{"id":9225,"date":"2024-11-11T16:16:23","date_gmt":"2024-11-11T16:16:23","guid":{"rendered":"https:\/\/elevantiasolutions.com\/?page_id=9225"},"modified":"2025-06-12T11:30:28","modified_gmt":"2025-06-12T11:30:28","slug":"smile-studio-case-submission","status":"publish","type":"page","link":"https:\/\/elevantiasolutions.com\/es\/smile-studio-case-submission\/","title":{"rendered":"Formulario Smile Studio"},"content":{"rendered":"<p><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-background-color:var(--awb-color8);--awb-background-image:linear-gradient(180deg, var(--awb-custom_color_3) 0%,var(--awb-custom_color_2) 100%);--awb-flex-wrap:wrap;\" ><div class=\"awb-background-mask\" style=\"background-image:  url(data:image\/svg+xml;utf8,%3Csvg%20width%3D%221920%22%20height%3D%22954%22%20fill%3D%22none%22%20xmlns%3D%22http%3A%2F%2Fwww.w3.org%2F2000%2Fsvg%22%3E%3Cg%20clip-path%3D%22url%28%23prefix__clip0_58_35%29%22%3E%3Cpath%20fill-rule%3D%22evenodd%22%20clip-rule%3D%22evenodd%22%20d%3D%22M1773.6-19.976l-600.95%20600.789c-117.27%20117.239-307.318%20117.317-424.491.174-117.172-117.142-117.094-307.145.175-424.383l600.946-600.79%20424.32%20424.21zM1212.47%201397.93l600.95-600.785c117.26-117.238%20117.34-307.241.17-424.384-117.17-117.142-307.22-117.064-424.49.174l-.16.153-600.787%20600.637%20424.317%20424.205z%22%20fill%3D%22rgba%2879%2C87%2C141%2C1%29%22%2F%3E%3C%2Fg%3E%3Cdefs%3E%3CclipPath%20id%3D%22prefix__clip0_58_35%22%3E%3Cpath%20fill%3D%22%23fff%22%20d%3D%22M0%200h1920v954H0z%22%2F%3E%3C%2FclipPath%3E%3C%2Fdefs%3E%3C%2Fsvg%3E);opacity: 0.15 ;transform: scale(1, 1);mix-blend-mode:normal;\"><\/div><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-justify-content-center fusion-flex-content-wrap\" style=\"max-width:1372.8px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-padding-top:80px;--awb-padding-bottom:80px;--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-1 fusion-sep-none fusion-title-center fusion-title-text fusion-title-size-two\" style=\"--awb-text-color:var(--awb-color1);--awb-margin-bottom:20px;--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;\"><h2 class=\"fusion-title-heading title-heading-center fusion-responsive-typography-calculated\" style=\"margin:0;--fontSize:44;line-height:1.4;\">Formulario Smile Studio<\/h2><\/div><\/div><\/div><\/div><\/div><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2 fusion-flex-container has-pattern-background has-mask-background nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:35px;--awb-padding-right:90px;--awb-padding-bottom:25px;--awb-padding-left:90px;--awb-padding-right-small:10px;--awb-padding-left-small:10px;--awb-margin-top:0px;--awb-margin-bottom:0px;--awb-background-color:var(--awb-color1);--awb-flex-wrap:wrap;\" id=\"audit\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:calc( 1320px + 0px );margin-left: calc(-0px \/ 2 );margin-right: calc(-0px \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-1 fusion_builder_column_1_1 1_1 fusion-flex-column fusion-animated\" style=\"--awb-padding-top:20px;--awb-padding-right:40px;--awb-padding-bottom:20px;--awb-padding-left:40px;--awb-padding-right-medium:16px;--awb-padding-left-medium:16px;--awb-padding-top-small:24px;--awb-padding-right-small:28px;--awb-padding-bottom-small:16px;--awb-padding-left-small:28px;--awb-overflow:hidden;--awb-bg-color:var(--awb-color1);--awb-bg-color-hover:var(--awb-color1);--awb-bg-size:cover;--awb-box-shadow:12px 32px 60px -8px hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc( var(--awb-color8-a) - 88% ));;--awb-border-color:hsla(var(--awb-color8-h),var(--awb-color8-s),var(--awb-color8-l),calc( var(--awb-color8-a) - 92% ));--awb-border-right:1px;--awb-border-bottom:1px;--awb-border-left:1px;--awb-border-style:solid;--awb-border-radius:20px 20px 20px 20px;--awb-width-large:100%;--awb-margin-top-large:45px;--awb-spacing-right-large:calc( 0.055 * calc( 100% - 0px ) );--awb-margin-bottom-large:50px;--awb-spacing-left-large:calc( 0.056 * calc( 100% - 0px ) );--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:calc( 0.003 * calc( 100% - 0px ) );--awb-spacing-left-medium:calc( 0.02 * calc( 100% - 0px ) );--awb-width-small:100%;--awb-order-small:0;--awb-margin-top-small:0px;--awb-spacing-right-small:calc( 0.003 * calc( 100% - 0px ) );--awb-margin-bottom-small:30px;--awb-spacing-left-small:calc( 0.02 * calc( 100% - 0px ) );\" data-animationtype=\"fadeInRight\" data-animationduration=\"2.0\" data-animationoffset=\"top-into-view\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-center fusion-content-layout-column\"><div class=\"fusion-form fusion-form-builder fusion-form-form-wrapper fusion-form-9105\" style=\"--awb-tooltip-text-color:#ffffff;--awb-tooltip-background-color:#333333;\" data-form-id=\"9105\" data-config=\"{&quot;form_id&quot;:&quot;9105&quot;,&quot;form_post_id&quot;:&quot;9105&quot;,&quot;post_id&quot;:9225,&quot;form_type&quot;:&quot;ajax&quot;,&quot;confirmation_type&quot;:&quot;message&quot;,&quot;redirect_url&quot;:&quot;&quot;,&quot;redirect_timeout&quot;:&quot;0&quot;,&quot;field_labels&quot;:{&quot;dr_firstname&quot;:&quot;Dr&#039;s First Name&quot;,&quot;dr_Lastname&quot;:&quot;Dr&#039;s Last Name&quot;,&quot;email&quot;:&quot;Email&quot;,&quot;phone_number&quot;:&quot;Phone Number&quot;,&quot;clinics_name&quot;:&quot;Clinic&#039;s Name&quot;,&quot;patient_name&quot;:&quot;Patient&#039;s Name or ID&quot;,&quot;how_to_proceed&quot;:&quot;How would you like to proceed with this case?