Doctor Form | Abby Dental Studio

How do you prefer to be contacted

Office

Cell

Text

Email

Id like email alerts that a case has been

Scheduled for pick up

Received

Shipped

No alert

How do you prefer your marketing

Email

Paper

Occlusion

Light Occlusion, slightly out of occlusion * - shimstock pulls through

Classic Occlusion – holds shimstock

Out of Occlusion – 1 layer of foil

Out of Occlusion – 2 layers of foil

Interproximal Contacts

Standard Contact * - shimstock should be allowed to pass through with resistance when restoration is held down

Light Contacts – shimstock should pass through with no resistance

Heavy Contacts – shimstock will not be allowed to pass through

Broad contacts

Standard Shape* – 1/3 of width of tooth if possible

Characterization (Staining)

None

Light *

Medium

Surface Texture

None

Light *

Medium

Room Issue

Call for instructions

Do not relieve, return for re-prep

Adjust opposing *

Adjust die, provide reduction coping

Die Spacer

None

1 coat/ .025

2 coats/ .050 *

3 coats/ .080

Bridge Pontic design

Ovate

Modified Ridgelap *

Full Ridgelap

Incisal Translucency

None

Minimal *

Moderate

Implant Abutment Preference

Cement retained

Screw retained with crown cemented to abutment *

Doctor Preference Form

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