Order Form - 3DOpenminds.com

Lab*
Dentist (not required)
Case ref*
E-mail*
example@example.com
Phone Number*

Area codePhone number
Services*

ScanDesignMill3D Print
Design items*

CrownImplant CrownBridgeImplant BridgeWrap AroundBarAbutmentDigital ModelSpoonBite PlateOther
Which jaw?*

Upper jawLower jaw

Implant information*
Brand*

DESSStraumannOther
Mill material*

ZirconiaZirconia MultilayerGC LisiGC Cerasmart270GC LRFE. Max CADTitaniumChrome-CobaltPMMAPMMA MultilayerGrapheneDenture BlockBite PlateOther
Shade*
3D Print*

Full Arch SandFull Arch GreyHalf Arch SandHalf Arch GreyGingiva MaskBiteplateSpoonTryin CrownTryin BridgeGC Temp CrownGC Temp BridgeDenture BaseCastable CrownCastable BridgeOther
Notes
Delivery Date*

DagMaandJaar
The delivery date is the actual date that the case is delivered to the customer.
Order files*

If you need printed models, please also select 3D Print
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