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 Abutment for crown/bridge (titanium) Client Information– No Results –Patient Name / Case #(Required)3DDDS CASE #Select Service Level(Required) Design Production (your file) Design & Production How many abutments are we prepairing?(Required)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 - 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)Would you like your abutments anodized?(Required) Yes No Anodizing Price: $0.00 Anodization(Required) Gold Pink Purple NotesPlease 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
