treasure fax (208) 528-5443 dental lab treasuredental · dentist will be responsible for all...
Post on 15-May-2018
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For all anterior cases please provide the following items and mark they have been sent
Pre-Op Model Wax Presentation Model or Model of Temps Stick Bite Face Bow Measurement of Central Underlying Tooth Color (prep shade) Photos for Shade
For all anterior cases please provide the following items and mark they have been sent
Pre-Op Model Wax Presentation Model or Model of Temps Stick Bite Face Bow Measurement of Central Underlying Tooth Color (prep shade) Photos for Shade
Pictures: john@treasuredental.com
___ Porcelain-to-metal
___ Porc. Butt Margin
SHADEGingival Shade: _______________
Body Shade: _________________
Incisal Shade: ________________
Prepped Tooth Shade: __________
(All-Porcelain & Lava™)
___ Gold Crown
___ Gold Inlay/Onlay___ IPS e.max___ IPS Empress___ Authentic___ Refractory
be placed on COD including outstanding balance due with shipment of case. Dentist will be responsible for all collection costs, including attorney’s fee to collect past due balance. By signing below you are legally obligated to these terms.
S-0312
PORCELAIN TO METALALL PORCELAINVENEERS
GOLD
(Our standard is no collar)___ No Collar___ Small Lingual Collar___ Small Lingual & Buccal Collar___ Metal Lingual/Metal Occlusal
ALLOYS-CERAMIC
METAL DESIGN
___ IPS e.max___ Lava™ CZR Press___ Sinfony
FULL CROWN/BRIDGE
INLAY/ONLAY
PONTIC DESIGN
ALLOYS FOR GOLD WORKHigh Nobel Yellow Gold 89.5%
High Nobel (High Nobel 62)
Predominately Base (Tilite)
For all anterior cases please provide the following items and mark they ha
Pre-Op Model Wax Presentation Model or Model of Temps Stick Bite Measurement of Central Underlying Tooth Color (prep shade) Photos f
TREASUREDental Lab
3735 Washington ParkwayIdaho Falls, ID 83404
(208) 524-1888 (800) 325-5244Fax (208) 528-5443treasuredental.com
___ Lava™ Hand Stack___ Lava™ CZR Press
___ Zirkonzahn Full Zirconia___ Authentic___ Empress___ IPS e.max (Crown)
For all anterior cases please provide the following items and mark they have been sent
Pre-Op Model Wax Presentation Model or Model of Temps Stick Bite Face Bow Measurement of Central Underlying Tooth Color (prep shade) Photos for Shade
High Nobel 60% Yellow Gold
High Nobel White Gold
High Nobel Inlay/Onlay 77%
For all anterior cases please provide the following items and mark they ha
Pre-Op Model Wax Presentation Model or Model of Temps Stick Bite Measurement of Central Underlying Tooth Color (prep shade) Photos f
For all anterior cases please provide the following items and mark they ha
Pre-Op Model Wax Presentation Model or Model of Temps Stick Bite Measurement of Central Underlying Tooth Color (prep shade) Photos f
___ Porcelain Butt Margin
Nobel Y+ Yellow/Rose
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