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  • 2308 McDonald Avenue Brooklyn, NY
  • Phone: (718) 375-5999
  • Toll Free: (877) EDL-LAB1 (877) 335-5221
  • Fax: (718) 375-5983
Mon - Fri: 8:30am - 5:30pm
ddx logo
ddx logo

• Implant Fixed Rx •

2308 McDonald Avenue, Brooklyn, NY 11223

(718) 375-5999 • Fax (718) 375-5983
www.elegantlab.com

Enclosed with Case: ImpressionsModelsBiteOther


Select Final Custom Abutment

TitaniumGold-Colored TitaniumZirconia w/ Ti-baseGold Alloy


Select Restoration Type

CrownSplinted CrownsBridge


Cement-Retained Restoration

Solid ZirconiaSix Layer ZirconiaYellow GoldSolid Zirconia with Buccal PorcelainEmax LayeredNon PreciousSemi Precious

Screw-Retained Restoration

Solid ZirconiaEmax Full ContourSix Layer ZirconiaPMMAEmax LayeredChrome Cobalt

Contour and Occlusion Design

Embrasures:
ClosedOpen

Occlusion:
LightIdealOutOpen mm

Contacts:
Broad & TightPinpointLight

Restoration Pontic design

Type 1

Type 2

Type 3

Type 4

Type 5

Ceramic Metal Design










If No Occlusion Clearance

Call DoctorSpot OpposingMetal OcclusionMetal IslandMake this a permanent note in my master file

Shade instructions

Tooth No.

Final Shade

Occlusal Staining:
LightMedDarkNone


Parallel Abutments

NoYes (include which abutments will have restoratons splinted together for insertion)

Abutment Margin Depth

Facial

Lingual

Mesial

Distal

Abutment Margin Design


Shoulder for all-ceramic
Chamfer for PFM/ Zirconia

Abutment Emergence Profile


Surgical Placement

Tissue Displacement

No Tissue Displacement


Indicate implant system

Indicate implant size
mm


Please order all implant components for this case