{"id":248560,"date":"2022-07-06T11:50:44","date_gmt":"2022-07-06T11:50:44","guid":{"rendered":"https:\/\/mci-implants.de\/dentegris_wp\/?page_id=248560"},"modified":"2022-07-06T12:29:44","modified_gmt":"2022-07-06T12:29:44","slug":"auftragsformular-cadcam","status":"publish","type":"page","link":"https:\/\/mci-implants.de\/en\/produkte\/prothetik\/cadcam\/auftragsformular-cadcam\/","title":{"rendered":"CadCam order form"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;9fe933c4-c187-4cb0-8b2f-81e4d839b598&#8243; background_image=&#8221;https:\/\/mci-implants.de\/wp-content\/uploads\/2021\/05\/Rechteck-1194.jpg&#8221; width_last_edited=&#8221;off|desktop&#8221; max_width_last_edited=&#8221;off|desktop&#8221; min_height_last_edited=&#8221;off|desktop&#8221; height_last_edited=&#8221;off|desktop&#8221; max_height=&#8221;500px&#8221; max_height_last_edited=&#8221;off|desktop&#8221; background_last_edited=&#8221;on|desktop&#8221; module_alignment_last_edited=&#8221;off|desktop&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row column_structure=&#8221;3_5,2_5&#8243; custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; collapsed=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;3_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text content_last_edited=&#8221;off|desktop&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;fe30ee57-8281-47cf-9af8-339269cdf523&#8243; header_font=&#8221;Open Sans|600||on|||||&#8221; header_font_size=&#8221;45px&#8221; header_line_height=&#8221;0.9em&#8221; header_2_text_color=&#8221;rgba(255,255,255,0.58)&#8221; header_2_font_size=&#8221;45px&#8221; header_2_line_height=&#8221;0.8em&#8221; custom_margin_last_edited=&#8221;off|desktop&#8221; hover_enabled=&#8221;0&#8243; header_font_size_last_edited=&#8221;off|desktop&#8221; header_2_font_tablet=&#8221;&#8221; header_2_font_phone=&#8221;&#8221; header_2_font_last_edited=&#8221;on|desktop&#8221; header_2_text_align_tablet=&#8221;&#8221; header_2_text_align_phone=&#8221;&#8221; header_2_text_align_last_edited=&#8221;on|desktop&#8221; header_2_text_color_tablet=&#8221;&#8221; header_2_text_color_phone=&#8221;&#8221; header_2_text_color_last_edited=&#8221;on|desktop&#8221; header_2_font_size_tablet=&#8221;&#8221; header_2_font_size_phone=&#8221;&#8221; header_2_font_size_last_edited=&#8221;on|desktop&#8221; header_2_letter_spacing_tablet=&#8221;&#8221; header_2_letter_spacing_phone=&#8221;&#8221; header_2_letter_spacing_last_edited=&#8221;on|desktop&#8221; header_2_line_height_tablet=&#8221;&#8221; header_2_line_height_phone=&#8221;&#8221; header_2_line_height_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h1>Auftragsformular<\/h1>\n<h2>Fertigung individueller Abutments<\/h2>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;#FFFFFF&#8221; divider_weight=&#8221;3px&#8221; color_last_edited=&#8221;off|desktop&#8221; show_divider_tablet=&#8221;&#8221; show_divider_phone=&#8221;&#8221; show_divider_last_edited=&#8221;on|desktop&#8221; divider_style_tablet=&#8221;&#8221; divider_style_phone=&#8221;&#8221; divider_style_last_edited=&#8221;on|desktop&#8221; divider_position_tablet=&#8221;&#8221; divider_position_phone=&#8221;&#8221; divider_position_last_edited=&#8221;on|desktop&#8221; divider_weight_last_edited=&#8221;off|phone&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;06be631f-99da-4e20-94eb-c94cf77a8864&#8243; width=&#8221;180px&#8221; width_last_edited=&#8221;off|desktop&#8221; max_width_tablet=&#8221;&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; min_height_tablet=&#8221;&#8221; min_height_phone=&#8221;&#8221; min_height_last_edited=&#8221;on|desktop&#8221; height_tablet=&#8221;&#8221; height_phone=&#8221;&#8221; height_last_edited=&#8221;on|desktop&#8221; max_height_tablet=&#8221;&#8221; max_height_phone=&#8221;&#8221; max_height_last_edited=&#8221;on|desktop&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; custom_padding_last_edited=&#8221;on|desktop&#8221; module_alignment_tablet=&#8221;&#8221; module_alignment_phone=&#8221;&#8221; module_alignment_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{%22gcid-568cb0db-1d11-4944-8850-97481de056ec%22:%91%93}&#8221;][\/et_pb_divider][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;d737cc99-36b1-4236-8ebe-fa859c497112&#8243; global_colors_info=&#8221;{}&#8221;]<\/p>\n<p>Das Dentegris Service und Logistic Center ist f\u00fcr Ihre Bestellungen, Fragen oder Terminabsprachen per E-Mail oder telefonisch zu erreichen.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;2_5&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][\/et_pb_column][\/et_pb_row][\/et_pb_section][et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row custom_padding_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(0,0,0,0)&#8221; custom_margin=&#8221;-10px|auto|0px|auto|false|false&#8221; custom_margin_tablet=&#8221;&#8221; custom_margin_phone=&#8221;&#8221; custom_margin_last_edited=&#8221;on|desktop&#8221; custom_padding=&#8221;0px||0px||false|false&#8221; custom_padding_tablet=&#8221;&#8221; custom_padding_phone=&#8221;&#8221; hover_enabled=&#8221;0&#8243; background_last_edited=&#8221;on|desktop&#8221; collapsed=&#8221;off&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_color=&#8221;RGBA(0,0,0,0)&#8221; background_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text content_tablet=&#8221;&#8221; content_phone=&#8221;&#8221; content_last_edited=&#8221;on|desktop&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; background_enable_color=&#8221;off&#8221; background_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{}&#8221;]<\/p>\n<h2>Formular<\/h2>\n<p>[\/et_pb_text][et_pb_divider color=&#8221;gcid-568cb0db-1d11-4944-8850-97481de056ec&#8221; divider_weight=&#8221;3px&#8221; color_last_edited=&#8221;off|desktop&#8221; show_divider_last_edited=&#8221;off|desktop&#8221; divider_style_tablet=&#8221;&#8221; divider_style_phone=&#8221;&#8221; divider_style_last_edited=&#8221;on|desktop&#8221; divider_position_tablet=&#8221;&#8221; divider_position_phone=&#8221;&#8221; divider_position_last_edited=&#8221;on|desktop&#8221; divider_weight_last_edited=&#8221;off|phone&#8221; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; width=&#8221;180px&#8221; width_last_edited=&#8221;off|desktop&#8221; max_width_tablet=&#8221;&#8221; max_width_phone=&#8221;&#8221; max_width_last_edited=&#8221;on|desktop&#8221; min_height_tablet=&#8221;&#8221; min_height_phone=&#8221;&#8221; min_height_last_edited=&#8221;on|desktop&#8221; height_tablet=&#8221;&#8221; height_phone=&#8221;&#8221; height_last_edited=&#8221;on|desktop&#8221; max_height_tablet=&#8221;&#8221; max_height_phone=&#8221;&#8221; max_height_last_edited=&#8221;on|desktop&#8221; module_alignment_tablet=&#8221;&#8221; module_alignment_phone=&#8221;&#8221; module_alignment_last_edited=&#8221;on|desktop&#8221; global_colors_info=&#8221;{%22gcid-568cb0db-1d11-4944-8850-97481de056ec%22:%91%22color%22%93}&#8221;][\/et_pb_divider][et_pb_code _builder_version=&#8221;4.17.4&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<div class='fluentform ff-default fluentform_wrapper_4 ffs_default_wrap'><form data-form_id=\"4\" id=\"fluentform_4\" class=\"frm-fluent-form fluent_form_4 ff-el-form-top ff_form_instance_4_1 