Virtual Consultations

If you don't have time for a full office visit or you just prefer getting answers from home, we offer complimentary virtual consultations


They only take a few minutes of your time and can answer almost any question you have about orthodontics, Invisalign, braces, and the smile transformation process. 

We understand that life is busy. Our goal is to provide you with everything you need to decide if orthodontic treatment is right for you.

We strive to make orthodontic treatment easy for everyone. Virtual consultations are available in our office and only take a few minutes of your time. They are a fast way to get answers to any questions you may have on Invisalign and braces, including how long and how much for your personal case.

It's that easy!  Simply take some photos with your cell phone and email them directly to the doctor.

Two Steps

Step One: 

Take 6 easy photos using the Sample Photo Gallery below as your guide.

The doctor will be evaluating issues such as bite, cosmetic symmetry, and a variety of issues that can be easily assessed with a proper photo.

*Make sure your back teeth are TOUCHING in their natural position (where you bite when you smile)!

Step Two: 

Send us your photos and it is also helpful if you include with them at least a couple of your concerns about treatment.

Text photos to:

Dr. Spokane 724-601-3549
Dr. Karski 724-991-0103

The doctor will evaluate your photos and spend some time developing treatment plans and customizing options to meet your personal needs.

We Will Contact You

A team member will get back to you as soon as possible with more information on whether braces or Invisalign will work to meet your needs, a rough idea of financial options, and about how long your treatment would take.  If you have additional questions you want answered, please include them in your message. Everyone has unique and valid concerns that we are eager to address on an individual basis.

Why Wait? Get Started Now!

Take six photos just like these using your cell phone:

Sample Photo Gallery

Using these photos as your guide, take six quick photos.
* In the first four photos, try to make sure your back teeth are TOUCHING in their natural position (where you bite when you smile)!
* The last two photos present the entire arch from a totally different perspective where we examine each arch.
These six photos give the doctor views of your teeth from right and left sides, the upper and lower arch, show how your bite fits together, and more!

Text photos to:  724-991-0103

The doctor will evaluate your photos and spend some time developing treatment plans and customizing options to meet your personal needs.

Get Answers

Just a few minutes and some quick pictures is all you need to receive a personalized plan with the treatment options, finances, facts, and details that you need to decide if you can take the next step in getting the smile you've always wanted! 

No Pressure

There is never any pressure or obligation to start treatment.  We are thrilled to equip you with the answers and provide enough education that you can make the right decision based on your needs!

We look forward to hearing from you!

VERY IMPORTANT! When corresponding via texts, emails, photos, and videos, the information being shared is not encrypted. That means a third party may be able to access the information and read it since it is transmitted over the Internet.


* HIPAA stands for the Health Insurance Portability and Accountability Act

* HIPAA was passed by the U.S. government in 1996 in order to establish privacy and security protections for health information

* The personal health information stored on our computers is encrypted but communications via text and email is not.

* Popular email services (ex. Hotmail®, Gmail®, Yahoo®) do not utilize encrypted email nor do cell phone providers.

* Technology provides a convenient way to communicate for most people.  To accommodate this, the federal government included a modification to the HIPAA act.

* The guidelines state that if a patient has been made aware of the risks of unencrypted communication, and that same patient provides consent to receive health information, then a health entity may communicate with that patient and may include personal medical information.

By sending a request for virtual consultation, you are accepting the terms and conditions of utilizing non-encrypted communication to discuss personal health information.

David Spokane and Melissa Karski

Karski & Spokane Orthodontics

David Spokane and Melissa Karski are committed to providing the very best orthodontic and dental care to valued patients throughout the state of Pennsylvania. We are affiliated we several prestigious organizations, including the:

  • American Board of Orthodontics
  • American Association of Orthodontists
  • American Dental Association

You can schedule an appointment at one of our six convenient office locations today by calling (724) 591-5758 or sending us a message. We will get back to you shortly. 

Contact Us Today

"Highly satisfied with my child's ortho procedure. The entire process has been seamless even with the pandemic. The website and patient portal is user friendly, but should you need to call the office for any reason, a staff member always answers in a friendly manner.  The Ambridge office is stunning, it's like waking into a super hero museum.  Everybody's favorite super hero can be found.  Dr. Spokane has a great chair side manner, upbeat and friendly.  My child was nervous at first but his fear quickly went away with the super comfortable atmosphere.  I recommend Dr. Spokane to all my friends and family." Cymone Bronaugh

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