CT Anatomical Model Only RX Order Form
Please complete the entire form below. All fields indicated by * are required.
Important Information to Review:
Before you begin, please review the CT Guided Scan Protocol and Scan Quality tips. You will also need to have the following in order to process your case:
- Scan of patient (Required)
- Scan of denture with markers (Dual Scan Protocol - if applicable; Optional if more detail is needed)
- Upper and lower impressions or models (Optical Scan Conversion - if applicable; Optional if more detail is needed)
CT Guided Scan Protocol:
Scan Quality:
Before submitting your case, check that all your scans adhere to the following guidelines:- Scan field of view: Make sure no part of the desired arch to be treatment planned is cut off, there is no patient movement, and a scan appliance was used.
- Scan resolution: Minimum of 0.3voxel is recommended. The smaller the number, the better (ex: 0.2, 0.1, etc.).
- Scan format: Please send all files in DICOM format.