S&S design C&B US&EU

Disclaimer:

This form should be completed and submitted in one session. You will not be able to continue filling this form on another device.
Digital Impression upload form for Single unit up to 7-unit bridge
Dr. First and Last Name

First NameLast Name
Dental Clinic Name and Address

Clinic Name

Street Address

CityZIP code

CountryCountry
Email address
example@example.com
Have you purchased any TRI Dental Implants products in the past?
Please enter your TRI Dental Implants customer number:
Case Instruction
Email address to receive CAD
Choose booked designer name
Choose type of requested CAD design
Dental Clinic Case ID
e.g. patient last name - this allows to identify the work precisely back to you
Number of teeth required to be designed
Calculation - hidden field
Design Preferences
Mesial/Distal Contacts Distance [mm]
Occlusion Distance [mm]
Indicate matrix® platform and pontic

Upper arch: Please type "37 or 45" for platform and "P" for pontic

Rows	17 (2)	16 (3)	15 (4)	14 (5)	13 (6)	12 (7)	11 (8)	21 (9)	22 (10)	23 (11)	24 (12)	25 (13)	26 (14)	27 (15)
Type: P37, P45, "P" pontic

Lower arch: Please type "37 or 45" for platform and "P" for pontic

Rows	47 (31)	46 (30)	45 (29)	44 (28)	43 (27)	42 (26)	41 (25)	31 (24)	32 (23)	33 (22)	34 (21)	35 (20)	36 (19)	37 (18)
Type: P37, P45, "P" pontic

Minimum of upper, lower and bite files to be uploaded. Any pre-op would also helpful, especially for 4-unit to 7-unit bridge.

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By default we design with 2.8-L screws. If screw channel is going through the esthetic zone of the restoration (e.g. labial) would you like us to use 2.6 screw instead? If so you must have 2.6 screw in your clinic.
Do you want to check design before finalizing?
We will send the design for approval to your email. Please be informed that this will cause extra time. Your designs will not be completed within 20mins or 1hr
Additional Notes
Payment

Payment will be refunded in case the CAD design doesn't meet your request.
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Digital Impression upload form for Single unit up to 7-unit bridge