Read Instructions Here
Adjustment Form
Support Ticket Number *
Email *
Full Name *
Please check issues you are experiencing:
Inward fit tightness on front teeth
Loose on front teeth
Tightness on back teeth
Seesaw/rocking motion due to unbalanced bite
Loose on back teeth
Cutting/rubbing gum line
Note:
This is an Interactive Chart. Click on a single tooth or shift+click multiple teeth to comment on specific issues.
Comments List
(Editable Comments)
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Instructions
Here is how to use the interactive teeth diagram:
Check any of the six boxes for general issues
To describe specific issues, you can click on a single tooth to "Add Comment" or "Shift+Click" to select a group of teeth to "Add Comment"
To delete a comment, simply click the selected tooth/teeth
To modify a comment, simply click into the comment box
Confused about the chart orientation? Here is a tip: tooth #16 is the upper wisdom tooth on your left hand side
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