Zirconia Milling Request Digital Case Upload (Zirconia)Please upload and fill out the form for the case process.Do you have account with us? *YesNoClinic/Lab *Dental ClinicDental LaboratoryAccount Name *Please put your Lab/Clinic NameContact Person *For Case discuss if there a issueYour email *Please leave correct email address for follow up the caseCase Name *For the history if you have PT's name please share.Date Requiredtoggle datepickerCase Type *Design + MillingMilling(Need designed STL file)File is over 20MB- please share wetransfer to arummillingcentre@gmail.comPreferred Zirconia Material *Multi Layer Zirconia Disc Pure Zirconia DiscTypr of Crown *Signle CrownBridge CrownUpper Tooth 18171615141312112122232425262728Lower Tooth48474645444342413132333435363738Incisal ShadePlease select an optionA1A2A3A3.5A4B1B2B3B4C1C2C3C4D2D3D4OM1(BL1)OM2(BL2)OM3(BL3)Body Shade *Please select an optionA1A2A3A3.5A4B1B2B3B4C1C2C3C4D2D3D4OM1(BL1)OM2(BL2)OM3(BL3)Gingival ShadePlease select an optionA1A2A3A3.5A4B1B2B3B4C1C2C3C4D2D3D4OM1(BL1)OM2(BL2)OM3(BL3)Special Requirements/Additional Case NotesPlease leave if you have concern or need any further inquiry for the case. Upload file 1Upload file 2 Case PhotosAdditional Case PhotosTerms & Condition *I've read and agree to Terms and Conditions.Submit