Reporting a Concern with Your Appliance

If you are currently being treated with a Luco Hybrid OSA Appliance and are having a concern that your dentist, your patient manual and this website cannot answer, please complete this form and send.

You will receive a response promptly!

Your Name (required)

Your Email (required)

Topic of Concern (required)

Please enter the following information:

Street Address:

City:

Prov/State:

Postal/Zip Code

Your telephone number

The Name of the Dentist who treated you

The Name of the Dental Lab that made the appliance (if known)

How long have you had the appliance?
years

Please Enter Details Here

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