To ensure a smooth processing of your order, please fill in all the required fields in the form.
Please enter your contact details in order to be contacted if necessary.
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.
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).
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)
⚬ Intraoral scan of the current situation ('STL' format).
Unfortunately, we do not guarantee minor inaccuracies that may occur during the manufacturing process (3D printing, machining, etc.)
Guide for the edentulous patient
Mob. Tel. No.:
Patient's name, surname or other personal identification code:
Implants are planned:
Provisional position of implant(s) according to FDI numbering
During the operation, it is also planned to:
Pilot graft diameter
For evaluation and approval of the guided implant surgery plan:*
Date of the operation:
Upload a file