Registration Subperiosteal implants

Name of surgeon / prescriber

Surgeon's / prescriber's last name

Surgeon's / prescriber's cell phone

Surgeon's / prescriber's contact email address

Patient's medical record number

Patient initials

You have a date of surgery

Yes No

Expected date of surgery

* The date of the surgery must be planned at least 15 working days after today.

Treatment information

Type of surgery to be performed

Implant connections

Provisional in PMMA + prosthetic screws

Color shot for provisional

Brief explanation of the treatment

Subperiosteal implants shipping data

Name of clinic or hospital

To the attention of

Street

Number

Population

Postal code

State / Country

Clinic or hospital phone number

Information about TC's
CT scans can be helical (hospital) or Cone Beam (clinic) in Dicom format. Partial edentulous.

Partial edentulous: A single CT scan of the patient is sufficient; the medical engineer and prescriber will only be able to plan the implants according to the bone and not according to the teeth.

Total edentulous: It is highly recommended to perform the double CT technique, the engineer and medical prescriber will be able to plan according to the teeth of the wax-up, being able to evaluate the loads and the esthetics of the treatment. The double CT technique consists of a CT of the patient with the diagnostic wax-up (barite or gutta-percha stitches) in the mouth, biting a bite index or cottons and another CT of only the diagnostic wax-up.

Upper jaws it is essential that the uptake volume goes from the upper part of the orbit to the antagonist's teeth.

CT scan procedure instructions for subperiosteal implants

Download the PDF for more information

The TC to be registered is:

Simple CT scan (a single CT scan of the patient's bone) Double CT (two CT's: patient with diagnostic wax-up and diagnostic wax-up CT alone)

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Our engineers will perform a planning with subperiosteal implants, send a planning by e-mail and organize a remote control meeting with the maxillofacial to verify it.