Submit Case Online

Please complete the form below. We will send you an automated confirmation email with payment details, and your Full Face Imaged photograph will be emailed back to you within 48 hours.

Please note, all sections of the form are required.

Practice Information

Dentist / clinician name

Practice name

Practice address

Practice town/city

Practice post code

Telephone

Patient Information & Treatment Plan

Patient name Upload image (full face) Please upload an in-focus full face photo in JPEG format, max 2Mb

Treatment plan

Include a short treatment plan, and please remember to state colour: lumin shade required, veneers: Natural, Hollywood, or simply full of character, treth to be imaged and any other imaging information required.

I would like to buy a pack of 10 Full Face Imaging Cases with this order (£400, saving £100)
I confirm that to the best of my knowledge all information provided is accurate

Pricing

Single Full Face Smile Imaged case: £50
10 Full Face Smile Imaged cases: £400 saving you £100

Payment options include PayPal and bank transfer.

Full Face Photography Guidelines

Example of full face photo for cosmetic dental imaging

For a successful imaging please ensure:

Before photo face fills the frame
Occlusal plane is level
Teeth slightly separated
In focus and flash on
Straight shot, not angled up or down
Include a short treatment plan e.g.
- One to three treatment plans
  1. Close diastema
  2. Whiten teeth shade A2
  3. Lengthen centrals

Please remember to state:

Colour: lumin shade required
Veneers: Natural, Hollywood, or simply full of character
Teeth to be imaged and any other imaging information required