Name
*
E-mail
*
Name of Dental Practice
Denture Stippling
*
Please Select
Yes (ROE Standard)
No
Denture Festooning
*
Please Select
Light
Standard (ROE Standard)
Heavy
Base and Rims
*
Please Select
Light Cured Base
SR Ivocap® processed base
Printed denture base (ROE standard)
Denture Teeth
*
Please Select
Premium (ROE Standard)
Economy
Set-Ups
*
Please Select
Ideal
Characterized
Follow Study Model
Flange Length
*
Please Select
Full To Vestibule
1mm short of Vestibule
2mm short of Vestibule (ROE/Aria Standard)
3mm short of Vestibule
Posterior Palate Design
*
Please Select
None (ROE Standard)
Traditional Post-Dam (bow)
Bead Line Only
Acrylic Shade
*
Please Select
Original Pink (ROE Standard)
Dark Reddish Pink
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