SimPlant Conversion

SimPlant Conversion RX

Please complete the form entirely. All fields in red are required.

Please be sure to have the following in order to process your case:

  • Scan of patient
  • Scan of denture with markers (dual scan protocol - if applicable)
  • Upper and lower impressions or models (optical scan conversion - if applicable)
If you are an existing customer, you can skip this step

Treatment Plan Information

*FastTrack requires the submission of a scan denture appliance using dual scan protocol or the submission of upper/lower impressions or models.

You will lose Hounsfield measurement accuracy