Doctor Lab Preferences: General Fixed (Fixed)

Name*

E-mail*

Name of Dental Practice

Occlusal Contacts*

Interproximal Contacts*

Interproximal Contact Shape*

Description: ROE standard anatomic 1/3 the width of the tooth

Description: Broad, larger contact shape 1/2 the width of the tooth

Description: Extra Broad, larger contact shape which is also longer occlusal gingival eliminating any open embrasure spaces, 1/2 the width of the tooth and as long as possible for that speciﬁc restoration.

Occlusion with a closed bite*

Implant restoration tissue blanching*

Bridge Pontic Design*

Unclear Margins*

Adjacent Tooth Undercut*

No Bite Enclosed*

Die Has Undercuts*