Guide for the edentulous patient

To ensure a smooth processing of your order, please fill in all the required fields in the form.


1. Information about the doctor*

Please enter your contact details in order to be contacted if necessary.


2. Clinical case details*

The patient:

Implants are planned:

Provisional position of implant(s) according to FDI numbering*

During the operation, it is also planned to:

Mark all planned procedures. If you have marked the tooth (teeth) extraction, don't forget to include the FDI number(s) in the comment box. If there are more procedures planned, please also enter them in the additional information field.


3. Dental implant system*


4. Surgical guide type*

For evaluation and approval of the guided implant surgery plan:*


5. Providing information for planning*

Please attach the 3D CT scan files (archived in a single .zip or .rar file)

⚬ 3D CT scan of a toothless patient with a portable perforated plate on which at least 6 reference points ("gutta-percha" or radiolucent composite points) are marked (see example below);

⚬ 3D CT scan of the plate with reference points only (without changing their position).

Radiographic guide / Template
Radiographic guide / Template

I will provide the information to (please tick the method of providing it):

Please attach the 3D CT scan file (archived in a single .zip or .rar file)

⚬ 3D CT scan ('dicom' or 'dcm' format).

Please attach 3D CT scan and intraoral scan (archived in a single .zip or .rar file)

⚬ 3D CT scan ('dicom' or 'dcm' format).

⚬ Intraoral scan of the current situation ('STL' format).

Please attach the 3D CT scan file (archived in a single .zip or .rar file)

⚬ 3D CT scan ('dicom' or 'dcm' format).

Please attach the 3D CT scan file (archived in a single .zip or .rar file)

⚬ 3D CT scan ('dicom' or 'dcm' format).


6. I would like to order*

Unfortunately, we do not guarantee minor inaccuracies that may occur during the manufacturing process (3D printing, machining, etc.)


7. Operation is planned*