Before starting clear aligner therapy to straighten your teeth, it is important to have a thorough dental exam.  During this exam, we will provide an oral cancer screening, check the health of your bone and gums, evaluate your teeth for any cavities, cracks, or defects that need treatment prior to straightening your teeth, and take note of any areas of gum recession.  We evaluate the way your teeth come together when you bite, make note of any areas of wear on your teeth, and evaluate how hard certain teeth are hitting when biting.  We examine the health of your TMJ or jaw joint and the muscles of your jaw and face.  We check the shape of the arch of your mouth and the midlines of your face and teeth. We evaluate your tongue which can give indications about potential airway issues, snoring, or sleep apnea.  We also make note of any existing dental treatment in your mouth such as implants and crowns.