Create a Cympha case from Studio

Create Cympha Case turns the virtual patient you assembled in Studio into a case tracked by dental case management in Cympha, sending scans, CBCT, photos and measurements to a lab in one step.

Audience: A clinician working in Cympha Studio (studio.cympha.com) who has assembled the patient's scans, CBCT, photos, and annotations and wants to send the whole thing to a lab as a Cympha case in one action — instead of downloading files locally and re-uploading.

You'll come away knowing: how to assemble a virtual patient in Studio, package it as a Cympha case with the Create Cympha Case menu item, find a lab and submit, and where the case appears on app.cympha.com once submitted.

Time required: A few minutes once your scene is assembled. Most of that is the upload.

Before you start

You need:

A Cympha account, signed in. Create Cympha Case is a cloud action — anonymous Studio sessions are sent to sign in. Sign in via the hamburger menu's Cympha sign-in button.
A Cympha Studio session with content loaded. At minimum a scan (.stl / .ply / .obj) or a CBCT (DICOM folder). Ideally everything you'd send to a designer: arches + bite, CBCT, intraoral photos, your annotated snapshots, and any measurements you dropped.
(Optional) Your lab's name. Studio sends you to the new-case form on app.cympha.com, which lets you search for a lab. If you already know which lab you want, having the name ready saves a step.

Why use Studio at all instead of cases/new directly? Studio carries your work product across the handoff. The scene's camera angle, the photo gallery, the distance measurements, the clinical intent you typed into a comments dialog — all of it travels to the lab as a .cyp bundle. When the lab opens the case in Studio, they see exactly what you saw. The new-case form on app.cympha.com accepts files but not a scene.

Step 1 — Assemble the virtual patient in Studio

Working in studio.cympha.com, get the case ready before you submit:

Load the scans. Hamburger menu → Open optical scan file… for the upper and lower arches plus bite registration. Add a facial scan via Add facial scan… if you have one.
Load the CBCT. Hamburger menu → Open DICOM… and pick the unzipped folder of .dcm slices.
Register the scans to the CBCT if you want them aligned — Studio has a landmark-based registration tool; the related how-to on Studio essentials covers the basics.
Add photos via Add pictures… — intraoral, facial, retraction. They land in the gallery panel.
Drop measurements and annotations that the lab needs to see. The distance tool measurements survive the handoff. So do the gallery-annotation circle markers.

This is the virtual patient — the assembled scene that's about to travel as a single .cyp bundle.

Step 2 — Pick Create Cympha Case from the hamburger menu

Click the hamburger icon (top-left). The menu has two columns: Models & data and View & help. Below them, a row of action buttons.

Find Create Cympha Case — described as "Upload the loaded files to your Cympha cloud and start a new case."

If you're not signed in yet, check the sign-in state in the hamburger — the Cympha sign-in button should show your email. If you see Sign in to Cympha instead, sign in first.

Click Create Cympha Case.

Step 3 — Name the case in the dialog

A small dialog opens titled Create Cympha Case with the body text "Name a new cloud folder, upload the loaded DICOM, meshes and images to it, then continue to case creation on Cympha." The single input field is "Case folder name (e.g. patient or case ID)."

Type a folder name. The convention most clinicians use is the patient identifier — initials + date of birth, or your practice's case ID. The folder name shows up later in your case list and in the lab's queue, so make it recognisable.

Click Create. The dialog transitions to a working state with progress text:

Creating cloud folder… — Studio asks api.cympha.com for a new folder under your Cympha cloud root.
Preparing files… — Studio collects everything loaded in the scene — the DICOM (zipped), meshes, and gallery images — bundles it as a self-contained .cyp, and queues the upload list.
Uploading {n}/{total}: {filename} — file by file. Big DICOM volumes take a while; meshes are fast.
Files uploaded — opening case creation… — Studio redirects your browser to app.cympha.com/cases/new pre-filled with the folder you just created.

If anything fails mid-upload you get an error in the dialog. The folder and any already-uploaded files stay — you can retry from the new-case form on app.cympha.com instead.

Step 4 — Fill in the case form on `app.cympha.com`

You land on app.cympha.com/cases/new with the files already attached (the URL carries the cloud folder prefix). The form auto-fills:

File list — the meshes, CBCT, photos, and the .cyp bundle, all checked.
Category — Studio doesn't infer this for you. Pick Orthodontics if it's an aligner / fixed-appliance case, Implant if it's an implant case, or AlignerBot if you want the lab's AI aligner pipeline.
Patient name and case description — these are blank; you fill them in. Studio doesn't carry patient identifiers across the handoff, so type them now.

Below the form, the Lab search field lets you find the lab you want to send to. Type the lab's name; matching labs appear as you type. Pick one.

What you can't change here. The files are baked in from the Studio handoff — you can untick any to skip uploading, but you can't add new files from disk on this page. If you forgot a photo, cancel back to Studio, add it, and re-run Create Cympha Case.

Click Submit.

What happens next

Your case appears at app.cympha.com/cases/{id} with status Submitted. You're the customer; the lab you picked is the lab.
The lab manager holds it — every submitted case starts at Submitted in the lab manager's inbox. Assigning it to a designer moves the case to Designing.
When the designer opens the case in Studio, the .cyp bundle reconstructs your exact scene — same camera pose, same gallery photos, same measurements, same colour overrides. They don't have to guess at what you were thinking.
You'll get an email from Cympha when the lab's deliverable is ready and the case flips to Awaiting Approval. From there, follow Approve or reject a design.

Where this fits vs. submitting from `cases/new` directly

There are two paths that look similar:

From Studio (this doc). You assemble the scene first, then Create Cympha Case bundles everything including the .cyp and submits. Best when you've done meaningful work in Studio that the lab should inherit.
From app.cympha.com/cases/new directly. You upload raw files into the case form. Best when you have nothing assembled yet — just the scanner output and a photo or two. See Submit an AlignerBot case for the from-scratch path.

The end result is the same kind of Cympha case in both paths; the difference is whether the lab inherits your scene or starts fresh.

Troubleshooting

I don't see Create Cympha Case in the menu. Check that you're on studio.cympha.com and signed in — the hamburger's Cympha sign-in button should show your email. If it says Sign in to Cympha, sign in first.

The dialog says "Nothing to upload." Studio collected zero files. Load at least one scan, photo, or DICOM volume into the scene first, then re-open the dialog.

Upload fails partway. The folder and files that already uploaded stay. Re-run Create Cympha Case with the same name — Studio re-uses the existing folder.

The new-case form shows files I didn't expect. Studio collects everything currently loaded in the scene, including any meshes you opened experimentally and forgot about. Untick anything you don't want on the case before clicking Submit.

My DICOM didn't come across. Studio uploads the loaded DICOM zipped, alongside the meshes and images. Check that the volume was actually loaded in the scene when you clicked Create Cympha Case, and watch the upload progress for an error — if the upload failed partway, re-run Create Cympha Case with the same folder name.

Last updated 2026-05-30.