See if you’re a candidate for LightForce braces.

AMEX

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I am:

Under 18 Over 18 Parent of a Patient

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Which image best describes your smile?

Overbite Underbite Overcrowding Spacing

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What would you like to learn more about? (select all that apply)

LightForce vs metal braces Average treatment time Cost

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Have you had orthodontic treatment before?

Yes No

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First Name:

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Last Name:

This field is required.

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Date of Birth:

This field is required.

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Zip Code:

This field is required.

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Email:

This field is required.

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Phone Number:

This field is required.

I agree to receive information about the LightForce Orthodontic System treatment from LightForce Orthodontics, Inc. by email, which may contain special offers, information on local providers, and requests for feedback about my experience. I also consent to LightForce contacting me by phone and/or text solely for the purposes of assisting me in finding a LightForce Orthodontic System provider and scheduling an appointment. Your personal data will be processed in accordance with our privacy statement.

The LightForce Smile Survey does not replace the need for a consultation with an orthodontist or dentist, as only a trained LightForce Orthodontic System provider can determine if you are a good candidate for LightForce braces. Please consult your doctor to determine if LightForce braces are right for you. The LightForce Smile Survey is open only to prospective users who are at least thirteen (13) years old at the time of the survey.  Respondents who are not the legal age of majority in his/her jurisdiction of residence (in the case of Alabama, this means less than 19 years of age; in the case of Mississippi, this means less than 21 years of age; in the case of Nebraska, this means less than 19 years of age or upon marriage) must have a parent or guardian’s permission to participate and to provide personal information.