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NIGHT GUARD / SPLINT
CUSTOM IMPRESSION TRAY
MODEL
DUAL ARCH
SINGLE ARCH
DUPLICATE DENTURES
RESOURCES
SUPPORT
CUSTOM IMPRESSION TRAY
New Project:
Please complete the order form below.
Custom Impression Tray
Patient Initials:
*
Patient Number:
*
Arch:
*
UPPER
LOWER
Digitally Remove Teeth:
*
YES
NO
Notes:
Please upload a scan of the Arch for which the tray will be used.
Scan files should be in *.STL format. If uploading more than three files, the files will need to be compressed into a *.zip file.
Email
This field is for validation purposes and should be left unchanged.