www.3Dclickguide.com | July 2011

Model Based Guided Surgery Control Form

Patient Name

Type of implants

Bone sounding sites

Tooth #

Soft tissue thickness pos. 1 buccal deep

Soft tissue thickness pos. 2 buccal high

Soft tissue thickness pos. 3 occusal

Soft tissue thickness pos. 4 lingual high

Soft tissue thickness pos. 5 lingual deep

BUCCAL PALATINAL /

LINGUAL

1

2

3 4

5

1

2

3

4

5