#2-4505 Albert Street South
Regina, SK
S4S 6B6
Phone: (306) 359-7077
In the office of the Regina Orthodontic Group

CONE BEAM C.T

Please check off the box that applies to this referral (fees will be applied appropriately)

All scans include a radiology report.

Includes a Software Disc and a DICOM Disc with the C.T. files on them in Multi File

Includes a paper workup with your provided measurements along with a Software Disc and a DICOM Disc with the C.T. files on them in Multi File.

Vertical measurements should be made from the crest at mm width

REGION OF INTEREST (please indicate)

Airway/Sinus/Impactions/Third molar relationship/Pathology

Includes a paper workup with your provided measurements along with a Software Disc and a DICOM Disc with the C.T. files on them in Multi File

Includes a paper workup with your provided measurements along with a Software Disc and a DICOM Disc with the C.T. files on them in Multi File.

Habitual intercuspation

Maximum opening

With Stent (please provide)

Includes airway/sinus investigation, P.A/Ceph., Lateral Ceph., Pan, 3D skull view, Digital models, along with a Software Disc and a DICOM Disc with the C.T. files on them in Multi File.