Full Name *

Country

Email *

Medical background *

Procedure Information

Procedure title

Treatment date *

Patient age

Sex of patient

Female
Male

GDT Products used (Names or SKUs) *

General description of procedure/treatment (case notes) *

Before treatment/procedure: X-ray + regular photos *

Choose file or drag here

Supported format: JPG, JPEG, PNG, PDF, SVG.

During treatment/procedure: X-ray + regular photos *

Choose file or drag here

Supported format: JPG, JPEG, PNG, PDF, SVG.

After treatment/procedure: X-ray + regular photos *

Choose file or drag here

Supported format: JPG, JPEG, PNG, PDF, SVG.

* By submitting this form and uploading your clinical cases and photos, you consent to allow GDT Dental Implants to feature and showcase the provided information (excluding private contact details) across all company websites and marketing materials.

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We appreciate you contacting us. One of our representatives will get back in touch with you soon! Have a great day!

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