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_4_1\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Support Form (#4)<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='248560' \/><input type=\"hidden\" id=\"_fluentform_4_fluentformnonce\" name=\"_fluentform_4_fluentformnonce\" value=\"05b0f4d5cd\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/248560\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_names_first_name_' id='label_ff_4_names_first_name_' >Praxisname<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_4_names_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_names_last_name_' id='label_ff_4_names_last_name_' >Kundennummer<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_4_names_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_email' id='label_ff_4_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_4_email\" class=\"ff-el-form-control\" placeholder=\"you@domain.com\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_phone' id='label_ff_4_phone' aria-label=\"Telefonnummer f\u00fcr R\u00fcckfragen\">Telefonnummer f\u00fcr R\u00fcckfragen <\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" data-name=\"phone\" id=\"ff_4_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_subject' id='label_ff_4_subject' aria-label=\"Interne Referenznummer\">Interne Referenznummer<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"subject\" class=\"ff-el-form-control\" data-name=\"subject\" id=\"ff_4_subject\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_description' id='label_ff_4_description' aria-label=\"Anmerkungen\">Anmerkungen<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_4_description\" name=\"description\" id=\"ff_4_description\" class=\"ff-el-form-control\" rows=\"4\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Versandoptionen\">Versandoptionen<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Standardversand\"  id='input_radio_e9598401640b54a8a3b71a51cb2c2c2d' aria-label='Standardversand' aria-invalid='false' aria-required=true> <span>Standardversand<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Express bis 12 Uhr \"  id='input_radio_4fd7ab14092333cfa8beb717e84efe00' aria-label='Express bis 12 Uhr' aria-invalid='false' aria-required=true> <span>Express bis 12 Uhr <\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Express bis 10.30 Uhr\"  id='input_radio_2203c868935c6328e1460c531b020f93' aria-label='Express bis 10.30 Uhr' aria-invalid='false' aria-required=true> <span>Express bis 10.30 Uhr<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_file-upload_1' id='label_ff_4_file-upload_1' aria-label=\"Zip-Datei hochladen\">Zip-Datei hochladen<\/label><\/div><div class='ff-el-input--content'><label for='ff_4_file-upload_1' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Dateiauswahl<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_4_file-upload_1\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_5 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 20%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_input_text' id='label_ff_4_input_text' aria-label=\"Regio #1\">Regio #1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_4_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_input_text_1' id='label_ff_4_input_text_1' aria-label=\"Regio #2\">Regio #2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_4_input_text_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_input_text_9' id='label_ff_4_input_text_9' aria-label=\"Regio #3\">Regio #3<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_9\" class=\"ff-el-form-control\" data-name=\"input_text_9\" id=\"ff_4_input_text_9\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_input_text_10' id='label_ff_4_input_text_10' aria-label=\"Regio #4\">Regio #4<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_10\" class=\"ff-el-form-control\" data-name=\"input_text_10\" id=\"ff_4_input_text_10\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_input_text_8' id='label_ff_4_input_text_8' aria-label=\"Regio #5\">Regio #5<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_8\" class=\"ff-el-form-control\" data-name=\"input_text_8\" id=\"ff_4_input_text_8\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_input_text_7' id='label_ff_4_input_text_7' aria-label=\"Regio #6\">Regio #6<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_7\" class=\"ff-el-form-control\" data-name=\"input_text_7\" id=\"ff_4_input_text_7\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_input_text_6' id='label_ff_4_input_text_6' aria-label=\"Regio #7\">Regio #7<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_6\" class=\"ff-el-form-control\" data-name=\"input_text_6\" id=\"ff_4_input_text_6\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_input_text_4' id='label_ff_4_input_text_4' aria-label=\"Regio #8\">Regio #8<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_4\" class=\"ff-el-form-control\" data-name=\"input_text_4\" id=\"ff_4_input_text_4\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_input_text_5' id='label_ff_4_input_text_5' aria-label=\"Regio #9\">Regio #9<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_5\" class=\"ff-el-form-control\" data-name=\"input_text_5\" id=\"ff_4_input_text_5\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_input_text_3' id='label_ff_4_input_text_3' aria-label=\"Regio #10\">Regio #10<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" data-name=\"input_text_3\" id=\"ff_4_input_text_3\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 20%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_3' id='label_ff_4_dropdown_3' aria-label=\"Implantat-\u00d8 #1\">Implantat-\u00d8 #1<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_3\" id=\"ff_4_dropdown_3\" class=\"ff-el-form-control\" data-name=\"dropdown_3\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_3\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_5' id='label_ff_4_dropdown_5' aria-label=\"Implantat-\u00d8 #2\">Implantat-\u00d8 #2<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_5\" id=\"ff_4_dropdown_5\" class=\"ff-el-form-control\" data-name=\"dropdown_5\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_5\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_6' id='label_ff_4_dropdown_6' aria-label=\"Implantat-\u00d8 #3\">Implantat-\u00d8 #3<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_6\" id=\"ff_4_dropdown_6\" class=\"ff-el-form-control\" data-name=\"dropdown_6\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_6\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_4' id='label_ff_4_dropdown_4' aria-label=\"Implantat-\u00d8 #4\">Implantat-\u00d8 #4<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_4\" id=\"ff_4_dropdown_4\" class=\"ff-el-form-control\" data-name=\"dropdown_4\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_4\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_7' id='label_ff_4_dropdown_7' aria-label=\"Implantat-\u00d8 #5\">Implantat-\u00d8 #5<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_7\" id=\"ff_4_dropdown_7\" class=\"ff-el-form-control\" data-name=\"dropdown_7\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_7\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_8' id='label_ff_4_dropdown_8' aria-label=\"Implantat-\u00d8 #6\">Implantat-\u00d8 #6<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_8\" id=\"ff_4_dropdown_8\" class=\"ff-el-form-control\" data-name=\"dropdown_8\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_8\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_9' id='label_ff_4_dropdown_9' aria-label=\"Implantat-\u00d8 #7\">Implantat-\u00d8 #7<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_9\" id=\"ff_4_dropdown_9\" class=\"ff-el-form-control\" data-name=\"dropdown_9\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_9\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_10' id='label_ff_4_dropdown_10' aria-label=\"Implantat-\u00d8 #8\">Implantat-\u00d8 #8<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_10\" id=\"ff_4_dropdown_10\" class=\"ff-el-form-control\" data-name=\"dropdown_10\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_10\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_11' id='label_ff_4_dropdown_11' aria-label=\"Implantat-\u00d8 #9\">Implantat-\u00d8 #9<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_11\" id=\"ff_4_dropdown_11\" class=\"ff-el-form-control\" data-name=\"dropdown_11\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_11\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_12' id='label_ff_4_dropdown_12' aria-label=\"Implantat-\u00d8 #10\">Implantat-\u00d8 #10<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_12\" id=\"ff_4_dropdown_12\" class=\"ff-el-form-control\" data-name=\"dropdown_12\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_12\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 20%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_13' id='label_ff_4_dropdown_13' aria-label=\"Abutment Typ #1\">Abutment Typ #1<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_13\" id=\"ff_4_dropdown_13\" class=\"ff-el-form-control\" data-name=\"dropdown_13\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_13\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown' id='label_ff_4_dropdown' aria-label=\"Abutment Typ #2\">Abutment Typ #2<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_4_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_14' id='label_ff_4_dropdown_14' aria-label=\"Abutment Typ #3\">Abutment Typ #3<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_14\" id=\"ff_4_dropdown_14\" class=\"ff-el-form-control\" data-name=\"dropdown_14\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_14\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_15' id='label_ff_4_dropdown_15' aria-label=\"Abutment Typ #4\">Abutment Typ #4<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_15\" id=\"ff_4_dropdown_15\" class=\"ff-el-form-control\" data-name=\"dropdown_15\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_15\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_16' id='label_ff_4_dropdown_16' aria-label=\"Abutment Typ #5\">Abutment Typ #5<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_16\" id=\"ff_4_dropdown_16\" class=\"ff-el-form-control\" data-name=\"dropdown_16\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_16\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_21' id='label_ff_4_dropdown_21' aria-label=\"Abutment Typ #6\">Abutment Typ #6<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_21\" id=\"ff_4_dropdown_21\" class=\"ff-el-form-control\" data-name=\"dropdown_21\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_21\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_22' id='label_ff_4_dropdown_22' aria-label=\"Abutment Typ #7\">Abutment Typ #7<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_22\" id=\"ff_4_dropdown_22\" class=\"ff-el-form-control\" data-name=\"dropdown_22\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_22\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_23' id='label_ff_4_dropdown_23' aria-label=\"Abutment Typ #8\">Abutment Typ #8<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_23\" id=\"ff_4_dropdown_23\" class=\"ff-el-form-control\" data-name=\"dropdown_23\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_23\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_24' id='label_ff_4_dropdown_24' aria-label=\"Abutment Typ #9\">Abutment Typ #9<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_24\" id=\"ff_4_dropdown_24\" class=\"ff-el-form-control\" data-name=\"dropdown_24\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_24\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_25' id='label_ff_4_dropdown_25' aria-label=\"Abutment Typ #10\">Abutment Typ #10<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_25\" id=\"ff_4_dropdown_25\" class=\"ff-el-form-control\" data-name=\"dropdown_25\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_25\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 20%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_1' id='label_ff_4_dropdown_1' aria-label=\"Material #1\">Material #1<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_4_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_1\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_17' id='label_ff_4_dropdown_17' aria-label=\"Material #2\">Material #2<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_17\" id=\"ff_4_dropdown_17\" class=\"ff-el-form-control\" data-name=\"dropdown_17\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_17\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_19' id='label_ff_4_dropdown_19' aria-label=\"Material #3\">Material #3<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_19\" id=\"ff_4_dropdown_19\" class=\"ff-el-form-control\" data-name=\"dropdown_19\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_19\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_26' id='label_ff_4_dropdown_26' aria-label=\"Material #4\">Material #4<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_26\" id=\"ff_4_dropdown_26\" class=\"ff-el-form-control\" data-name=\"dropdown_26\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_26\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_28' id='label_ff_4_dropdown_28' aria-label=\"Material #5\">Material #5<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_28\" id=\"ff_4_dropdown_28\" class=\"ff-el-form-control\" data-name=\"dropdown_28\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_28\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_30' id='label_ff_4_dropdown_30' aria-label=\"Material #6\">Material #6<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_30\" id=\"ff_4_dropdown_30\" class=\"ff-el-form-control\" data-name=\"dropdown_30\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_30\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_32' id='label_ff_4_dropdown_32' aria-label=\"Material #7\">Material #7<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_32\" id=\"ff_4_dropdown_32\" class=\"ff-el-form-control\" data-name=\"dropdown_32\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_32\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_34' id='label_ff_4_dropdown_34' aria-label=\"Material #8\">Material #8<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_34\" id=\"ff_4_dropdown_34\" class=\"ff-el-form-control\" data-name=\"dropdown_34\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_34\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_36' id='label_ff_4_dropdown_36' aria-label=\"Material #9\">Material #9<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_36\" id=\"ff_4_dropdown_36\" class=\"ff-el-form-control\" data-name=\"dropdown_36\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_36\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_38' id='label_ff_4_dropdown_38' aria-label=\"Material #10\">Material #10<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_38\" id=\"ff_4_dropdown_38\" class=\"ff-el-form-control\" data-name=\"dropdown_38\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_38\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-5' style='flex-basis: 20%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_18' id='label_ff_4_dropdown_18' aria-label=\"Zahnfarbe #1\">Zahnfarbe #1<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_18\" id=\"ff_4_dropdown_18\" class=\"ff-el-form-control\" data-name=\"dropdown_18\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_18\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_2' id='label_ff_4_dropdown_2' aria-label=\"Zahnfarbe #2\">Zahnfarbe #2<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_2\" id=\"ff_4_dropdown_2\" class=\"ff-el-form-control\" data-name=\"dropdown_2\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_2\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_20' id='label_ff_4_dropdown_20' aria-label=\"Zahnfarbe #3\">Zahnfarbe #3<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_20\" id=\"ff_4_dropdown_20\" class=\"ff-el-form-control\" data-name=\"dropdown_20\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_20\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_29' id='label_ff_4_dropdown_29' aria-label=\"Zahnfarbe #4\">Zahnfarbe #4<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_29\" id=\"ff_4_dropdown_29\" class=\"ff-el-form-control\" data-name=\"dropdown_29\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_29\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_27' id='label_ff_4_dropdown_27' aria-label=\"Zahnfarbe #5\">Zahnfarbe #5<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_27\" id=\"ff_4_dropdown_27\" class=\"ff-el-form-control\" data-name=\"dropdown_27\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_27\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_31' id='label_ff_4_dropdown_31' aria-label=\"Zahnfarbe #6\">Zahnfarbe #6<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_31\" id=\"ff_4_dropdown_31\" class=\"ff-el-form-control\" data-name=\"dropdown_31\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_31\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_33' id='label_ff_4_dropdown_33' aria-label=\"Zahnfarbe #7\">Zahnfarbe #7<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_33\" id=\"ff_4_dropdown_33\" class=\"ff-el-form-control\" data-name=\"dropdown_33\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_33\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_35' id='label_ff_4_dropdown_35' aria-label=\"Zahnfarbe #8\">Zahnfarbe #8<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_35\" id=\"ff_4_dropdown_35\" class=\"ff-el-form-control\" data-name=\"dropdown_35\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_35\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_37' id='label_ff_4_dropdown_37' aria-label=\"Zahnfarbe #9\">Zahnfarbe #9<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_37\" id=\"ff_4_dropdown_37\" class=\"ff-el-form-control\" data-name=\"dropdown_37\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_37\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_dropdown_39' id='label_ff_4_dropdown_39' aria-label=\"Zahnfarbe #10\">Zahnfarbe #10<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_39\" id=\"ff_4_dropdown_39\" class=\"ff-el-form-control\" data-name=\"dropdown_39\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_dropdown_39\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Ich bin damit einverstanden, dass Dentegris meine eingereichten Informationen speichert, damit sie auf meine Anfrage antworten k\u00f6nnen.' class='ff-el-form-check-label ff_tc_label' for=gdpr-agreement_008fbce81ac88ad9bf04fa0c22a23ea2><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"gdpr-agreement\" class=\"ff-el-form-check-input ff_gdpr_field\" data-name=\"gdpr-agreement\" id=\"gdpr-agreement_008fbce81ac88ad9bf04fa0c22a23ea2\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'>Ich bin damit einverstanden, dass Dentegris meine eingereichten Informationen speichert, damit sie auf meine Anfrage antworten k\u00f6nnen.<\/div><\/label><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Absenden\">Absenden<\/button><\/div><\/fieldset><\/form><div id='fluentform_4_errors' class='ff-errors-in-stack ff_form_instance_4_1 ff-form-loading_errors ff_form_instance_4_1_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_4_1 = {\"id\":\"4\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_4_1\",\"form_id_selector\":\"fluentform_4\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"First Name field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"names[last_name]\":{\"required\":{\"value\":true,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"email\":{\"required\":{\"value\":true,\"message\":\"Email field is required\",\"global\":false,\"global_message\":\"This field is required\"},\"email\":{\"value\":true,\"message\":\"This field must contain a valid 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required\"}},\"dropdown_26\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_28\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_30\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_32\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_34\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_36\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_38\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_18\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_2\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_20\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_29\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_27\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_31\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_33\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_35\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_37\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"dropdown_39\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}},\"gdpr-agreement\":{\"required\":{\"value\":true,\"message\":\"Dieses Feld ist erforderlich\",\"global\":false,\"global_message\":\"This field is