Send a case

DENTIST

CLINIC

EMAIL

PHONE (Option)

PATIENT

GENDER M F

AGE

DATE PREPARED

APPOINTMENT DATE-TIME

DATE DUE ON

RESTORATION TYPE

CROWNBRIDGEONLAY / INLAY / VENEER

IMPLANT

IMPLANT CEMENTED CROWNSCREW & CEMENT RETAINEDSTANDARD ABUTMENTCUSTOM ABUTMENT

MATERIAL TYPE

TRANSLUCENT ZIRCONIAMONOLITHIC ZIRCONIAE-MAXPMMADIAGNOSTIC WAX UPHYBRID3D PRINT MODELSURGICAL GUIDESPLINT

IF NO OCCLUSAL CLEARANCE

REDUCTION COPINGADJUST OPPOSINGCALL ME

MARGIN TYPE

SUPRA-GINGIVASUB-GINGIVAEQUAL-GINGIVA

EMBRASURE

OPEN

CLOSED

OCCLUSAL CONTACT

HEAVY

LIGHT

OPEN

PROXIMAL CONTACT

NORMAL

EXTENDED

PONTIC DESIGN

SHADE

TOOTH NO

87654321

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87654321

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DARK STUMPPHOTO SEND

INSTRUCTIONS / COMMENTS