ANILOVENTAL

Danilov Dental Laboratory6600 Madison Ave., Suite 9Carmichael, CA 95608(916) 966-2300

ANILOVENTAL

Danilov Dental Laboratory6600 Madison Ave., Suite 9Carmichael, CA 95608(916) 966-2300

Signature ,D.D.S.

License # _

I Age: I Actual _

Appearance: Young 0

Middle Age 0

Older 0

Aged 0

City State _

Zip Code Phone # ._ ...

~e.max·inVlzlon'·A VITA All-CERAMIC RESTORATION

SHADE INSTRUCTIONS

SHADE NO. _

PERSONALITY GINGIVAL INCISAL OCCLUSALIntensity Intensity STAININGSaturation Saturation

o DELICATE o LIGHT 0 LIGHT o LIGHT

o MEDIUM o MEDIUM 0 MEDIUM o MEDIUM

o VIGOROUS o HEAVY 0 HEAVY o HEAVY

Please indicate the distribution

APPROXIMATE AGEof color dispersion and the desiredtypes of characlerzations

o METAL TRY-IN

o FINISH

o PORCELAIN FUSED TO GOLD ALLOY

o GOLD CROWN

o PORCELAIN FUSED TO NONPRECIOUS

DESIGN INSTRUCTIONS

ANTERIORS I PERSONALITY

Masculine Personalities

Rugged vigorous. . . . . . . . . . . . . . . .. 0

Medium vigorous. . . . . . . . . . . . . . . .. 0

Moderately vigorous. . . . . . . . . . . . .. 0

Feminine Personalities

Active feminine .... . . . . . . . . . . . . .. 0

Medium feminine. . . . . . . . . . . . . . . .. 0

Delicate feminine 0

Alameter measurement _

POSTERIORS

0 0 METAL COPINGALL PORCELAIN COVERAGE

0 CI METAL OCCLUSALEXCLUDING BUCCAL CUSP

0 CJ METAL OCCLUSALINCLUDING BUCCAL CUSP

PONTICSX Qo 0

Sensory Bite Recorder Date wanted

Try-in Date wantedo METAL TRY-IN

o METAL MARGINo HAIRLINE OR MM

o METAL-PORCELAIN JUNCTION MARGIN

MAXILLARY CUSPIDS

o 0 METAL COPING

o ~ 1/4 METAL LINGUAL

Observation: These two designs have beenconsistantly successful in the prevention of metalmigration, avoiding a possible cleavageat the metal-porcelain junction.

SHADE MOULD

~

Geneva Anterior Teeth

Bioblend Trubyle Anteriors

Bioform Trubyte Anteriors

Biotone Trubyte Anteriors

o PORCELAIN

o PLASTIC

o UPPER

o LOWER

Posterior Teeth OcclusionSHADE MOULD

mAutocenlric Occlusion

Lingualized Occlusion

Rational Trubyte Posteriors

Functional Trubyte Posteriors

Twenty Degree Trubyte PosteriorsThirty-Three DegreeTrubyte Posteriors

o PORCELAIN

o PLASTIC

o UPPER

o LOWER

"DANILOVV ENTAL

Jack Z. Danilov GMDTGeneva Dental Institute Instructor

A Certified Dental Technician since 1973, Mr. Danilov worked with Dr. John P. Frushand Dr. Roy Smudde as their personal technician at the Swissedent Foundation, where hewas involved in research and development of the Swissedent Technology for RemovableProsthetics.

Mr. Danilov is an active member of the UCSF Post Graduate Study Group, where he hasbeen a speaker for the past 20 years. Mr. Danilov does numerous lectures for the C.D.A.and the A.D.A. on a yearly basis. Mr. Danilov has been involved with Dr. JosephMassad for the past 10 years developing the latest techniques for Removable Prostheticsand is a member of the elite Dr. Massad Lecture Team.

For the past 25 years Mr. Danilov has owned and operated a high quality, full serviceDental Laboratory in Sacramento, California. Mr. Danilov's lab specializes in Dentureswith Auto-Centric Occlusion and Lingualized Occlusion, Full Mouth Restoration andImplants, all using Swissedent (Geneva) Esthetic PJl~nciplesas his signature.Mr. Danilov remains the only Geneva Master Dental Technician.

