Doctor’s Name* / Practice Name*
Type of Dental Practice*
Practice's Website*
Best Email
Best Contact Number
What is your specialty?* General Practice restoring AOX cases.General Practice placing implants and restoring AOX cases.Specialist Placing implants for AOX cases.General Practice with Specialists traveling to your office.Specialist with GP traveling to your office.
How many AOX cases do you do annually?* Less than 5 cases5-10 cases10 + cases20 + cases50 + cases
Team knowledge on The AOX procedure?* Click all that apply. Whole team is super comfortable- want to get to the next levelClinical Team needs trainingTC/Manager needs trainingFront and financial team need training
What is your goal implementing the AOX model?*
What is your greatest challenge implementing the AOX model?*
What is your preferred implant brand for AOX cases?*
