phone

Have you seen a dentist for an examination and dental x-rays in the last 6 months and declared healthy?

Do you have any bridges or implants on your teeth?

Do you have any wobbly or loose teeth? 

I agree to the terms of use

Please ensure that you have completed all of the required steps

please-wait

Your images have been submitted, we will get back to you in 2 to 3 working days. For any query please reach out to us at info@lineaclear.com

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