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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
Elegant Dental Laboratories
Mon - Fri: 8:30am - 5:30pm (877) 335-5221
Mon - Fri: 8:30am - 5:30pm (786) 289-8940
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• 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

teeth1Type 1

teeth2Type 2

teeth3Type 3

teeth4Type 4

teeth5Type 5

Ceramic Metal Design

mar1

mar2

mar3

mar4

mar5

mar6

mar7

mar8

mar9

If No Occlusion Clearance

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

Shade instructions

long tooth

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

Abutment Margin Design

abut-ceramic
Shoulder for all-ceramic
Chamfer for PFM/ Zirconia
abut-zirconia

Abutment Emergence Profile

abut-profile-1
Surgical Placement
abut-profile-2
Tissue Displacement
abut-profile-3
No Tissue Displacement


Indicate implant system

Indicate implant size
mm


Please order all implant components for this case