ABN 480 884 37423 fi LAB SHEET Please complete to avoid ... Dental_A4 Lab Sheet 2016... · Noble...

Noble Dental Ceramics

ABN 480 884 37423

Toorak Offices, 1st floor Suite 14762 Toorak Road, Glen Iris 3146

T 03 9882 8822 F 03 9813 0011 E office@nobledental.com.au www.nobledental.com.au

Please email digital images to office@nobledental.com.au

[OFFICE USE ONLY]

Dentist:

Patient:

Return Date:

Insert Date:

Reduction of prep

Reduction of Opposing

Time:

We require 10 working days from arrival in lab & 15 days for implants

Please complete to avoid discrepancies

If insufficient clearance

LAB SHEET

Surgery:

DATE:

CALLER:

NOTES:

TIME:

Metal Island

*Call DentistAt Lab

Surgery

SHADE

ABUTMENT TYPE

Milled Abutment - CO/CR

Atlantis CAD/CAM Abutment

Implant System

Platform Diameter

Cast Gold

Titanium

Zirconia

Cement retained

Screw retained (occlusally)

Cross pin (lingually)

IMPLANT CROWN

Heavy Light Open

OCCLUSAL CONTACT

RESTORATION TYPE

Crown

Bridge

Inlay/Onlay

Maryland Bridge

Post and Core

Veneer

Temporary Crown

e.Max Monolythic

Zirconia Monolythic

ALL CERAMIC

Zirconia Layered

e.Max Layered

MARGIN TYPE

Fine Metal Margin 360˚

Buccal Porcelain Margin

360˚ Porcelain Margin

FULL CAST

Yellow Gold

Non Precious (Ni Free)

Non Precious Yellow Gold

OCCLUSAL STAINING

None

Medium

Light

Dark

Vital

Non Vital (dentine or composite)

Non Vital (metallic/discoloured core)

Stump Shade

ABUTMENT DETAILS (STUMP)

*CALL DENTIST

Instructions:

Titanium Base

Biaxial Angle Correction

High Precious

Semi Precious

Non Precious(Ni Free)

PORCELAIN FUSED TO METAL

DIAGNOSTICWAX-UP

Silicone Impression

Opposing Impression

Opposing Model

Study Model.

Pre-Op Model.

Bite Registration

Diagnostic Wax-Up Model

FTP

Photos/disc

USB Key

Silicone Keys

Face bow

Articulator

Denture

Implant Replica.

Implant Guide pins

Implant abutments.

For Lab Use Only

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