Doctor Preferences Removable PreferencesDr.Custom Trays: Choose One Perforated Non-Perforated Handles: Choose One Straight Up Up and Out Extensions: Choose One Full Extensions 2mm Short of Full Extension Custom Trays: Choose OnePerforatedNon-PerforatedHandles: Choose OneStraight UpUp and OutExtensions: Choose OneFull Extensions2mm Short of Full ExtensionBase and Rims: Choose One Composite Base SR Ivocap® Processed Base (recommended) If Processed: Choose One Clear Pink Base and Rims: Choose OneComposite BaseSR Ivocap® Processed Base (recommended)If Processed: Choose OneClearPinkArticulator Type Options: Choose OneStratus 200HanauPanadentWhip MixDenarArticulator Type Options: Choose One Stratus 200 Hanau Panadent Whip Mix Denar Set Ups Anterior ArrangementUpper (Choose One)IdealCharacterizedLower (Choose One)IdealCharacterizedUpper (Choose One) Ideal Characterized Lower (Choose One) Ideal Characterized Cast Metal FrameworksChoose One Lingual Bar Lingual Plate Choose One I-Bar Akers Choose OneLingual BarLingual PlateChoose OneI-BarAkersFinishesRugae: Choose One Yes No Choose One With Labial Anatomy and Stippling Smooth Finish Rugae: Choose OneYesNoChoose OneWith Labial Anatomy and StipplingSmooth FinishDigital Dentures (milled)Choose OnePremium Ivotion®EconomyChoose One Premium Ivotion® Economy Hybrid DenturesTeeth Type: Choose OneZirconia (individual crowns)Zirconia (monolithic w/ integrated bar)Acrylic (milled teeth)Acrylic (carded teeth)Teeth Type: Choose One Zirconia (individual crowns) Zirconia (monolithic w/ integrated bar) Acrylic (milled teeth) Acrylic (carded teeth) Nightguards|TMJ SplintsChoose OneErkodent Dual LaminateKeysplint ThermoplasticPromotech HardChoose One Finish Option For the Above GuardsFlat Plane with Anterior GuidanceFlat Plane OnlyChoose OneComfort H/S (from scan)Choose One Erkodent Dual Laminate Keysplint Thermoplastic Promotech Hard Choose One Finish Option For the Above Guards Flat Plane with Anterior Guidance Flat Plane Only Choose One Finish Option For the Above Guards Flat Plane with Anterior Guidance Flat Plane Only Comfort H/S (from scan) Comfort H/S (from scan) Crown & Bridge PreferencesOcclusion: Choose OneHYPER – Open Adjacent Teeth 0.20mmPOSITIVE/FIRM – Same as Adjacent TeethFOIL RELIEF – Out of Occlusion 0.15mmPDL RELIEF – Out of Occlusion 0.3mmInterproximal Contacts: Choose OneHEAVY: You would like to adjustIDEAL: Design and finish with goal of minimal adjustmentBROAD: Contact as much of adjacent teeth as possiblePINPOINT: Single point of contactOcclusal/Facial Anatomy: Choose OneDEEP: Defined cusps and ridges, deep occlusal or heavy facial anatomySOFT: Softer cusps and ridges, not as defined facial and occlusal anatomyMATCH ADJACENT: We will design and finish to blend with patient’s existing dentitionOcclusion: Choose One HYPER – Open Adjacent Teeth 0.20mm POSITIVE/FIRM – Same as Adjacent Teeth FOIL RELIEF – Out of Occlusion 0.15mm PDL RELIEF – Out of Occlusion 0.3mm Interproximal Contacts: Choose One HEAVY: You would like to adjust IDEAL: Design and finish with goal of minimal adjustment BROAD: Contact as much of adjacent teeth as possible PINPOINT: Single point of contact Occlusal/Facial Anatomy: Choose One DEEP: Defined cusps and ridges, deep occlusal or heavy facial anatomy SOFT: Softer cusps and ridges, not as defined facial and occlusal anatomy MATCH ADJACENT: We will design and finish to blend with patient’s existing dentition ImplantsPreferred Implant System(s):Choose OnePrefer screw retained restorations whenever possiblePrefer custom abutment and cementable crownDo you place your own implants?YesNoChoose One Prefer screw retained restorations whenever possible Prefer custom abutment and cementable crown Do you place your own implants? Yes No If no, what specialists do you refer to?Do you have an intraoral scanner? Yes No If Yes, Type:OtherDo you have an intraoral scanner?YesNoDo you have an intraoral scanner? Yes No If yes, which system?Shade Guide(s) Used:Articulator(s) Used:Other C&B Specifics Δ
