All On X Implants

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All On X Implants

1. Select Tooth

2. Service Type

3. Treatment Requirement

Final Restoration

Both Temporary and Final

4. This All on X is For

5. Implant Manufacturer

6. Restorative Options

7. Prosthetic Screw

8. Design Type

9. Do you have an existing denture design to follow?

10. RX Notes

11. IOS Scan (STL Files) (Upper, Lower and Bite)

Compatible file extensions to upload: png, jpg, gif, stl

12. Clinical Photography

Compatible file extensions to upload: png, jpg, gif

13. Additional Files

Compatible file extensions to upload: png, jpg, gif

14. Please upload file for ICAM/PIC workflow(Optional)

Compatible file extensions to upload: jpg, jpeg, gif, pdf, doc, doxstl

Qty

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