Name of the applicant for the guide

Name of the requesting clinic

How will you send the models
—Por favor, elige una opción—DigitallyPlaster modelsSilicone impression

What is your bracket prescription, brand and model

What technique will you use
—Por favor, elige una opción—Cementation at FA point0.5 mm more incisal1 mm more incisalOther

What other technique (If you place Another)

You want to make any changes to the prescription

You want to add a CBCT to determine the dental axis
—Por favor, elige una opción—YesNot

What is the extent of treatment

Which teeth do you want to bracket

If there are collisions in the brackets, how do you want us to proceed?

Any extra comments

You need advice
—Por favor, elige una opción—YesNot

How do you prefer that we contact you?
—Por favor, elige una opción—EmailPhoneWhatsapp

Enter your email

Enter your Phone

I have read and accept the Privacy Policy

Name of the applicant for the guide

Name of the requesting clinic

How will you send the models
—Por favor, elige una opción—DigitallyPlaster modelsSilicone impression

What is your bracket prescription, brand and model

What technique will you use
—Por favor, elige una opción—Cementation at FA point0.5 mm more incisal1 mm more incisalOther

What other technique (If you place Another)

You want to make any changes to the prescription

You want to add a CBCT to determine the dental axis
—Por favor, elige una opción—YesNot

What is the extent of treatment

Which teeth do you want to bracket

If there are collisions in the brackets, how do you want us to proceed?

Any extra comments

You need advice
—Por favor, elige una opción—YesNot

How do you prefer that we contact you?
—Por favor, elige una opción—EmailPhoneWhatsapp

Enter your email

Enter your Phone

I have read and accept the Privacy Policy