&quot;,&quot;arches_to_treat&quot;:&quot;Arches to treat&quot;,&quot;ortho_treat&quot;:&quot;Are you and your patient open to an ortho treatment?&quot;,&quot;gingival_contouring&quot;:&quot;Are you and your patient open to proceed with gingival contouring?&quot;,&quot;ovd&quot;:&quot;Are you and your patient open to proceed with changes on the vertical dimension?&quot;,&quot;teeth_extraction&quot;:&quot;Are you planning to extract any teeth?&quot;,&quot;Design&quot;:&quot;Design (Delivered in 24h)&quot;,&quot;GuidedSurgery&quot;:&quot;Guided Surgery (Delivered in 48h)&quot;,&quot;Upgrades&quot;:&quot;Upgrades (Delivered in 24h)&quot;,&quot;U_Centrals&quot;:&quot;Centrals&quot;,&quot;U_Laterals&quot;:&quot;Laterals&quot;,&quot;U_Canines&quot;:&quot;Canines&quot;,&quot;U_Premolars&quot;:&quot;Premolars&quot;,&quot;U_Molars&quot;:&quot;Molars&quot;,&quot;L_Centrals&quot;:&quot;Centrals&quot;,&quot;L_Laterals&quot;:&quot;Laterals&quot;,&quot;L_Canines&quot;:&quot;Canines&quot;,&quot;L_Premolars&quot;:&quot;Premolars&quot;,&quot;L_Molars&quot;:&quot;Molars&quot;,&quot;info&quot;:&quot;Extra Info&quot;,&quot;link&quot;:&quot;Wetransfer Link: With STLs, Patient&#039;s photos and CBCT scans or X-Rays&quot;,&quot;stls_files_consent&quot;:&quot;STLs files consent&quot;},&quot;field_logics&quot;:{&quot;notice_1&quot;:&quot;&quot;,&quot;dr_firstname&quot;:&quot;&quot;,&quot;dr_Lastname&quot;:&quot;&quot;,&quot;email&quot;:&quot;&quot;,&quot;phone_number&quot;:&quot;&quot;,&quot;clinics_name&quot;:&quot;&quot;,&quot;patient_name&quot;:&quot;&quot;,&quot;how_to_proceed&quot;:&quot;&quot;,&quot;arches_to_treat&quot;:&quot;&quot;,&quot;ortho_treat&quot;:&quot;&quot;,&quot;gingival_contouring&quot;:&quot;&quot;,&quot;ovd&quot;:&quot;&quot;,&quot;teeth_extraction&quot;:&quot;&quot;,&quot;Design&quot;:&quot;&quot;,&quot;GuidedSurgery&quot;:&quot;&quot;,&quot;Upgrades&quot;:&quot;&quot;,&quot;U_Centrals&quot;:&quot;&quot;,&quot;U_Laterals&quot;:&quot;&quot;,&quot;U_Canines&quot;:&quot;&quot;,&quot;U_Premolars&quot;:&quot;&quot;,&quot;U_Molars&quot;:&quot;&quot;,&quot;L_Centrals&quot;:&quot;&quot;,&quot;L_Laterals&quot;:&quot;&quot;,&quot;L_Canines&quot;:&quot;&quot;,&quot;L_Premolars&quot;:&quot;&quot;,&quot;L_Molars&quot;:&quot;&quot;,&quot;info&quot;:&quot;&quot;,&quot;link&quot;:&quot;&quot;,&quot;stls_files_consent&quot;:&quot;&quot;,&quot;submit_1&quot;:&quot;&quot;},&quot;field_types&quot;:{&quot;notice_1&quot;:&quot;notice&quot;,&quot;dr_firstname&quot;:&quot;text&quot;,&quot;dr_Lastname&quot;:&quot;text&quot;,&quot;email&quot;:&quot;email&quot;,&quot;phone_number&quot;:&quot;phone_number&quot;,&quot;clinics_name&quot;:&quot;text&quot;,&quot;patient_name&quot;:&quot;text&quot;,&quot;how_to_proceed&quot;:&quot;checkbox&quot;,&quot;arches_to_treat&quot;:&quot;checkbox&quot;,&quot;ortho_treat&quot;:&quot;checkbox&quot;,&quot;gingival_contouring&quot;:&quot;checkbox&quot;,&quot;ovd&quot;:&quot;checkbox&quot;,&quot;teeth_extraction&quot;:&quot;checkbox&quot;,&quot;Design&quot;:&quot;checkbox&quot;,&quot;GuidedSurgery&quot;:&quot;checkbox&quot;,&quot;Upgrades&quot;:&quot;checkbox&quot;,&quot;U_Centrals&quot;:&quot;checkbox&quot;,&quot;U_Laterals&quot;:&quot;checkbox&quot;,&quot;U_Canines&quot;:&quot;checkbox&quot;,&quot;U_Premolars&quot;:&quot;checkbox&quot;,&quot;U_Molars&quot;:&quot;checkbox&quot;,&quot;L_Centrals&quot;:&quot;checkbox&quot;,&quot;L_Laterals&quot;:&quot;checkbox&quot;,&quot;L_Canines&quot;:&quot;checkbox&quot;,&quot;L_Premolars&quot;:&quot;checkbox&quot;,&quot;L_Molars&quot;:&quot;checkbox&quot;,&quot;info&quot;:&quot;textarea&quot;,&quot;link&quot;:&quot;text&quot;,&quot;stls_files_consent&quot;:&quot;consent&quot;,&quot;submit_1&quot;:&quot;submit&quot;},&quot;nonce_method&quot;:&quot;ajax&quot;,&quot;form_views&quot;:&quot;ajax&quot;,&quot;form_views_counting&quot;:&quot;all&quot;}\"><form action=\"https:\/\/elevantiasolutions.com\/es\/smile-studio-case-submission\/\" method=\"post\" class=\"fusion-form fusion-form-9105\" data-trp-original-action=\"https:\/\/elevantiasolutions.com\/es\/smile-studio-case-submission\/\"><div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-2-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-padding-top:0px;--awb-padding-right:0px;--awb-padding-bottom:0px;--awb-padding-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-2 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"form-submission-notices data-notice_1\" id=\"fusion-notices-1\" data-instance=\"1\"><div class=\"fusion-alert alert success alert-success fusion-alert-center fusion-form-response fusion-form-response-success awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-check-circle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Gracias por confiar en nosotros para realizar su caso. Revisaremos los archivos enviados y procederemos con el Dise\u00f1o si todo est\u00e1 correcto<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><div class=\"fusion-alert alert error alert-danger fusion-alert-center fusion-form-response fusion-form-response-error awb-alert-native-link-color alert-dismissable awb-alert-close-boxed\" role=\"alert\"><div class=\"fusion-alert-content-wrapper\"><span class=\"alert-icon\"><i class=\"awb-icon-exclamation-triangle\" aria-hidden=\"true\"><\/i><\/span><span class=\"fusion-alert-content\">Hubo un error al enviar este mensaje. Por favor int\u00e9ntelo de nuevo m\u00e1s tarde.