required\"}}},\"debounce_time\":300,\"conditionals\":{\"input_text_1\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text\",\"value\":\"0\",\"operator\":\">=\"}]},\"input_text_9\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_1\",\"value\":\"0\",\"operator\":\">=\"}]},\"input_text_10\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_9\",\"value\":\"0\",\"operator\":\">=\"}]},\"input_text_8\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_10\",\"value\":\"0\",\"operator\":\">=\"}]},\"input_text_7\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_8\",\"value\":\"0\",\"operator\":\">=\"}]},\"input_text_6\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_7\",\"value\":\"0\",\"operator\":\">=\"}]},\"input_text_4\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_6\",\"value\":\"0\",\"operator\":\">=\"}]},\"input_text_5\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_4\",\"value\":\"0\",\"operator\":\">=\"}]},\"input_text_3\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_5\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_5\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_1\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_6\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_9\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_4\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_10\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_7\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_8\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_8\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_7\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_9\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_6\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_10\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_4\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_11\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_5\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_12\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_3\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_1\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_14\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_9\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_15\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_10\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_16\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_8\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_21\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_7\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_22\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_6\",\"value\":\"\",\"operator\":\">=\"}]},\"dropdown_23\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_4\",\"value\":\"0\",\"operator\":\">=\"}]},\"dropdown_24\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_5\",\"value\":\"\",\"operator\":\">=\"}]},\"dropdown_25\":{\"type\":\"any\",\"status\":true,\"conditions\":[{\"field\":\"input_text_3\",\"value\":\"\",\"operator\":\">=\"}]},\"dropdown_1\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_13\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_17\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_19\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_14\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_26\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_15\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_28\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_16\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_30\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_21\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_32\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_22\",\"value\":\"Zweiteilig  (Zirkon auf 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Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_29\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_15\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_27\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_16\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_31\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_21\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_33\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_22\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_35\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_23\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_37\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_24\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]},\"dropdown_39\":{\"type\":\"all\",\"status\":true,\"conditions\":[{\"field\":\"dropdown_25\",\"value\":\"Zweiteilig  (Zirkon auf Titanbasis)\",\"operator\":\"=\"}]}}};\n                            <\/script>\n            [\/et_pb_code][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Auftragsformular Fertigung individueller AbutmentsDas Dentegris Service und Logistic Center ist f\u00fcr Ihre Bestellungen, Fragen oder Terminabsprachen per E-Mail oder telefonisch zu erreichen.Formular<div class='fluentform ff-default fluentform_wrapper_4 ffs_default_wrap'><form data-form_id=\"4\" id=\"fluentform_4\" class=\"frm-fluent-form fluent_form_4 ff-el-form-top ff_form_instance_4_2 ff-form-loading ffs_default\" data-form_instance=\"ff_form_instance_4_2\" method=\"POST\" ><fieldset  style=\"border: none!important;margin: 0!important;padding: 0!important;background-color: transparent!important;box-shadow: none!important;outline: none!important; min-inline-size: 100%;\">\n                    <legend class=\"ff_screen_reader_title\" style=\"display: block; margin: 0!important;padding: 0!important;height: 0!important;text-indent: -999999px;width: 0!important;overflow:hidden;\">Support Form (#4)<\/legend><input type='hidden' name='__fluent_form_embded_post_id' value='248560' \/><input type=\"hidden\" id=\"_fluentform_4_fluentformnonce\" name=\"_fluentform_4_fluentformnonce\" value=\"05b0f4d5cd\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/en\/wp-json\/wp\/v2\/pages\/248560\" \/><div data-type=\"name-element\" data-name=\"names\" class=\" ff-field_container ff-name-field-wrapper\" ><div class='ff-t-container'><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_names_first_name_' id='label_ff_4_2_names_first_name_' >Praxisname<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[first_name]\" id=\"ff_4_2_names_first_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><div class='ff-t-cell '><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_names_last_name_' id='label_ff_4_2_names_last_name_' >Kundennummer<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"names[last_name]\" id=\"ff_4_2_names_last_name_\" class=\"ff-el-form-control\" aria-invalid=\"false\" aria-required=true><\/div><\/div><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_email' id='label_ff_4_2_email' aria-label=\"Email\">Email<\/label><\/div><div class='ff-el-input--content'><input type=\"email\" name=\"email\" id=\"ff_4_2_email\" class=\"ff-el-form-control\" placeholder=\"you@domain.com\" data-name=\"email\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_phone' id='label_ff_4_2_phone' aria-label=\"Telefonnummer f\u00fcr R\u00fcckfragen\">Telefonnummer f\u00fcr R\u00fcckfragen <\/label><\/div><div class='ff-el-input--content'><input name=\"phone\" class=\"ff-el-form-control ff-el-phone\" type=\"tel\" data-name=\"phone\" id=\"ff_4_2_phone\" inputmode=\"tel\"  aria-invalid='false' aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_subject' id='label_ff_4_2_subject' aria-label=\"Interne Referenznummer\">Interne Referenznummer<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"subject\" class=\"ff-el-form-control\" data-name=\"subject\" id=\"ff_4_2_subject\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_description' id='label_ff_4_2_description' aria-label=\"Anmerkungen\">Anmerkungen<\/label><\/div><div