Digital Impression upload form
Dr. First and Last Name
*
First Name
Last Name
Email address to receive CAD
*
example@example.com
Choose booked designer name
*
Please Select
Olena
Breanna
Case Instruction
Choose type of requested CAD design
*
matrix provisional implant crown
matrix provisional implant bridge
Design Preferences
Mesial/Distal Contacts Distance [mm]
*
Please Select
- 0.40
- 0.30
- 0.20
- 0.10
0.00
Occlusion Distance [mm]
*
Please Select
- 2.00
- 1.50
- 1.00
- 0.50
0.00
Indicate matrix® platform and pontic
Upper arch: Please type "37 or 45" for platform and "P" for pontic
16 (3)
15 (4)
14 (5)
13 (6)
12 (7)
11 (8)
21 (9)
22 (10)
23 (11)
24 (12)
25 (13)
26 (14)
Type:
P37, P45, "P" pontic
Lower arch: Please type "37 or 45" for platform and "P" for pontic
46 (30)
45 (29)
44 (28)
43 (27)
42 (26)
41 (25)
31 (24)
32 (23)
33 (22)
34 (21)
35 (20)
36 (19)
Type:
P37, P45, "P" pontic
For single crown to 3-unit bridge: Upload upper, lower and bite files. For 4-unit bridge to full-arch upload additional pre-prep scan
*
Browse STL or ZIPPED Files
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Choose a file
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Additional Notes
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