<\/span><\/div><button type=\"button\" class=\"close toggle-alert\" data-dismiss=\"alert\" aria-label=\"Close\">&times;<\/button><\/div><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-3 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-flex-grow:0;--awb-flex-shrink:0;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:0px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-flex-grow-medium:0;--awb-flex-shrink-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-flex-grow-small:0;--awb-flex-shrink-small:0;--awb-spacing-right-small:0.864%;--awb-spacing-left-small:0.864%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-title title fusion-title-2 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:25px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:25;--minFontSize:25;line-height:var(--awb-typography1-line-height);\">Informaci\u00f3n del Doctor<\/h1><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><div class=\"fusion-form-label-wrapper\"><label for=\"dr_firstname\">Nombre del Dr. <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-file-signature fas\"><\/i><input type=\"text\" autocomplete=\"off\" name=\"dr_firstname\" id=\"dr_firstname\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Nombre *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><div class=\"fusion-form-label-wrapper\"><label for=\"dr_Lastname\">Apellido del Dr. <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-file-signature fas\"><\/i><input type=\"text\" autocomplete=\"off\" name=\"dr_Lastname\" id=\"dr_Lastname\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Apellido *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-email-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><div class=\"fusion-form-label-wrapper\"><label for=\"email\">Email <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-at fas\"><\/i><input type=\"email\" autocomplete=\"off\" name=\"email\" id=\"email\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"johndoe@company.com *\" data-holds-private-data=\"false\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-phone-number-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><div class=\"fusion-form-label-wrapper\"><label for=\"phone_number\">N\u00famero de Tel\u00e9fono <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-phone-volume fas\"><\/i><input type=\"tel\" autocomplete=\"off\" name=\"phone_number\" id=\"phone_number\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"ej. (555) 802-1234 *\" data-holds-private-data=\"false\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><div class=\"fusion-form-label-wrapper\"><label for=\"clinics_name\">Nombre de la Cl\u00ednica <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-file-signature fas\"><\/i><input type=\"text\" autocomplete=\"off\" name=\"clinics_name\" id=\"clinics_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Cl\u00ednica *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><div class=\"fusion-title title fusion-title-3 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:25px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:25;--minFontSize:25;line-height:var(--awb-typography1-line-height);\">Informaci\u00f3n del Paciente<\/h1><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><div class=\"fusion-form-label-wrapper\"><label for=\"patient_name\">Nombre del Paciente o ID <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-file-signature fas\"><\/i><input type=\"text\" autocomplete=\"off\" name=\"patient_name\" id=\"patient_name\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Nombre completo o ID *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><div class=\"fusion-title title fusion-title-4 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:25px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:25;--minFontSize:25;line-height:var(--awb-typography1-line-height);\">Opciones de Tratamiento<\/h1><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"1\" data-awb-fieldset-max-required=\"1\" data-awb-fieldset-error=\"Please select exactly 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">\u00bfC\u00f3mo te gustar\u00eda proceder en este caso? <abbr class=\"fusion-form-element-required\" title=\"Please select exactly 1 checkbox from this field.\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-how_to_proceed-1-0\" type=\"checkbox\" value=\"Please follow my instructions\" name=\"how_to_proceed[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-how_to_proceed-1-0\">Por favor seguid mis instrucciones<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-how_to_proceed-1-1\" type=\"checkbox\" value=\"I want Elevantia Solutions to recommend the best treatment for my patient\" name=\"how_to_proceed[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-how_to_proceed-1-1\">Quiero que Elevantia Solutions me recomiende el mejor tratamiento para mi paciente<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"1\" data-awb-fieldset-max-required=\"1\" data-awb-fieldset-error=\"Please select exactly 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Arcadas a tratar <abbr class=\"fusion-form-element-required\" title=\"Please select exactly 1 checkbox from this field.