(Lingualized Occlusion) (Geneva Esthetics)For more information or Technical support, contact Danilov Dental at(800) 959-7033. Located at 6600 Madison Ave. #9, Carmichael, CA.95608

"DANILOVV ENTAL

Referral List of Geneva Doctors using Danilov DentalLaboratory

Dro Roy Smudde, DoDoSGeneva Dental InstituteBeverly Hills, CA(800)436-3827

Dr Joseph Massad, DoDoSCenter for Higher LearningTulsa, OK(918)749-5600

Karl Wirtz, DoDoSSun City West, Arizona623-544-0700

Rosita Do Tan, DoDoSMarina Del Ray, California310-822-8481

John Czochanski, DoDoSArtistic Smile CenterOrange County, California714-639-6181

Gary Ackerman, DoDoSCarmichael, California916-961-5464

Timothy Fraser, DoDoSReno, Nevada775-323-J892

Michael Fife, DoDoSSacramento, California916-485-5539

Kenneth Hasting, DoDoSBelgrade, Montana406-587-2015

William Drake, DoDoSMaryville, Tennessee865-982-4958

Richard Brown, DoDoSCarmichael, California916-966-9017

Raymond Choi, DoDoSTustin, California714-838-1111

Gregory Charlton, DoDoSGoleta, California805-685-4400

John Dano, DoDoSMcHenry, Illinois815-344-2264

Morris Gallagher, DoDoSElko, Nevada775-738-6122

Stephen Ott, DoDoSSacramento, California916-481-6700

Tom Broering, DoDoSNew Bremen, Ohio419-629-2188

Michael Balch, DoDoSWheatland, California530-633-2865

"DANILOVV ENTAL

Premium Dentures (per arch) all Ivoclar Injected SystemMassad Denture (set-up, process, finish) $375 + teethGeneva Denture (set-up, process, finish) $350 + teethGeneva Denture (set-up, wax-up for try in) $185Geneva Denture (ivoclar injected finish) $185Treatment Denture (intermediate) $350 teeth included

Bite Rim (acrylic base w/wax rim) mounted on Accu-Liner. $45Bite Rim (acrylic base w/wax rim) $30Gothic Arch Tracing (acrylic base with tracer mounted) + E.C.B $90Gothic Arch Tracing (acrylic base with tracer mounted) + E.C.B +Neutral Zone $120Rebase Reinjected Denture (Ivoclar injected) $150Molloplast "B" soft liner (permanent) $150Denture Reline $95Custom Tray $30Wire Reinforcement. $25Add Tooth to Partial Repair. $80 + toothRepair Denture $80Stayplate (l tooth) $125Stayplate (2-5 teeth) $140 + teethAcrylic Partial (6 teeth or more) $175 + teethClasp Wire $15TMJ Splint (injected Ivoclar) $145Soft Splint $70

g>~Cast Metal Frame (Vitalium)

Vita1ium Casting Frame California Unit Count $31 per unitPartial (set-up, wax-up, try in) $160Partial Acrylic (process-finish) $160Thermo Clasp $90

Attachments-De Hinges Available Upon Request

"DANILOVV ENTAL

Porcelain Fused to Metal (low fusing)PFM Porcelain to non-precious $140PFM Porcelain fused to semi-precious $140 + metalPFM Porcelain fused to gold $140 + goldMaryland Bridge (l pontic, 2 wings, non-precious) $185

Porcelain Fused to Metal (high fusing)PFM IPS Classic to non-precious $140PFM IPS Classic to semi-precious $140 + metalPFM IPS Classic to gold $140 + goldMetal Occlusion $15Metal Rest Survey for Partial Clasp $15Fit to Partial $35Porcelain Butt Margin $45

Precious & Non-Precious Full-CastFull Cast Crown (non-precious) $95Full Cast Crown (semi-precious) $95+ metalFull Gold Crown $95 + goldPost Core $55+metalAttachment Price Available Upon Request (as treatment needed)

All Ceramic RestorationIPS Empress $190IPS Empress (internal color build-up, layering technique) $210IPS Empress Eris $210IPS Empress In-Lay's, On-Lay's $190IPS Empress Veneer Esthetic (build up) $190Diagnostic Wax-Up $25 per unitLava (internal color build-up, layering technique) , $295

"DANILOVV ENTAL

PFM Implant Direct Cement. $195 + metalPFM Implant Indirect (Retrievable) $195Soft Tissue $35Hader Bar Casting (2-3 implants) $225 + goldHader Bar Casting (3-6 implants) $350 + goldAttachment Extra as Needed Upon RequestTreatment Planning on Combination Cases Available Upon Request

Accu-Dent System I Impression System $300Accu-Dent System II (partially edentulous) Impression System $300Alameter (aI-ala measuring device) $35Papillameter (measuring device) $35

Crowns & Bridges 7-10 Business day's in Lab (weekends and holiday's excluded)Partials Casting Frames 7 Business day'sPartials & Acrylic Work Complete 10 Business day's in labIntra-Oral Mounting Tracer E.C.B .4 Business day's in labBite Rims 3 Business day's in labDenture Set-Up, Wax-Up, Try In .4 Business day's in labDenture Process & Finish .4 Business day's in labImmediates Set-Up, process & Finish 5 Business day's in lab

For More Information Please Call:1-800-959-7033 or (916) 966-2300