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 Custom Healing Abutment Client Information– No Results –Patient Name / Case #(Required)3DDDS CASE #Select Service Level(Required) Design Production (your file) Design & Production 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 Tooth Chart For your reference 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 - PURPLE4.1 - BLUE5.0 - YELLOWImplant Diameter - 2(Required)3.6 - PURPLE4.2 - YELLOW4.8 - BLUEImplant Diameter - 3(Required)3.0 - YELLOW3.5/4.0 - AQUA4.5/5.0 - LILACImplant Diameter - 4(Required)3.7 - YELLOW4.2 - GREEN5.2 - BLUEImplant Diameter - 5(Required)3.0 - SILVER3.5 - YELLOW4.5 - GREEN5.7 - BLUEImplant Diameter - 6(Required)3.3 - SILVER3.8 - YELLOW4.3 - PINK5.0 - BLUEImplant Diameter - 7(Required)3.3 - SILVER3.8/4.3 - YELLOW5.0 - BLUEImplant Diameter - 8(Required)RP - 3.83.6 YELLOW4.0 - GREEN4.5 BLUE5.0 - REDImplant Diameter - 9(Required)3.4 SILVER3.8 YELLOW4.5 BLUE5.5 - REDImplant Diameter - 10(Required)MINI - 3.5-4.0/YELLOWSTANDARD - 4.5-5.0/GREENImplant Diameter - 11(Required)NP - 3.3/YELLOWSP - 3.75-4.2/PURPLEWP - 5.0-6.0/GREENMULTIUNIT - 4.8Implant Diameter - 12(Required)NP - YELLOWSP - PURPLEWP - GREENMULTIUNIT - 4.8Implant Diameter - 13(Required)NP - BLUESP - PURPLEMULTIUNIT - 4.8Implant Diameter - 14(Required)GMImplant Diameter - 15(Required)3.0/SILVERNP - 3.0/PURPLENP - 3.5/FUSCIARP - 4.3/5.0/YELLOWWP - 5.5/BLUEImplant Diameter - 16(Required)NP - 3.5RP - 4.1WP - 5.1Implant Diameter - 17(Required)3.0/SILVERNP - 3.0/PURPLENP - 3.5/FUSCIARP - 4.3/5.0/YELLOWWP - 5.5/BLUEImplant Diameter - 18(Required)NP/PURPLERP/YELLOWWP/BLUE6.0/GREENImplant Diameter - 19(Required)NC - 3.3RC - 4.1-4.8Implant Diameter - 20(Required)RB/PURPLEWB/BROWNImplant Diameter - 21(Required)NNC - 3.3RN - 4.1/4.8WN - 4.8/6.5Implant Diameter - 22(Required)3.5 - GREEN4.5 - PURPLE5.7 - YELLOWNotesPlease provide any special instructionsUpload 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