\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-arches_to_treat-2-0\" type=\"checkbox\" value=\"Upper arch\" name=\"arches_to_treat[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-arches_to_treat-2-0\">Arcada Superior<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-arches_to_treat-2-1\" type=\"checkbox\" value=\"Lower arch\" name=\"arches_to_treat[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-arches_to_treat-2-1\">Arcada Inferior<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-arches_to_treat-2-2\" type=\"checkbox\" value=\"Upper and Lower arches\" name=\"arches_to_treat[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-arches_to_treat-2-2\">Arcadas Superior e Inferior<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-arches_to_treat-2-3\" type=\"checkbox\" value=\"Not sure yet, please recommend\" name=\"arches_to_treat[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-arches_to_treat-2-3\">A\u00fan no lo se, por favor recomendadme<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"1\" data-awb-fieldset-max-required=\"1\" data-awb-fieldset-error=\"Please select exactly 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">\u00bfEst\u00e1is t\u00fa y tu paciente abiertos a un tratamiento ortod\u00f3ntico? <abbr class=\"fusion-form-element-required\" title=\"Please select exactly 1 checkbox from this field.\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-ortho_treat-3-0\" type=\"checkbox\" value=\"Yes\" name=\"ortho_treat[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-ortho_treat-3-0\">Si<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-ortho_treat-3-1\" type=\"checkbox\" value=\"No\" name=\"ortho_treat[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-ortho_treat-3-1\">No<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-ortho_treat-3-2\" type=\"checkbox\" value=\"Not sure yet, please recommend\" name=\"ortho_treat[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-ortho_treat-3-2\">A\u00fan no lo se, por favor recomendadme<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"1\" data-awb-fieldset-max-required=\"1\" data-awb-fieldset-error=\"Please select exactly 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">\u00bfEst\u00e1is t\u00fa y tu paciente abiertos a realizar un recontorneado gingival? <abbr class=\"fusion-form-element-required\" title=\"Please select exactly 1 checkbox from this field.\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-gingival_contouring-4-0\" type=\"checkbox\" value=\"Yes\" name=\"gingival_contouring[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-gingival_contouring-4-0\">Si<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-gingival_contouring-4-1\" type=\"checkbox\" value=\"No\" name=\"gingival_contouring[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-gingival_contouring-4-1\">No<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-gingival_contouring-4-2\" type=\"checkbox\" value=\"Not sure yet, please recommend\" name=\"gingival_contouring[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-gingival_contouring-4-2\">A\u00fan no lo se, por favor recomendadme<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"1\" data-awb-fieldset-max-required=\"0\" data-awb-fieldset-error=\"Please select at least 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">\u00bfEst\u00e1is t\u00fa y tu paciente abiertos a realizar cambios en la dimensi\u00f3n vertical? <abbr class=\"fusion-form-element-required\" title=\"Please select at least 1 checkbox from this field.\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-ovd-5-0\" type=\"checkbox\" value=\"Yes\" name=\"ovd[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-ovd-5-0\">Si<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-ovd-5-1\" type=\"checkbox\" value=\"No\" name=\"ovd[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-ovd-5-1\">No<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-ovd-5-2\" type=\"checkbox\" value=\"Not sure yet, please recommend\" name=\"ovd[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-ovd-5-2\">A\u00fan no lo se, por favor recomendadme<\/label><\/div><\/fieldset><\/div><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"1\" data-awb-fieldset-max-required=\"1\" data-awb-fieldset-error=\"Please select exactly 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">\u00bfTienes planeado realizar la extracci\u00f3n de alg\u00fan diente? <abbr class=\"fusion-form-element-required\" title=\"Please select exactly 1 checkbox from this field.\">*<\/abbr><\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-teeth_extraction-6-0\" type=\"checkbox\" value=\"Yes (please specify which ones in the \"extra info\" box at the end of this form)\" name=\"teeth_extraction[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-teeth_extraction-6-0\">Si (por favor especificar qu\u00e9 dientes en la secci\u00f3n \"Informaci\u00f3n Extra\" al final de este formulario)<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-teeth_extraction-6-1\" type=\"checkbox\" value=\"No\" name=\"teeth_extraction[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-teeth_extraction-6-1\">No<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-teeth_extraction-6-2\" type=\"checkbox\" value=\"Not sure yet, please recommend\" name=\"teeth_extraction[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-teeth_extraction-6-2\">A\u00fan no lo se, por favor recomendadme<\/label><\/div><\/fieldset><\/div><div class=\"fusion-title title fusion-title-5 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:25px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated translation-block\" style=\"margin:0;font-size:1em;--fontSize:25;--minFontSize:25;line-height:var(--awb-typography1-line-height);\">Seleccionar