Name
*
E-mail
*
Name of Dental Practice
Anterior Lingual Margins
*
Please Select
Crest of the tissue
0.25mm subgingival (ROE Standard)
0.5mm subgingival
0.75mm subgingival
1.0mm subgingival
Posterior Lingual Margins
*
Please Select
Crest of the tissue (ROE Standard)
0.5mm subgingival
1.0mm subgingival
1.5mm subgingival
2.0mm subgingival
Labial Margins
*
Please Select
0.5mm subgingival
1.0mm subgingival
1.5mm subgingival (ROE Standard)
2.0mm subgingival
Anterior Buccal Margins
*
Please Select
0.5mm subgingival
1.0mm subgingival (ROE Standard)
1.5mm subgingival
2.0mm subgingival
Anterior Interproximal Margins
*
Please Select
0.25mm subgingival
0.5mm subgingival
0.75mm subgingival (ROE Standard)
1.0mm subgingival
Soft Tissue
*
Please Select
No Tissue Blanching
Standard tissue blanching - up to 1 mm of tissue adjustment (ROE standard)
Surgical placement for 1mm+ of tissue adjustment (tissue curettage needed)
Implant Abutment & Restoration Design
*
Please Select
Custom Milled Abutment - Cement Retained (no hole in crown) (ROE standard)
Custom Milled Abutment - Screwmentable (occlusal hole in crown/uncemented)
Custom Milled Abutment - Screwmentable (occlusal hole in crown/cemented)
Ti Base/ one piece screw retained - If one piece screw retained not possible/ok to make milled abutment using design
Follow my Rx
Photos for approval
*
Please Select
Yes
No, follow my instructions (ROE Standard)
Parts
Please Select
OEM parts only - additional fees may apply
ROE non-OEM parts
ROE non-OEM parts preferred but use OEM parts when necessary - please notify (ROE Standard)
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