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Patient Info All fields required.
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Surgeon Info 手机翻国外网站教程
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Case Type & Questions
How will the dental models be provided?
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Individual Models Non-Segmental Maxilla Segmental Maxilla
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Post-Op Upper (Seg.) N/A Required
Final Occlusion 手机翻国外网站教程 Optional
Will final occlusion be provided?
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Will this be a segmental maxilla?
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Distraction
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TMJ
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Will CT be provided?
Requested if previous scan date is not within 3 months of the surgery date or orthodontic movement has occurred.
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Will dental models be provided?
Mandatory if models were not provided for Stage 1.
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IPS Products
Please select at least one product or model.
Additional IPS Models
Product Description
PEEK with holes, etc. 2000 character limit max.
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Anatomical Region & Procedure
Left mandible repositioning, LF1 Distraction, etc. 2000 character limit max.
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旋风vp(永久免费)
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If selecting 'Other', please add notes in the Additional Comments box.

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Additional Comments
Anything else we should know? 2000 character limit max.
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Forms:
  • IPS Orthognathic Planning Form
  • IPS Reconstruction Planning Form
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