Productos - <span style=\"font-size: 18px;font-weight: normal\" data-fusion-font=\"true\">Por favor no selecciones ning\u00fan producto si deseas que Elevantia Solutions te recomiende el mejor tratamiento para tu paciente<\/span><\/h1><\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-0 fusion_builder_column_inner_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"4\" data-awb-fieldset-error=\"Please select a maximum of 4 checkboxes from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Dise\u00f1o (Entregado en 24h)<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-design-7-0\" type=\"checkbox\" value=\"Guided Design\" name=\"Design[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-design-7-0\">Guided Design<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-design-7-1\" type=\"checkbox\" value=\"Injectable Composite Design\" name=\"Design[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-design-7-1\">Injectable Composite Design<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-design-7-2\" type=\"checkbox\" value=\"Ortho Root Plan Design\" name=\"Design[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-design-7-2\">Ortho Root Plan Design<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-design-7-3\" type=\"checkbox\" value=\"Composite Pressed Design\" name=\"Design[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-design-7-3\">Composite Pressed Design<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-1 fusion_builder_column_inner_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"4\" data-awb-fieldset-error=\"Please select a maximum of 4 checkboxes from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Cirug\u00eda Guiada (Entregado en 48h)<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-guidedsurgery-8-0\" type=\"checkbox\" value=\"Ortho TAD Planning Guide\" name=\"GuidedSurgery[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-guidedsurgery-8-0\">Ortho TAD Planning Guide<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-guidedsurgery-8-1\" type=\"checkbox\" value=\"Partial Implant Guide\" name=\"GuidedSurgery[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-guidedsurgery-8-1\">Partial Implant Guide<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-guidedsurgery-8-2\" type=\"checkbox\" value=\"FullArch Implant Guide\" name=\"GuidedSurgery[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-guidedsurgery-8-2\">FullArch Implant Guide<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-guidedsurgery-8-3\" type=\"checkbox\" value=\"MultiStage Implant Guide\" name=\"GuidedSurgery[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-guidedsurgery-8-3\">MultiStage Implant Guide<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-2 fusion_builder_column_inner_1_3 1_3 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:33.333333333333%;--awb-margin-top-large:0px;--awb-spacing-right-large:5.76%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:5.76%;--awb-width-medium:33.333333333333%;--awb-order-medium:0;--awb-spacing-right-medium:5.76%;--awb-spacing-left-medium:5.76%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"4\" data-awb-fieldset-error=\"Please select a maximum of 4 checkboxes from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Upgrades (Entregado en 24h)<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-upgrades-9-0\" type=\"checkbox\" value=\"Gingival Guide\" name=\"Upgrades[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-upgrades-9-0\">Gingival Guide<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-upgrades-9-1\" type=\"checkbox\" value=\"Reduction Guides\" name=\"Upgrades[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-upgrades-9-1\">Reduction Guides<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-upgrades-9-2\" type=\"checkbox\" value=\"Smile Preview\" name=\"Upgrades[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-upgrades-9-2\">Smile Preview<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-upgrades-9-3\" type=\"checkbox\" value=\"Donator\" name=\"Upgrades[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-upgrades-9-3\">Donator<\/label><\/div><\/fieldset><\/div><\/div><\/div><\/div><div class=\"fusion-title title fusion-title-6 fusion-sep-none fusion-title-text fusion-title-size-one\" style=\"--awb-margin-top-small:10px;--awb-margin-right-small:0px;--awb-margin-bottom-small:10px;--awb-margin-left-small:0px;--awb-font-size:25px;\"><h1 class=\"fusion-title-heading title-heading-left fusion-responsive-typography-calculated\" style=\"margin:0;font-size:1em;--fontSize:25;--minFontSize:25;line-height:var(--awb-typography1-line-height);\">Seleccionar Dientes - <span style=\"font-size: 18px; font-weight: normal;\" data-fusion-font=\"true\">Por Favor No Selecciones Ning\u00fan Diente Si Deseas Que Elevantia Solutions Te Recomiende El Mejor Tratamiento Para Tu Paciente<\/span><\/h1><\/div><div class=\"fusion-text fusion-text-1\"><p><b><u>Arcada superior - FDI\/ADA<\/u><\/b><\/p>\n<\/div><div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-3 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:16.