Take the Icon MIH Treatment Workflow Assessment

Complete the short Icon MIH treatment workflow assessment.

Does the practice have either an IOS or a desktop scanner? *

• Yes
• No
• N/A

Is the doctor considering how 3D printing could enhance the patient experience in your practice? *

• Yes
• No

Is the doctor interested in adding 3D-printed bleaching trays to their business? *

• Yes
• No

Does the doctor offer bleaching/whitening services? *

• Yes
• No

Does the doctor offer Icon for the treatment of: *

• White spots
• Fluorosis
• MIH

Please indicate specialty: *

• General Dentist
• Orthodontist
• Pediatric Dentist
• Periodontist
• Prosthodontist
• Endodontist

Doctor's First Name *

Doctor's Last Name *

Business Name

Email *

Business Phone *

Address Line 1 *

Address Line 2

City *

State *

IOS enhance could

Zip Code *

Submitted by

Notes

Submit