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Add Case
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Dentist information
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Step
1
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Dentist Name
*
First
Last
Dentist Mobile Number
Dentist Email Address
*
Dentist City
Dentist Country
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Patient Name
*
First
Last
Patient Gender
Male
Female
Patient Date of Birth
Patient City
Patient Country
Patient Billing Address
Patient Delivery Address
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Chief Complaints
Crowding
Upper
Lower
Spacing
Upper
Lower
Open Bite
Upper
Lower
Cross Bite Lateral
Upper
Lower
Cross Bite Frontal
Upper
Lower
Other
Treatment Option
Options
Upper Arch
Lower Arch
Suggestions
Interproximal Stripping
Yes
No
According to need
Suggestions
Expansion
Upper Arch
Lower Arch
Both
Suggestions
Overjet
Reduce
Maintain
Suggestions
Midline
Maintain
Adjust as needed
Upper Arch
Lower Arch
Correct through stripping
Suggestions
Engagers
Position
Shape
Dimension
Attach as needed
Suggestions
Treatment Notes
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Profile Repose
Frontal Repose
Frontal Smiling
Occlussal Upper
Occlussal Lower
Buccal Right
Labial Anterior
Buccal Left
Clinical Photos
Click or drag files to this area to upload.
You can upload up to 8 files.
Upload the following photos:
1.Profile Repose, 2.Frontal Repose, 3.Frontal Smiling, 4.Occlussal Upper, 5.Occlussal Lower, 6.Buccal Right, 7.Labial Anterior, 8.Buccal Left
Only .jpeg,.jpg,.png formats are allowed
Maximum file size 10mb
Please wait till the upload is completed!
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Upload X ray
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You can upload up to 8 files.
Only .jpeg, .jpg, .png, .tiff formats are allowed
Maximum file size 10mb
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Scans
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You can upload up to 3 files.
Enter scans or send to our email
[email protected]
Only STL, DCM and VRML formats are allowed
Maximum file size 10mb
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