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:11.52%;--awb-spacing-left-medium:11.52%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"1\" data-awb-fieldset-error=\"Please select a maximum of 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Centrales<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_centrals-10-0\" type=\"checkbox\" value=\"11 \/ 8\" name=\"U_Centrals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_centrals-10-0\">11 \/ 8<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_centrals-10-1\" type=\"checkbox\" value=\"21 \/ 9\" name=\"U_Centrals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_centrals-10-1\">21 \/ 9<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_centrals-10-2\" type=\"checkbox\" value=\"Both\" name=\"U_Centrals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_centrals-10-2\">Ambos<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-4 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:16.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:11.52%;--awb-spacing-left-medium:11.52%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"1\" data-awb-fieldset-error=\"Please select a maximum of 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Laterales<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_laterals-11-0\" type=\"checkbox\" value=\"12 \/ 7\" name=\"U_Laterals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_laterals-11-0\">12 \/ 7<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_laterals-11-1\" type=\"checkbox\" value=\"22 \/ 10\" name=\"U_Laterals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_laterals-11-1\">22 \/ 10<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_laterals-11-2\" type=\"checkbox\" value=\"Both\" name=\"U_Laterals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_laterals-11-2\">Ambos<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-5 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:16.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:11.52%;--awb-spacing-left-medium:11.52%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"1\" data-awb-fieldset-error=\"Please select a maximum of 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Caninos<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_canines-12-0\" type=\"checkbox\" value=\"13 \/ 6\" name=\"U_Canines[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_canines-12-0\">13 \/ 6<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_canines-12-1\" type=\"checkbox\" value=\"23 \/ 11\" name=\"U_Canines[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_canines-12-1\">23 \/ 11<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_canines-12-2\" type=\"checkbox\" value=\"Both\" name=\"U_Canines[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_canines-12-2\">Ambos<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-6 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:16.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:11.52%;--awb-spacing-left-medium:11.52%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"3\" data-awb-fieldset-error=\"Please select a maximum of 3 checkboxes from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Premolares<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_premolars-13-0\" type=\"checkbox\" value=\"15 \/ 4\" name=\"U_Premolars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_premolars-13-0\">15 \/ 4<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_premolars-13-1\" type=\"checkbox\" value=\"14 \/ 5\" name=\"U_Premolars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_premolars-13-1\">14 \/ 5<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_premolars-13-2\" type=\"checkbox\" value=\"24 \/ 12\" name=\"U_Premolars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_premolars-13-2\">24 \/ 12<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_premolars-13-3\" type=\"checkbox\" value=\"25 \/ 13\" name=\"U_Premolars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_premolars-13-3\">25 \/ 13<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_premolars-13-4\" type=\"checkbox\" value=\"All\" name=\"U_Premolars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_premolars-13-4\">Todos<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-7 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:16.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:11.52%;--awb-spacing-left-medium:11.52%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"3\" data-awb-fieldset-error=\"Please select a maximum of 3 checkboxes from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Molares<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_molars-14-0\" type=\"checkbox\" value=\"17 \/ 2\" name=\"U_Molars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_molars-14-0\">17 \/ 2<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_molars-14-1\" type=\"checkbox\" value=\"16 \/ 3\" name=\"U_Molars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_molars-14-1\">16 \/ 3<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_molars-14-2\" type=\"checkbox\" value=\"26 \/ 14\" name=\"U_Molars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_molars-14-2\">26 \/ 14<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_molars-14-3\" type=\"checkbox\" value=\"27 \/ 15\" name=\"U_Molars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_molars-14-3\">27 \/ 15<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-u_molars-14-4\" type=\"checkbox\" value=\"All\" name=\"U_Molars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-u_molars-14-4\">Todos<\/label><\/div><\/fieldset><\/div><\/div><\/div><\/div><div class=\"fusion-text fusion-text-2\"><p><b><u>Arcada Inferior - FDI\/ADA<\/u><\/b><\/p>\n<\/div>\n<div class=\"fusion-builder-row fusion-builder-row-inner fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"--awb-flex-grow:0;--awb-flex-grow-medium:0;--awb-flex-grow-small:0;--awb-flex-shrink:0;--awb-flex-shrink-medium:0;--awb-flex-shrink-small:0;width:104% !important;max-width:104% !important;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-8 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:16.