Account Information.

Company Name:

Contact Name:

Contact Number:

Email Address:

Delivery Address:

Job Information

Patient Reference:

Tooth Number (Please List All Abutment and Pontics):

Materials:

Zirconia:

Argen HT+Argen Multilayer HT+Argen Z UltraDental DirektWhitepeaksKatanaZirCAD-PrimeZirCAD Prime EstheticSagemaxLuxor

Milled Composite:

GC CerasmartVita EnamicBrecamColtene

Pressables

Pressed EmaxPressed LiventoCeltra Press

Other

Milled EmaxGC LisiWaxPMMASplintAcetalSolvayDigital DentureBIO/HPP/PEEKPrinted ModelG CAM GraphenanoMilled CoCr

Titanium Abutment

For abutments please upload your construction file and tell us your platform information in the additional info box.

Medentika

Shades:

Additional Info:

If you have any problems sending files please email or Wetransfer the file and job information to info@elementdigital.co.uk