Submit your Grammetry Case

Partner

Doctor Name*

Patient Name*

Email*

Phone Number*

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Surgical or Restorative?*

Turnaround Time*

Have you pre-booked design services?*

Yes, I have pre-booked resourcesNo, I have NOT pre-booked resources. I will call ROE to confirm available resources (800-228-6663)

In order to guarantee a 1-hour turnaround time you need to have pre-scheduled planning resources 48 hours in advance. If you have not done so call us 800-228-6663 to confirm available resources.

Which Photogrammetry / Grammetry Option?*

Grammetry Records*

Scan Body Type

Other

Who is fabricating the prosthesis?*

Email to send files*

Prosthetic design preference*

Tooth Shade*

Tissue Shade*

Arch*

Screw Brand*

Include Screws?*

Do you need a driver?*

Healing Collar Brand*

Other

How are you submitting your files?*

IOS Portal*

Name of other IOS

Other Case Records

Prosthesis Design and Print Options

Dental office will print - email .stl fileROE prints and ships (fee depends on turnaround time)Add pink

Restoration*

Who is fabricating the prosthesis?

Final Material Option*

Turnaround Time*

Turnaround Time:

It will take 7 days in lab upon either digital receipt or physical receipt of all appropriate records.

Doctor Email to receive design files*

Prosthetic design preference

Tooth Shade*

Tissue Shade*

Arch*

Idealized Screw Channel Position?*

Angled screw channel componentry (ASC) upgrade is an additional $125 per arch (includes ASC driver).

Prosthesis Screw Brand*

Include Screws?*

Do you need a driver?*

Healing Cap Brand*

Other

Which Photogrammetry / Grammetry Option?

Grammetry Record*

Coping Free (some limitations apply)*

Other Case Records

Case Notes

Patient Files*