BrightArk

Dental Lab Order Form

cs@theBrightArk.com

Dental Lab Order Form

* Required fields

Order Information

Sex

Order Flags

Treatment Type

Digital dental impressions only. Physical impressions are not accepted.

Pontic Design

Interproximal

Occlusal Contact

If Insufficient Room

Tooth Selector & Shade

Selection mode

Click teeth to select. Multi-select supported.

Upper Right

Upper Left

Lower Right

Lower Left

Occlusal Stain

Instructions

0/2000

Upload Files

Oral Scans

Do not upload back-cover scan files

Upper Arch *

Lower Arch *

STL

Left Buccal

STL

Right Buccal

Facial Photos

Frontal View

Frontal Smile

Profile View

Intraoral Photos

Upper Arch

Tooth with Shade Tab

45° Central

Right (Occlusal)

Central (Occlusal)

Left (Occlusal)

Lower Arch