Due Date - Welcome to Alfodontics Dental Lab Pty …...Lingual Arch U6-6 L6-6 Bonded Lingual Upper...
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ORTHODONTIC LABORATORY Suite 13/207 Great North Rd Five Dock NSW 2046 E: [email protected] www.alfodontics.com.au P: 02 9712 1219 M: 0417 654 494 F: 02 9712 1229 Date: ___________________________ Dr: _____________________________ Surgery: ________________________ Patient: ____________________________________ Due Date: Special Instructions Fixed Appliances (soldered to your bands) Lingual Arch U6-6 L6-6 Bonded Lingual Upper Lower 3-3 4-4 Straight W Transpalatal Arch Nance Holding Arch Space Maintainer Tongue Guard Anterior Advancer Quad Helix Rapid Palatal Expansion Hyrax Haas Bonded Super Screw Removable Appliances Upper Lower Hawley (labial Bow, 1 set cribs) Labial Bow Soldered Begg Schwartz Splint 3D Expander Upper Spring Aligner Lower Spring Aligner 3-3 4-4 6-6 Functional Appliances Twin Block Class II Bionator Open Bite Maintain Bite Activator Anti Snoring Device Sparkles Expansion Screw Colour Motif No Others Clear - line Aligners Trutain (Clear Retainer) Study Models Digital Study Models Indirect Bonding Bleaching Tray Diagnostic Setup Baby Feeding Plate Mouthguard Single Double Triple Layer Phone me concerning case Please send Lab sheets Signature ..............................................
Transcript of Due Date - Welcome to Alfodontics Dental Lab Pty …...Lingual Arch U6-6 L6-6 Bonded Lingual Upper...
ORTHODONTIC LABORATORYSuite 13/207 Great North RdFive Dock NSW 2046E: [email protected]
www.alfodontics.com.au
P: 02 9712 1219M: 0417 654 494F: 02 9712 1229
Date: ___________________________ Dr: _____________________________Surgery: ________________________
Patient: ____________________________________
Due Date:
Special Instructions
Fixed Appliances (soldered to your bands)
Lingual Arch U6-6 L6-6Bonded Lingual Upper Lower 3-3 4-4 Straight W Transpalatal Arch Nance Holding Arch Space Maintainer Tongue Guard Anterior Advancer Quad Helix Rapid Palatal Expansion Hyrax Haas Bonded Super Screw
Removable Appliances Upper Lower
Hawley (labial Bow, 1 set cribs)Labial Bow SolderedBeggSchwartzSplint3D Expander Upper Spring AlignerLower Spring Aligner 3-3 4-4 6-6
Functional Appliances
Twin Block Class IIBionator Open Bite Maintain BiteActivator Anti Snoring DeviceSparkles Expansion ScrewColour Motif No
Others
Clear - line Aligners Trutain (Clear Retainer) Study Models Digital Study ModelsIndirect Bonding Bleaching TrayDiagnostic Setup Baby Feeding PlateMouthguard Single Double Triple Layer
Phone me concerning case Please send Lab sheets Signature ..............................................
