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Prosthetic Hi Def Editado

This document is a work order form for a dental lab called Estetica Dental Lab. It contains information such as the practice name, dentist name, patient name and date of birth. It lists various types of dental prosthetics and additional services that can be ordered. The form includes spaces to draw a design chart, indicate materials, shades, try-in stages and final stages. It specifies that items take a minimum of 8 working days to be returned and must be approved before manufacturing.

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ravi mijhail quispe acevedo
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61 views1 page

Prosthetic Hi Def Editado

This document is a work order form for a dental lab called Estetica Dental Lab. It contains information such as the practice name, dentist name, patient name and date of birth. It lists various types of dental prosthetics and additional services that can be ordered. The form includes spaces to draw a design chart, indicate materials, shades, try-in stages and final stages. It specifies that items take a minimum of 8 working days to be returned and must be approved before manufacturing.

Uploaded by

ravi mijhail quispe acevedo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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ESTETICA British Dental Te(hnoioqy

!Jwtrt1'.lrt~~i1'~~P1'?MT-:l

DAMAS
n1
PRACTICE NAME _

DENTAL LAB DENTIST NAME _

Email: [email protected] PATIENT NAME DOB _


Web:www.esteticadentallab.com LAB USEONLY
Tel: 020 8222 8484
POSTCODE _
Member2016
Bishop's Park House - 1 st Floor,
25-29 Fulham High St, London SW6 3JH DATESENT RETURN DATE

PROSTHETIC \ \ \ \
ALWAYS ALLOW 8 WORKING DAYS
The return date should be at least one working day
FIRST STAGE before the appointment
D lvolene Special Tray
D Bite Block lvolene Plate
Draw Design Chart 11 21
D Confirmation Jig 12 22

D Study Model ~ ,-
13#· ~~23 -~

14 l"r) ~ 24

MATERIAL 151
tE
16 1.
((f2
~
25
26
DAcrylic
D Chrome Cobalt Frame
17 J~\ ~ 27

D Milled Titanium Frame

TRY-IN STAGE
DwaxTry-ln
D Wax Try-ln Screw Retained Shade
DTitanium Milled BarTry-ln
D Cast BarTry-ln

FINAL STAGE
D Full Denture
lnstructions
D Partial Denture
D lmmediate Denture
D Denture On Locators
ADDITIONAL SERVICES
D Reline / Rebase
0Tooth Addition
D Clasp Addition
D CeramicTeeth
D Acrylic Stent

lmpression sterilised with -----------

Approved for manufacturing (Name)

This custom-made dental appliance will be created as prescribed by the above dentist for the exclusive use of the above named patient.
Made in the UK. (AII the used materia Is are CE conformed) Custom Made Device. DO NOT OVERHEAT.UNSTERILISED STATE.

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