class='ff-el-input--content'><textarea aria-required=\"false\" aria-labelledby=\"label_ff_4_2_description\" name=\"description\" id=\"ff_4_2_description\" class=\"ff-el-form-control\" rows=\"4\" cols=\"2\" data-name=\"description\" ><\/textarea><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label   aria-label=\"Versandoptionen\">Versandoptionen<\/label><\/div><div class='ff-el-input--content'><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Standardversand\"  id='input_radio_cab4609ecd7c78c2b30af1ae340775f7' aria-label='Standardversand' aria-invalid='false' aria-required=true> <span>Standardversand<\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Express bis 12 Uhr \"  id='input_radio_5dd2e89d6118b651d97c696fa778fe75' aria-label='Express bis 12 Uhr' aria-invalid='false' aria-required=true> <span>Express bis 12 Uhr <\/span><\/label><\/div><div class='ff-el-form-check ff-el-form-check-'><label class='ff-el-form-check-label'><input  type=\"radio\" name=\"input_radio\" data-name=\"input_radio\" class=\"ff-el-form-check-input ff-el-form-check-radio\" value=\"Express bis 10.30 Uhr\"  id='input_radio_9bd16f8d219147b83c644ff94bda2a52' aria-label='Express bis 10.30 Uhr' aria-invalid='false' aria-required=true> <span>Express bis 10.30 Uhr<\/span><\/label><\/div><\/div><\/div><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_file-upload_2' id='label_ff_4_2_file-upload_2' aria-label=\"Zip-Datei hochladen\">Zip-Datei hochladen<\/label><\/div><div class='ff-el-input--content'><label for='ff_4_2_file-upload_2' class='ff_file_upload_holder'><span class='ff_upload_btn ff-btn' tabindex='0'>Dateiauswahl<\/span> <input type=\"file\" name=\"file-upload\" id=\"ff_4_2_file-upload_2\" class=\"ff-el-form-control  ff-screen-reader-element\" data-name=\"file-upload\" multiple=\"1\"  aria-invalid='false' aria-required=true><\/label><\/div><\/div><div data-name=\"ff_cn_id_1\"  class='ff-t-container ff-column-container ff_columns_total_5 '><div class='ff-t-cell ff-t-column-1' style='flex-basis: 20%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_input_text' id='label_ff_4_2_input_text' aria-label=\"Regio #1\">Regio #1<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text\" class=\"ff-el-form-control\" data-name=\"input_text\" id=\"ff_4_2_input_text\"  aria-invalid=\"false\" aria-required=true><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_input_text_1' id='label_ff_4_2_input_text_1' aria-label=\"Regio #2\">Regio #2<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_1\" class=\"ff-el-form-control\" data-name=\"input_text_1\" id=\"ff_4_2_input_text_1\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_input_text_9' id='label_ff_4_2_input_text_9' aria-label=\"Regio #3\">Regio #3<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_9\" class=\"ff-el-form-control\" data-name=\"input_text_9\" id=\"ff_4_2_input_text_9\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_input_text_10' id='label_ff_4_2_input_text_10' aria-label=\"Regio #4\">Regio #4<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_10\" class=\"ff-el-form-control\" data-name=\"input_text_10\" id=\"ff_4_2_input_text_10\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_input_text_8' id='label_ff_4_2_input_text_8' aria-label=\"Regio #5\">Regio #5<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_8\" class=\"ff-el-form-control\" data-name=\"input_text_8\" id=\"ff_4_2_input_text_8\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_input_text_7' id='label_ff_4_2_input_text_7' aria-label=\"Regio #6\">Regio #6<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_7\" class=\"ff-el-form-control\" data-name=\"input_text_7\" id=\"ff_4_2_input_text_7\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_input_text_6' id='label_ff_4_2_input_text_6' aria-label=\"Regio #7\">Regio #7<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_6\" class=\"ff-el-form-control\" data-name=\"input_text_6\" id=\"ff_4_2_input_text_6\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_input_text_4' id='label_ff_4_2_input_text_4' aria-label=\"Regio #8\">Regio #8<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_4\" class=\"ff-el-form-control\" data-name=\"input_text_4\" id=\"ff_4_2_input_text_4\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_input_text_5' id='label_ff_4_2_input_text_5' aria-label=\"Regio #9\">Regio #9<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_5\" class=\"ff-el-form-control\" data-name=\"input_text_5\" id=\"ff_4_2_input_text_5\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label asterisk-right\"><label for='ff_4_2_input_text_3' id='label_ff_4_2_input_text_3' aria-label=\"Regio #10\">Regio #10<\/label><\/div><div class='ff-el-input--content'><input type=\"text\" name=\"input_text_3\" class=\"ff-el-form-control\" data-name=\"input_text_3\" id=\"ff_4_2_input_text_3\"  aria-invalid=\"false\" aria-required=false><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-2' style='flex-basis: 20%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_3' id='label_ff_4_2_dropdown_3' aria-label=\"Implantat-\u00d8 #1\">Implantat-\u00d8 #1<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_3\" id=\"ff_4_2_dropdown_3\" class=\"ff-el-form-control\" data-name=\"dropdown_3\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_3\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_5' id='label_ff_4_2_dropdown_5' aria-label=\"Implantat-\u00d8 #2\">Implantat-\u00d8 #2<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_5\" id=\"ff_4_2_dropdown_5\" class=\"ff-el-form-control\" data-name=\"dropdown_5\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_5\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_6' id='label_ff_4_2_dropdown_6' aria-label=\"Implantat-\u00d8 #3\">Implantat-\u00d8 #3<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_6\" id=\"ff_4_2_dropdown_6\" class=\"ff-el-form-control\" data-name=\"dropdown_6\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_6\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_4' id='label_ff_4_2_dropdown_4' aria-label=\"Implantat-\u00d8 #4\">Implantat-\u00d8 #4<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_4\" id=\"ff_4_2_dropdown_4\" class=\"ff-el-form-control\" data-name=\"dropdown_4\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_4\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_7' id='label_ff_4_2_dropdown_7' aria-label=\"Implantat-\u00d8 #5\">Implantat-\u00d8 #5<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_7\" id=\"ff_4_2_dropdown_7\" class=\"ff-el-form-control\" data-name=\"dropdown_7\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_7\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_8' id='label_ff_4_2_dropdown_8' aria-label=\"Implantat-\u00d8 #6\">Implantat-\u00d8 #6<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_8\" id=\"ff_4_2_dropdown_8\" class=\"ff-el-form-control\" data-name=\"dropdown_8\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_8\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_9' id='label_ff_4_2_dropdown_9' aria-label=\"Implantat-\u00d8 #7\">Implantat-\u00d8 #7<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_9\" id=\"ff_4_2_dropdown_9\" class=\"ff-el-form-control\" data-name=\"dropdown_9\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_9\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_10' id='label_ff_4_2_dropdown_10' aria-label=\"Implantat-\u00d8 #8\">Implantat-\u00d8 #8<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_10\" id=\"ff_4_2_dropdown_10\" class=\"ff-el-form-control\" data-name=\"dropdown_10\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_10\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_11' id='label_ff_4_2_dropdown_11' aria-label=\"Implantat-\u00d8 #9\">Implantat-\u00d8 #9<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_11\" id=\"ff_4_2_dropdown_11\" class=\"ff-el-form-control\" data-name=\"dropdown_11\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_11\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_12' id='label_ff_4_2_dropdown_12' aria-label=\"Implantat-\u00d8 #10\">Implantat-\u00d8 #10<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_12\" id=\"ff_4_2_dropdown_12\" class=\"ff-el-form-control\" data-name=\"dropdown_12\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_12\"><option value=\"\">- Select -<\/option><option value=\"\u00d8 3,3 mm\"  >\u00d8 3,3 mm<\/option><option value=\"\u00d8 3,75 mm\"  >\u00d8 3,75 mm<\/option><option value=\"\u00d8 3,8 mm\"  >\u00d8 3,8 mm<\/option><option value=\"\u00d8 4,1 mm\"  >\u00d8 4,1 mm<\/option><option value=\"\u00d8 4,5 mm\"  >\u00d8 4,5 mm<\/option><option value=\"\u00d8 5,5 mm\"  >\u00d8 5,5 mm<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-3' style='flex-basis: 20%;'><div class='ff-el-group'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_13' id='label_ff_4_2_dropdown_13' aria-label=\"Abutment Typ #1\">Abutment Typ #1<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_13\" id=\"ff_4_2_dropdown_13\" class=\"ff-el-form-control\" data-name=\"dropdown_13\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_13\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown' id='label_ff_4_2_dropdown' aria-label=\"Abutment Typ #2\">Abutment Typ #2<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown\" id=\"ff_4_2_dropdown\" class=\"ff-el-form-control\" data-name=\"dropdown\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_14' id='label_ff_4_2_dropdown_14' aria-label=\"Abutment Typ #3\">Abutment Typ #3<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_14\" id=\"ff_4_2_dropdown_14\" class=\"ff-el-form-control\" data-name=\"dropdown_14\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_14\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_15' id='label_ff_4_2_dropdown_15' aria-label=\"Abutment Typ #4\">Abutment Typ #4<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_15\" id=\"ff_4_2_dropdown_15\" class=\"ff-el-form-control\" data-name=\"dropdown_15\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_15\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_16' id='label_ff_4_2_dropdown_16' aria-label=\"Abutment Typ #5\">Abutment Typ #5<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_16\" id=\"ff_4_2_dropdown_16\" class=\"ff-el-form-control\" data-name=\"dropdown_16\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_16\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_21' id='label_ff_4_2_dropdown_21' aria-label=\"Abutment Typ #6\">Abutment Typ #6<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_21\" id=\"ff_4_2_dropdown_21\" class=\"ff-el-form-control\" data-name=\"dropdown_21\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_21\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_22' id='label_ff_4_2_dropdown_22' aria-label=\"Abutment Typ #7\">Abutment Typ #7<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_22\" id=\"ff_4_2_dropdown_22\" class=\"ff-el-form-control\" data-name=\"dropdown_22\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_22\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_23' id='label_ff_4_2_dropdown_23' aria-label=\"Abutment Typ #8\">Abutment Typ #8<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_23\" id=\"ff_4_2_dropdown_23\" class=\"ff-el-form-control\" data-name=\"dropdown_23\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_23\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_24' id='label_ff_4_2_dropdown_24' aria-label=\"Abutment Typ #9\">Abutment Typ #9<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_24\" id=\"ff_4_2_dropdown_24\" class=\"ff-el-form-control\" data-name=\"dropdown_24\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_24\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_25' id='label_ff_4_2_dropdown_25' aria-label=\"Abutment Typ #10\">Abutment Typ #10<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_25\" id=\"ff_4_2_dropdown_25\" class=\"ff-el-form-control\" data-name=\"dropdown_25\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_25\"><option value=\"\">- Select -<\/option><option value=\"Einteilig (Titan)\"  >Einteilig (Titan)<\/option><option value=\"Zweiteilig  (Zirkon auf Titanbasis)\"  >Zweiteilig  (Zirkon auf Titanbasis)<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-4' style='flex-basis: 20%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_1' id='label_ff_4_2_dropdown_1' aria-label=\"Material #1\">Material #1<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_1\" id=\"ff_4_2_dropdown_1\" class=\"ff-el-form-control\" data-name=\"dropdown_1\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_1\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_17' id='label_ff_4_2_dropdown_17' aria-label=\"Material #2\">Material #2<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_17\" id=\"ff_4_2_dropdown_17\" class=\"ff-el-form-control\" data-name=\"dropdown_17\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_17\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_19' id='label_ff_4_2_dropdown_19' aria-label=\"Material #3\">Material #3<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_19\" id=\"ff_4_2_dropdown_19\" class=\"ff-el-form-control\" data-name=\"dropdown_19\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_19\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_26' id='label_ff_4_2_dropdown_26' aria-label=\"Material #4\">Material #4<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_26\" id=\"ff_4_2_dropdown_26\" class=\"ff-el-form-control\" data-name=\"dropdown_26\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_26\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_28' id='label_ff_4_2_dropdown_28' aria-label=\"Material #5\">Material #5<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_28\" id=\"ff_4_2_dropdown_28\" class=\"ff-el-form-control\" data-name=\"dropdown_28\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_28\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_30' id='label_ff_4_2_dropdown_30' aria-label=\"Material #6\">Material #6<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_30\" id=\"ff_4_2_dropdown_30\" class=\"ff-el-form-control\" data-name=\"dropdown_30\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_30\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_32' id='label_ff_4_2_dropdown_32' aria-label=\"Material #7\">Material #7<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_32\" id=\"ff_4_2_dropdown_32\" class=\"ff-el-form-control\" data-name=\"dropdown_32\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_32\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_34' id='label_ff_4_2_dropdown_34' aria-label=\"Material #8\">Material #8<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_34\" id=\"ff_4_2_dropdown_34\" class=\"ff-el-form-control\" data-name=\"dropdown_34\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_34\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_36' id='label_ff_4_2_dropdown_36' aria-label=\"Material #9\">Material #9<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_36\" id=\"ff_4_2_dropdown_36\" class=\"ff-el-form-control\" data-name=\"dropdown_36\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_36\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_38' id='label_ff_4_2_dropdown_38' aria-label=\"Material #10\">Material #10<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_38\" id=\"ff_4_2_dropdown_38\" class=\"ff-el-form-control\" data-name=\"dropdown_38\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_38\"><option value=\"\">- Select -<\/option><option value=\"Zirkon Opak\"  >Zirkon Opak<\/option><option value=\"Zirkon Transluzent\"  >Zirkon Transluzent<\/option><option value=\"Zirkon Transluzent ML\"  >Zirkon Transluzent ML<\/option><\/select><\/div><\/div><\/div><div class='ff-t-cell ff-t-column-5' style='flex-basis: 20%;'><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_18' id='label_ff_4_2_dropdown_18' aria-label=\"Zahnfarbe #1\">Zahnfarbe #1<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_18\" id=\"ff_4_2_dropdown_18\" class=\"ff-el-form-control\" data-name=\"dropdown_18\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_18\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_2' id='label_ff_4_2_dropdown_2' aria-label=\"Zahnfarbe #2\">Zahnfarbe #2<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_2\" id=\"ff_4_2_dropdown_2\" class=\"ff-el-form-control\" data-name=\"dropdown_2\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_2\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_20' id='label_ff_4_2_dropdown_20' aria-label=\"Zahnfarbe #3\">Zahnfarbe #3<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_20\" id=\"ff_4_2_dropdown_20\" class=\"ff-el-form-control\" data-name=\"dropdown_20\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_20\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_29' id='label_ff_4_2_dropdown_29' aria-label=\"Zahnfarbe #4\">Zahnfarbe #4<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_29\" id=\"ff_4_2_dropdown_29\" class=\"ff-el-form-control\" data-name=\"dropdown_29\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_29\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_27' id='label_ff_4_2_dropdown_27' aria-label=\"Zahnfarbe #5\">Zahnfarbe #5<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_27\" id=\"ff_4_2_dropdown_27\" class=\"ff-el-form-control\" data-name=\"dropdown_27\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_27\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_31' id='label_ff_4_2_dropdown_31' aria-label=\"Zahnfarbe #6\">Zahnfarbe #6<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_31\" id=\"ff_4_2_dropdown_31\" class=\"ff-el-form-control\" data-name=\"dropdown_31\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_31\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_33' id='label_ff_4_2_dropdown_33' aria-label=\"Zahnfarbe #7\">Zahnfarbe #7<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_33\" id=\"ff_4_2_dropdown_33\" class=\"ff-el-form-control\" data-name=\"dropdown_33\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_33\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_35' id='label_ff_4_2_dropdown_35' aria-label=\"Zahnfarbe #8\">Zahnfarbe #8<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_35\" id=\"ff_4_2_dropdown_35\" class=\"ff-el-form-control\" data-name=\"dropdown_35\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_35\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_37' id='label_ff_4_2_dropdown_37' aria-label=\"Zahnfarbe #9\">Zahnfarbe #9<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_37\" id=\"ff_4_2_dropdown_37\" class=\"ff-el-form-control\" data-name=\"dropdown_37\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_37\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><div class='ff-el-group has-conditions'><div class=\"ff-el-input--label ff-el-is-required asterisk-right\"><label for='ff_4_2_dropdown_39' id='label_ff_4_2_dropdown_39' aria-label=\"Zahnfarbe #10\">Zahnfarbe #10<\/label><\/div><div class='ff-el-input--content'><select name=\"dropdown_39\" id=\"ff_4_2_dropdown_39\" class=\"ff-el-form-control\" data-name=\"dropdown_39\" data-calc_value=\"0\"  aria-invalid=\"false\" aria-required=\"true\" aria-labelledby=\"label_ff_4_2_dropdown_39\"><option value=\"\">- Select -<\/option><option value=\"A1\"  >A1<\/option><option value=\"A2\"  >A2<\/option><option value=\"A3\"  >A3<\/option><option value=\"A3,5\"  >A3,5<\/option><option value=\"A4\"  >A4<\/option><option value=\"B1\"  >B1<\/option><option value=\"B2\"  >B2<\/option><option value=\"B3\"  >B3<\/option><option value=\"B4\"  >B4<\/option><option value=\"C1\"  >C1<\/option><option value=\"C2\"  >C2<\/option><option value=\"C3\"  >C3<\/option><option value=\"C4\"  >C4<\/option><option value=\"D2\"  >D2<\/option><option value=\"D3\"  >D3<\/option><option value=\"D4\"  >D4<\/option><\/select><\/div><\/div><\/div><\/div><div class='ff-el-group    ff-el-input--content'><div class='ff-el-form-check ff-el-tc'><label aria-label='Ich bin damit einverstanden, dass Dentegris meine eingereichten Informationen speichert, damit sie auf meine Anfrage antworten k\u00f6nnen.' class='ff-el-form-check-label ff_tc_label' for=gdpr-agreement_b4921c6a5545582155612f5d308de095><span class='ff_tc_checkbox'><input type=\"checkbox\" name=\"gdpr-agreement\" class=\"ff-el-form-check-input ff_gdpr_field\" data-name=\"gdpr-agreement\" id=\"gdpr-agreement_b4921c6a5545582155612f5d308de095\"  value='on' aria-invalid='false' aria-required=true><\/span> <div class='ff_t_c'>Ich bin damit einverstanden, dass Dentegris meine eingereichten Informationen speichert, damit sie auf meine Anfrage antworten k\u00f6nnen.<\/div><\/label><\/div><\/div><div class='ff-el-group ff-text-left ff_submit_btn_wrapper'><button type=\"submit\" class=\"ff-btn ff-btn-submit ff-btn-md ff_btn_style\"  aria-label=\"Absenden\">Absenden<\/button><\/div><\/fieldset><\/form><div id='fluentform_4_errors' class='ff-errors-in-stack ff_form_instance_4_2 ff-form-loading_errors ff_form_instance_4_2_errors'><\/div><\/div>            <script type=\"text\/javascript\">\n                window.fluent_form_ff_form_instance_4_2 = {\"id\":\"4\",\"settings\":{\"layout\":{\"labelPlacement\":\"top\",\"helpMessagePlacement\":\"with_label\",\"errorMessagePlacement\":\"inline\"},\"restrictions\":{\"denyEmptySubmission\":{\"enabled\":false}}},\"form_instance\":\"ff_form_instance_4_2\",\"form_id_selector\":\"fluentform_4\",\"rules\":{\"names[first_name]\":{\"required\":{\"value\":true,\"message\":\"First Name field is required\",\"global\":false,\"global_message\":\"This field is required\"}},\"names[middle_name]\":{\"required\":{\"value\":false,\"message\":\"This field is required\",\"global\":false,\"global_message\":\"This field is 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