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NIGHT GUARD / SPLINT
CUSTOM IMPRESSION TRAY
MODEL
DUAL ARCH
SINGLE ARCH
DUPLICATE DENTURES
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Duplicate Dentures
$
1.50
Patient Initials:
*
Patient Number:
*
Patient Gender:
*
MALE
FEMALE
Impression Tray:
*
WAX RIM
PALA TRAY
Arch:
*
UPPER
LOWER
BOTH
Desired Anterior Overjet:
*
REGULAR (Class I,>2mm)
RETROGNATHIC (Class II,>3mm)
PROGNATHIC (Class III,<-1mm)
Teeth Mold
*
MONDIAL
MONDIAL I
ARTIC DIGITAL
If you want a specific tooth mold please specify in the Notes below.
Teeth Mold Shape:
*
UNIVERSAL
SQUARE
OVAL
TRIANGULAR
Post Dam:
*
YES
NO
Set Up Type:
*
BALANCED
LINGUALIZED 20°/5
Do teeth need to be digitally removed?
*
YES
NO
*If YES, specify amount of bone reduction in notes.
Final Output of File (Choose all that apply):
*
FULLY PRINTED OPTION (All in one Try-in, and split files for Printed Base and Teeth)
PRINTED BASE ONLY (Printed Base and Carded Teeth, includes tooth jig if necessary)
CONVENTIONAL OPTION (All in one Try-in and Tooth Jig if necessary)
Notes:
Please upload scans of the Upper Intaglio/Incisal scan of the denture to be duplicated. Upload a Bite Scan if the scans are not articulated.
Scan files should be in *.STL format. If uploading more than three files, the files will need to be compressed into a *.zip file.
Comments
This field is for validation purposes and should be left unchanged.
Duplicate Dentures quantity
Add Files Below - Then CLICK HERE to Proceed
SKU:
66079949
Category:
Products
Description
Description
Duplicate Dentures
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