Membrane for bone augmentation

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:

Membrane is planned:

Provisional position(s) of membrane according to FDI numbering:*

If before the bone augmentation procedure extraction of the tooth (teeth) is planned (enter FDI number):

3. For evaluation and validation of the membrane design:*

4. Providing information for planning*

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

Patient's 3D CT scan ('dicom' or 'dcm' format). (button "Attach file")

5. Operation is planned*