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Case Submitted!

Your case has been received. Track it in your dashboard.

Case ID

GT-78422

Track This Case →

New Case Submission

Complete all steps to submit your case. You can save a draft at any time.

Patient & Product

Material & Shade

Tooth Details

Files & Notes

Shipping & Date

Review & Submit

Patient & Product

Use an anonymous chart ID — avoid using the patient's full name.

Patient Chart ID (Anonymous) *

Never use the patient's full name. Use your practice chart number or our anonymous ID system.

Product Type *

Material & Shade Selection

Material *

VITA Shade *

Shade Notes / Special Instructions

Tooth Numbers & Configuration

Select Tooth Numbers *

Universal Numbering System (1–32). Click to select/deselect.

Upper (1–16)

Lower (17–32)

Arch / Notes

File Uploads & Instructions

Upload STL scans (upper, lower, bite), reference photos, and any Rx forms. Max 200 MB total.

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Click to upload files

STL, PLY, OBJ, ZIP, PDF, JPG, PNG · Max 200 MB total

Uploaded Files ()

Special Instructions

Shipping & Due Date

Ship To *

Requested Due Date *

Minimum 3 business days from submission. Rush options available — confirm with your case manager.

Priority

Review & Confirm

By submitting, you confirm the prescription is accurate and you authorize GLAM Teeth to fabricate this restoration per the specifications above. A case ID will be generated and tracking will be available immediately in your dashboard.