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UNIVERSAL Rx • - glidewelldental.com

UNIVERSAL Rx Dr. Name_____ Phone #_____. Acct. #_____ Patient Name_____. First Last 4141 MacArthur Blvd. Newport Beach, CA 92660. See Reverse for Working Times Address/Email_____ Deliver by 5 on _____. 800-854-7256 Fax 800-411-9722. Enclosed with Case: Impressions Models Bite Photos Other:_____. PROVISIONAL RESTORATIONS ZIRCONIA/ALL-CERAMIC RESTORATIONS FINAL SHADE PONTIC DESIGN. BioTemps Provisionals BruxZir Full-Strength* (1,150 MPa) BruxZir Esthetic (870 MPa). Reinforcement: None Wire* Fiber Obsidian All-Ceramic IPS (anterior). Cast-Metal Prismatik Clinical Zirconia IPS (posterior) * . Transition C&B Smile Transitions Lava Zirconia Abutment #(s)_____ STUMP SHADE MARGIN AND METAL DESIGN. VIVANEER VENEER Must indicate prepped tooth shade for all-ceramics Pontic #(s)_____ Total units_____ Conventional-Prep: Splinted* Cement-on Implant BruxZir Esthetic Obsidian IPS Minimal-Prep: * . Individual Units Screw-Retained Implant Labial Butt Junction Junct.

PREPARATION GUIDELINES Please allow full working time for each product selected. Working times are NOT guaranteed and do NOT include weekends or holidays.

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