DIGITAL CASE SUBMISSION CASE SELECTOR Implant Implant Planning with Surgical Guide (up to 5 implants) Implant Planning with Surgical Guide (6 or more) Implant Treatment Planning – Bone Reduction Guide Custom Healing Abutment Custom Impression Tray Cemented Implant Crown Cemented Implant Bridge (per unit) Titanium Custom Abutment for Crown/Bridge (abutment ONLY) Screw Retained Implant Crown Screw retained Implant Bridge (per unit) Denture Digital Denture Monolithic Denture Immediate Denture Crown & Bridge Bridge – Full Contour Bridge over prepared teeth (Zirconia) Bridge – Layered Bridge over prepared teeth (Zirconia) Crown – Full Contour Crown over prepared tooth (Zirconia) Crown – Layered Crown over prepared tooth (Zirconia) Snap-on Smile Full Arch Provisional (bridge) Provisional (single unit) Smile Design Splint Occlusal Splint NightGuard MouthGuard Bleaching Tray Anti-Snoring Guard Orthodontic Indirect Bonding Tray Custom Impression Tray Model Quadrant – 2 models with dies Full Arch – 2 models with dies Implant Quadrant Implant Full Arch Cemented Implant Bridge (per unit) Client Information– No Results –Patient Name / Case #(Required)3DDDS CASE #Select Service Level(Required) Design Production (your file) Design & Production Production (your file) - unfinished Design & Production - unfinished How many abutments?(Required)How may pontics?(Required)designAbutment Number(Required)Select tooth numbers to be designed 1 17 2 18 3 19 4 20 5 21 6 22 7 23 8 24 9 25 10 26 11 27 12 28 13 29 14 30 15 31 16 32 production onlyAbutment Number(Required)Select tooth numbers to be produced using your file. 1 17 2 18 3 19 4 20 5 21 6 22 7 23 8 24 9 25 10 26 11 27 12 28 13 29 14 30 15 31 16 32 design & production onlyAbutment Number(Required)Select tooth numbers to be designed and produced 1 17 2 18 3 19 4 20 5 21 6 22 7 23 8 24 9 25 10 26 11 27 12 28 13 29 14 30 15 31 16 32 Production (your file) - unfinishedAbutment Number(Required)Select tooth numbers to be produced 1 17 2 18 3 19 4 20 5 21 6 22 7 23 8 24 9 25 10 26 11 27 12 28 13 29 14 30 15 31 16 32 Design & Production - unfinishedAbutment Number(Required)Select tooth numbers to be designed and produced 1 17 2 18 3 19 4 20 5 21 6 22 7 23 8 24 9 25 10 26 11 27 12 28 13 29 14 30 15 31 16 32 Tooth Chart For your reference Shades(Required)OM1OM2OM3B1A1B2C2A2C1C2D4A3D3B3A3.5B4C3A4C4Would your like your healing abutment(s) anodized?(Required) Yes No Anodizing Price: $0.00 Anodization(Required) Gold Pink Purple Manufacturer / Brand(Required)3i CERTAIN®3I OSSEOTITE® EXTERNAL HEXANKYLOS® C/XASTRA EV®ASTRA OSSEOSPEED®BIOHORIZONS® EXTERNAL HEXBIOHORIZONS® INTERNAL HEXCAMLOG®CONELOG®DENTIUM®DENTSPLY FRIADENT XIVE®HIOSSEN®MEGAGEN AnyRidge®MIS® SEVEN INTERNAL HEXMIS® C1MIS® V3NEODENT® GRAND MORSENOBEL ACTIVE®NOBEL BRANEMARK®NOBEL REPLACE® CCNOBEL REPLACE SELECTTMSTRAUMANN® BONE LEVELSTRAUMANN® BLXSTRAUMANN® TISSUE LEVEL & synOcta®ZIMMER SCREW-VENT®Implant Diameter - 1(Required) 3.4 - PURPLE 4.1 - BLUE 5.0 - YELLOW Implant Diameter - 2(Required) 3.6 - PURPLE 4.2 - YELLOW 4.8 - BLUE Implant Diameter - 3(Required) 3.0 - YELLOW 3.5/4.0 - AQUA 4.5/5.0 - LILAC Implant Diameter - 4(Required) 3.7 - YELLOW 4.2 - GREEN 5.2 - BLUE Implant Diameter - 5(Required) 3.0 - SILVER 3.5 - YELLOW 4.5 - GREEN 5.7 - BLUE Implant Diameter - 6(Required) 3.3 - SILVER 3.8 - YELLOW 4.3 - PINK 5.0 - BLUE Implant Diameter - 7(Required) 3.3 - SILVER 3.8/4.3 - YELLOW 5.0 - BLUE Implant Diameter - 8(Required) RP - 3.8 3.6 YELLOW 4.0 - GREEN 4.5 BLUE 5.0 - RED Implant Diameter - 9(Required) 3.4 SILVER 3.8 YELLOW 4.5 BLUE 5.5 - RED Implant Diameter - 10(Required) MINI - 3.5-4.0/YELLOW STANDARD - 4.5-5.0/GREEN Implant Diameter - 11(Required) NP - 3.3/YELLOW SP - 3.75-4.2/PURPLE WP - 5.0-6.0/GREEN MULTIUNIT - 4.8 Implant Diameter - 12(Required) NP - YELLOW SP - PURPLE WP - GREEN MULTIUNIT - 4.8 Implant Diameter - 13(Required) NP - BLUE SP - PURPLE MULTIUNIT - 4.8 Implant Diameter - 14(Required) GM Implant Diameter - 15(Required) 3.0/SILVER NP - 3.0/PURPLE NP - 3.5/FUSCIA RP - 4.3/5.0/YELLOW WP - 5.5/BLUE Implant Diameter - 16(Required) NP - 3.5 RP - 4.1 WP - 5.1 Implant Diameter - 17(Required) 3.0/SILVER NP - 3.0/PURPLE NP - 3.5/FUSCIA RP - 4.3/5.0/YELLOW WP - 5.5/BLUE Implant Diameter - 18(Required) NP/PURPLE RP/YELLOW WP/BLUE 6.0/GREEN Implant Diameter - 19(Required) NC - 3.3 RC - 4.1-4.8 Implant Diameter - 20(Required) RB/PURPLE WB/BROWN Implant Diameter - 21(Required) NNC - 3.3 RN - 4.1/4.8 WN - 4.8/6.5 Implant Diameter - 22(Required) 3.5 - GREEN 4.5 - PURPLE 5.7 - YELLOW Secondary Manufacturer / Brandnone3i CERTAIN®3I OSSEOTITE® EXTERNAL HEXANKYLOS® C/XASTRA EV®ASTRA OSSEOSPEED®BIOHORIZONS® EXTERNAL HEXBIOHORIZONS® INTERNAL HEXCAMLOG®CONELOG®DENTIUM®DENTSPLY FRIADENT XIVE®HIOSSEN®MEGAGEN AnyRidge®MIS® SEVEN INTERNAL HEXMIS® C1MIS® V3NEODENT® GRAND MORSENOBEL ACTIVE®NOBEL BRANEMARK®NOBEL REPLACE® CCNOBEL REPLACE SELECTTMSTRAUMANN® BONE LEVELSTRAUMANN® BLXSTRAUMANN® TISSUE LEVEL & synOcta®ZIMMER SCREW-VENT®Implant Diameter - 1 3.4 - PURPLE 4.1 - BLUE 5.0 - YELLOW Implant Diameter - 2 3.6 - PURPLE 4.2 - YELLOW 4.8 - BLUE Implant Diameter - 3 3.0 - YELLOW 3.5/4.0 - AQUA 4.5/5.0 - LILAC Implant Diameter - 4 3.7 - YELLOW 4.2 - GREEN 5.2 - BLUE Implant Diameter - 5 3.0 - SILVER 3.5 - YELLOW 4.5 - GREEN 5.7 - BLUE Implant Diameter - 6 3.3 - SILVER 3.8 - YELLOW 4.3 - PINK 5.0 - BLUE Implant Diameter - 7 3.3 - SILVER 3.8/4.3 - YELLOW 5.0 - BLUE Implant Diameter - 8 RP - 3.8 3.6 YELLOW 4.0 - GREEN 4.5 BLUE 5.0 - RED Implant Diameter - 9 3.4 SILVER 3.8 YELLOW 4.5 BLUE 5.5 - RED Implant Diameter - 10 MINI - 3.5-4.0/YELLOW STANDARD - 4.5-5.0/GREEN Implant Diameter - 11 NP - 3.3/YELLOW SP - 3.75-4.2/PURPLE WP - 5.0-6.0/GREEN MULTIUNIT - 4.8 Implant Diameter - 12 NP - YELLOW SP - PURPLE WP - GREEN MULTIUNIT - 4.8 Implant Diameter - 13 NP - BLUE SP - PURPLE MULTIUNIT - 4.8 Implant Diameter - 14 GM Implant Diameter - 15 3.0/SILVER NP - 3.0/PURPLE NP - 3.5/FUSCIA RP - 4.3/5.0/YELLOW WP - 5.5/BLUE Implant Diameter - 16 NP - 3.5 RP - 4.1 WP - 5.1 Implant Diameter - 17 3.0/SILVER NP - 3.0/PURPLE NP - 3.5/FUSCIA RP - 4.3/5.0/YELLOW WP - 5.5/BLUE Implant Diameter - 18 NP/PURPLE RP/YELLOW WP/BLUE 6.0/GREEN Implant Diameter - 19 NC - 3.3 RC - 4.1-4.8 Implant Diameter - 20 RB/PURPLE WB/BROWN Implant Diameter - 21 NNC - 3.3 RN - 4.1/4.8 WN - 4.8/6.5 Implant Diameter - 22 3.5 - GREEN 4.5 - PURPLE 5.7 - YELLOW Emergence Profile Follow tissue contours (no expansion) Contour (expand tissue by ____mm) Anatomic (fully expanded tissue to mimic root) Expand Tissue by(Required)PonticsPontic Design Ridge lap Modified ridge lap Hygenic Bullet Ovate pontic designPontic Number (maxilary)Select tooth numbers to be designed 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Pontic Number (mandibular)Select tooth numbers to be designed 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 pontic production onlyPontic Number (maxilary)Select tooth numbers to be designed 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Pontic Number (mandibular)Select tooth numbers to be designed 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 pontic production and designPontic Number (maxilary)Select tooth numbers to be designed 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Pontic Number (mandibular)Select tooth numbers to be designed 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 pontic production unfinishedPontic Number (maxilary)Select tooth numbers to be designed 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Pontic Number (mandibular)Select tooth numbers to be designed 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 pontic production and design unfinishedPontic Number (maxilary)Select tooth numbers to be designed 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 Pontic Number (mandibular)Select tooth numbers to be designed 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 Notes(Required)Please provide any special instructionsFile(Required) Drop files here or Select files Accepted file types: jpg, png, pdf, stl, dcm, zip, Max. file size: 50 MB, Max. files: 9. If you have more than 9 file please send them in a ZIP folder. Estimate
