Lab Form to Otella Dental

LAB FORM to OTELLA DENTAL

" Please complete the form with all relevant details so we can have a clearer understanding of the work requested."
Date - Today
DUE DATE

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Patient Name

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Clinic
Location
Doctor Name
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Implants Surgical Guide (regular Implants)2 Zigomatics Implants Surgical Guide4 Zigomatics ImplantsSurgical Guide1 Pterigoids Implant Surgical Guide2 Pterigoids Implant Surgical GuideCombination Zig, Pter, Regular Implants Surgical Gide
DESCRIPTION
All On X Surgical GuidesBase GuideAnchor Pin GuideOsteotomy GuideMUAs GuideScalloping Guide (for FP1 Bridge)Temporay Denture GuideToday Surgery Temporary Denture over MUAs (for FP1)7 Days After Surgery Temporary Denture over MUAs ( Ti-Bar + Acrylic)Anchor Pins1 Anchor Drill2 Anchor DrillDSD: Digital Smile Design
IMPLANTS BRAND
IMPLANTS POSITIONS
DESCRIPTION OF THE CASE WITH IMPLANTS
Gingivectomy Surgical GuideGingiva Reduction Surgical Guide (Bone Reduction+Gingiva)Composite Smile Design Surgical Guides
DESCRIPTION
Titanium Bar + Acrylic DentureTitanium Bar + Full Zirconia BridgeTitanium Bar + Malo Bridge (Individual Zirconia Crowns over Ti-Bar+Pink Gum)Titanium Bar + Temporary Denture (7 days after Surgery)-Screw RetainedTitanium Bar + Scalloping Zirconia Crowns over MUAs. (FP1) FINAL
DESCRIPTION
Zirconia Monolithc Crowns Over Natural TeethZirconia Monolithc Crown Over ImplantsZirconia Monolithc Bridge over Natural TeethZirconia Monolithc Bridge over ImplantsZirconia Layered Crowns Over natural TeethZirconia Layered Crowns Over ImplantsZirconia Layered Bridge over natural teethZirconia Layered Bridge over implants
DESCRIPTION
Zirconia Veneerse-Max Veneers
DESCRIPTION
Vita ClassicVita 3D masterOther
SHADE
Raw-DICOM Data- .zip.STL filesPhotos-.zipDrawings-.zipOthers-.zip
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LAB FORM to OTELLA DENTAL