Treatment through the Smiles by Design premium service is provided under the direction of a U.S. licensed orthodontist. 

Smiles by Design has launched its premium online orthodontic services across the United States and Canada. 

The premium service reportedly offers a diagnostic assessment to every client free of charge. Clients complete a series of photo guided questions. These answers are analyzed and a report sent to the client. According to the company, all treatments are provided under the direction of a U.S. licensed orthodontist and the orthodontist in charge of care is identified to every client. 

Clients are also assigned a Smile Concierge as soon as they choose Smiles by Design and are given access to their Smile Design portal. 

Smiles by Design says it uses only FDA approved materials and design software.