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:11.52%;--awb-spacing-left-medium:11.52%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"1\" data-awb-fieldset-error=\"Please select a maximum of 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Centrales<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_centrals-15-0\" type=\"checkbox\" value=\"31 \/ 24\" name=\"L_Centrals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_centrals-15-0\">31 \/ 24<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_centrals-15-1\" type=\"checkbox\" value=\"41 \/ 25\" name=\"L_Centrals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_centrals-15-1\">41 \/ 25<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_centrals-15-2\" type=\"checkbox\" value=\"Both\" name=\"L_Centrals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_centrals-15-2\">Ambos<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-9 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:16.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:11.52%;--awb-spacing-left-medium:11.52%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"1\" data-awb-fieldset-error=\"Please select a maximum of 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Laterales<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_laterals-16-0\" type=\"checkbox\" value=\"32 \/ 23\" name=\"L_Laterals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_laterals-16-0\">32 \/ 23<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_laterals-16-1\" type=\"checkbox\" value=\"42 \/ 26\" name=\"L_Laterals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_laterals-16-1\">42 \/ 26<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_laterals-16-2\" type=\"checkbox\" value=\"Both\" name=\"L_Laterals[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_laterals-16-2\">Ambos<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-10 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:16.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:11.52%;--awb-spacing-left-medium:11.52%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"1\" data-awb-fieldset-error=\"Please select a maximum of 1 checkbox from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Caninos<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_canines-17-0\" type=\"checkbox\" value=\"33 \/ 22\" name=\"L_Canines[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_canines-17-0\">33 \/ 22<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_canines-17-1\" type=\"checkbox\" value=\"43 \/ 27\" name=\"L_Canines[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_canines-17-1\">43 \/ 27<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_canines-17-2\" type=\"checkbox\" value=\"Both\" name=\"L_Canines[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_canines-17-2\">Ambos<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-11 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:16.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:11.52%;--awb-spacing-left-medium:11.52%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"3\" data-awb-fieldset-error=\"Please select a maximum of 3 checkboxes from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Premolares<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_premolars-18-0\" type=\"checkbox\" value=\"35 \/ 20\" name=\"L_Premolars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_premolars-18-0\">35 \/ 20<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_premolars-18-1\" type=\"checkbox\" value=\"34 \/ 21\" name=\"L_Premolars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_premolars-18-1\">34 \/ 21<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_premolars-18-2\" type=\"checkbox\" value=\"44 \/ 28\" name=\"L_Premolars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_premolars-18-2\">44 \/ 28<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_premolars-18-3\" type=\"checkbox\" value=\"45 \/ 29\" name=\"L_Premolars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_premolars-18-3\">45 \/ 29<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_premolars-18-4\" type=\"checkbox\" value=\"All\" name=\"L_Premolars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_premolars-18-4\">Todos<\/label><\/div><\/fieldset><\/div><\/div><\/div><div class=\"fusion-layout-column fusion_builder_column_inner fusion-builder-nested-column-12 fusion_builder_column_inner_1_6 1_6 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:16.666666666667%;--awb-margin-top-large:0px;--awb-spacing-right-large:11.52%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:11.52%;--awb-width-medium:16.666666666667%;--awb-order-medium:0;--awb-spacing-right-medium:11.52%;--awb-spacing-left-medium:11.52%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-form-field fusion-form-checkbox-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><fieldset data-awb-fieldset-min-required=\"0\" data-awb-fieldset-max-required=\"3\" data-awb-fieldset-error=\"Please select a maximum of 3 checkboxes from this field.