Welcome!
Select the appropriate program below to begin.....
Important:
- You can save a draft of your work if you would like to finish filling out the form at a later date or to make edits.
- Be sure to read the instructions for your program to ensure timely submission.
- Follow-up regarding your submission will be provided to your Heartland email account. Please be sure that you check your emails regularly.
- Please reach out to Submittable's Customer Support team with any technical questions at support@submittable.com.
Case Submission Guidelines
- Patient Case # (1,2,3)- Participant Name - State Abbreviation
Required Documents: requires the following (legible) documents for case approval:
- Patient Health History and Patient Medical Release Form
- Diagnostic Quality FMX, Pano, PA of Implant Site, (Optional Kentucky Conebeam or Kansas Cat scan with calipers)
- Diagnosis and Periodontal Health Status
- Copy of Full Arch Scans (Export STL File Instructions), or Intraoral photo of Probe measurements
Case Submission Guidelines
- Case # - Participant Name - State Abbreviation
Required Documents: requires the following (legible) documents for case approval:
- Patient Health History and Patient Medical Release Form
- Diagnostic Quality FMX, Pano, PA of Implant Site, (Optional Kentucky Conebeam or Kansas Cat scan with calipers)
- Diagnosis and Periodontal Health Status
- Poured Models, Copy of Full Arch Scans (Export STL File Instructions), or Intraoral photo of Probe measurements
Approval Guidelines: Cases will be approved and ranked based on the surgical difficulty level scale of 1 to 5.
- (Slight to moderate difficulty 1-3) = automatic approvals
- (Above moderate difficulty 4) = Clinical Director approval required
- (High degree of difficulty 5) = will not be approved
Please allow 7-10 business days for an email response from your mentor.
Congratulations on Taking the Challenge!
Review the Submission Guidelines in their entirety before submitting your case.
Am I eligible to participate?
- ALL Aesthetic Continuum Doctors are eligible to participate.
- You may qualify by completing either track: Smile Test Drive (STD) Track or Veneer Case Track
- Only Eligible to win ONE camera during the challenge
Criteria Requirements
Minimum of 10 Smile Test Drives
AND/OR
Minimum of 4 completed veneer cases (case must include
at least 4 veneers)
Submission Instructions for BOTH
Before and After photos submitted in Submittable
Submit between June 29 - November 1
(Workshop Case does not count)
What do I win?
Olympus Mirrorless Camera - Lester Dine Inc.
Important:
Limit of one camera per participant
Cameras will be shipped after December 1, 2026
Veneer qualifiers will also receive an Aesthetic Excellence Award.
All challenge recipients will be recognized a t Winter Conference
The deadline to submit your case is November 1st
Before submitting your case be sure you have all the required documentation available. Including a signed Patient Medical Release Form.