Crown & Bridge Order Form - VCAD - Digital Dental Design

CROWN AND BRIDGE FORM

CROWN & BRIDGE - IMPLANT RX FORM

Please supply information following the form below. Note: All inputs have "*" as the required information.

Gender

M

F

Optional:

New Case

Redo Case

Update scaned files

CROWN INSTRUCTION

RESTORATION

Crown

Bridge

Design Only

TRANSLUCENCY

Low

Medium

High

FISSURE STAIN

None

Light

Normal

SHADE INSTRUCTION

POSITIONS

dental lab

PRODUCT OPTIONS

FULL PORCELAIN

Full Contour

Full Layered

Coping

E.max NO PREP Veneer (Emax Powder)

E.max Veneer

Full E.max IP Crown

Full E.max IP (Single Puck)

Pontics and Wings

FULL CAST METAL RESTORATION

Full Mental

Full Gold (18k)

Pontics and Wings

Post and Core

PORCELAIN FUSED TO METAL

PFM (Porcelain fused to metal)

PFZ (Porcelain fused to Zirconia)

Post & Core

Pro-V (Temporary Crown)

3D PRINTER

3D print model (Partial/Arch)

3D print model (Full U-L)

Die only

No Model

EXTRA

Reduction coping

Pink porcelain/ Gum porcelain

Porcelain margin 180*

Porcelain margin 360*

Jig for implant

PORCELAIN ON IMPLANT

Bar/ Framework only

Finished Single Implant

Malo/Hybrid Implant

Temporary Denture and All on x

Finished All on X

Surgical Guide 1 step

Surgical Guide multi steps

DESIGN REQUIREMENTS

PONTIC DESIGN

HYGIENIC

RIDGE LAP

MODIFIED RIDGE LAP

BULLET

OVATE

OCCLUSAL CONTACT

Heavy

Light

Open

INTERPROXIMAL CONTACT

Normal

Extended

EMBRASURE

Normal

Close

METAL DESIGN

0

1

2

3

4

5

6

ADDITIONAL INSTRUCTIONS

ENCLOSE

BITE IMPRESSIONS/TRAYS:

Pick up the bite impressions at my address

OTHERS ENCLOSE

SCANED FILES AND OTHERS

You can upload 15 files in one - The maximum size is up to 15GB. Support compressed files (zip,7z,rar) and images (jpeg, jpg, png)

File Upload

Choose Multi Files

LINK TO DOWNLOAD STL FILES (Attach links below)

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