\"><legend class=\"fusion-form-label-wrapper\"><span class=\"label\">Molares<\/span><\/legend><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_molars-19-0\" type=\"checkbox\" value=\"37 \/ 18\" name=\"L_Molars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_molars-19-0\">37 \/ 18<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_molars-19-1\" type=\"checkbox\" value=\"36 \/ 19\" name=\"L_Molars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_molars-19-1\">36 \/ 19<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_molars-19-2\" type=\"checkbox\" value=\"46 \/ 30\" name=\"L_Molars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_molars-19-2\">46 \/ 30<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_molars-19-3\" type=\"checkbox\" value=\"47 \/ 31\" name=\"L_Molars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_molars-19-3\">47 \/ 31<\/label><\/div><div class=\"fusion-form-checkbox\"><input tabindex=\"\" id=\"checkbox-l_molars-19-4\" type=\"checkbox\" value=\"All\" name=\"L_Molars[]\" class=\"fusion-form-input\" data-holds-private-data=\"false\"\/><label for=\"checkbox-l_molars-19-4\">Todos<\/label><\/div><\/fieldset><\/div><\/div><\/div><\/div><div class=\"fusion-form-field fusion-form-textarea-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><label for=\"info\">Informaci\u00f3n Extra<\/label><textarea cols=\"40\" autocomplete=\"off\"  minlength=\"0\"  rows=\"2\" tabindex=\"\" id=\"info\" name=\"info\" class=\"fusion-form-input\" placeholder=\"Por favor indica toda la informaci\u00f3n necesaria para proceder con el caso (preferencias, limitaciones, extracciones necesarias, etc.) \" data-holds-private-data=\"false\"><\/textarea><\/div><div class=\"fusion-form-field fusion-form-text-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><div class=\"fusion-form-label-wrapper\"><label for=\"link\">Enlace de Wetransfer: Con STLs, fotos del paciente y CBCT o Rx <abbr class=\"fusion-form-element-required\" title=\"required\">*<\/abbr><\/label><\/div><div class=\"fusion-form-input-with-icon\"><i class=\"awb-form-icon fa-link fas\"><\/i><input type=\"text\" autocomplete=\"off\" name=\"link\" id=\"link\" value=\"\"  class=\"fusion-form-input\" required=\"true\" aria-required=\"true\" placeholder=\"Por favor copia aqu\u00ed el enlace con los archivos *\" data-holds-private-data=\"false\" minlength=\"0\"\/><\/div><\/div><div class=\"fusion-form-field fusion-form-consent-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><div class=\"fusion-form-label-wrapper\"><label for=\"stls_files_consent\">Consentimiento de archivos STL<\/label><\/div><div class=\"fusion-form-checkbox option-inline\"><input tabindex=\"\" id=\"stls_files_consent\" type=\"checkbox\" value=\"1\" name=\"stls_files_consent\" class=\"fusion-form-input\" checked \/><label for=\"stls_files_consent\">Autorizo a Elevantia Solutions a almacenar mis archivos STL en su base de datos y a utilizarlos con fines de marketing. Al proporcionar los archivos, confirmo que tengo los derechos necesarios para otorgar este permiso<\/label><\/div><\/div><div class=\"fusion-form-field fusion-form-submit-field fusion-form-label-above\" style=\"\" data-form-id=\"9105\"><div style=\"text-align:center;\"><button type=\"submit\" class=\"fusion-button button-flat fusion-button-default-size button-custom fusion-button-default button-1 fusion-button-span-yes  button-default form-form-submit\" style=\"--button_accent_color:var(--awb-color1);--button_accent_hover_color:var(--awb-custom_color_6);--button_border_hover_color:var(--awb-custom_color_6);--button_border_width-top:2px;--button_border_width-right:2px;--button_border_width-bottom:2px;--button_border_width-left:2px;--button_gradient_top_color:var(--awb-custom_color_6);--button_gradient_bottom_color:var(--awb-custom_color_6);--button_gradient_top_color_hover:rgba(229,229,229,0);--button_gradient_bottom_color_hover:rgba(229,229,229,0);\" data-form-number=\"9105\" tabindex=\"\"><span class=\"fusion-button-text awb-button__text awb-button__text--default\">Enviar Caso<\/span><\/button><\/div><\/div><\/div><\/div><\/div><\/div><input type=\"hidden\" name=\"fusion_privacy_expiration_interval\" value=\"48\"><input type=\"hidden\" name=\"privacy_expiration_action\" value=\"anonymize\"><input type=\"hidden\" name=\"trp-form-language\" value=\"es\"\/><\/form><\/div><\/div><\/div><\/div><\/div><\/p>","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"100-width.php","meta":{"content-type":"","footnotes":""},"class_list":["post-9225","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/elevantiasolutions.com\/es\/wp-json\/wp\/v2\/pages\/9225","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/elevantiasolutions.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/elevantiasolutions.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/elevantiasolutions.com\/es\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/elevantiasolutions.com\/es\/wp-json\/wp\/v2\/comments?post=9225"}],"version-history":[{"count":1,"href":"https:\/\/elevantiasolutions.com\/es\/wp-json\/wp\/v2\/pages\/9225\/revisions"}],"predecessor-version":[{"id":10463,"href":"https:\/\/elevantiasolutions.com\/es\/wp-json\/wp\/v2\/pages\/9225\/revisions\/10463"}],"wp:attachment":[{"href":"https:\/\/elevantiasolutions.com\/es\/wp-json\/wp\/v2\/media?parent=9225"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}