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 Crown - Layered Crown over prepared tooth (Zirconia) 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 designTooth 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 onlyTooth 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 onlyTooth 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 only - unfinishedTooth 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 design & production - unfinishedTooth 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 Tooth Color (shades)(Required)OM1OM2OM3B1A1B2C2A2C1C2D4A3D3B3A3.5B4C3A4C4NotesPlease provide any special instructions Upload your scan(s) / image(s)(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
