Number of Kits= Periodontal Surgery Kit - Prestige Dental … · 2011-02-26 · Do you want a...

Nordent New Practice Set-Up Worksheets Number of Kits=_____

Periodontal Surgery Kit (1 of 5)

DP2, Dressing Plier, College Locking, (6”, 150mm)

(Please check the pattern you want to include.) Do you want a Dressing Plier in this kit? YES NO

DP1 DP4 Other________________

Other Suggested Patterns: Nordent Catalog Page B10

(Please check the pattern you want to include.) Do you want a Mirror Head in this kit? YES NO

M5, Mirror Head, Front Surface, Cone Socket, 15/16” Diameter

M4 M5DS Other________________


(Please check the pattern you want to include.) Do you want a Cheek Retractor in this kit? YES NO

RCM, Cheek retractor, University of Minnesota

RCW26 RCW36 ____________________

Other Suggested Patterns: Nordent Catalog Page E10

(Please check the pattern you want to include.) Do you want a Probe in this kit? YES NO

CEPCOW, Probe, Williams (1,2,3,5,7,8,9,10), DuraLite® ColorRing

REPCOW CEPCN12 Other________________

Other Suggested Patterns: Nordent Catalog Page B8-9

(Please check the pattern you want to include.) Do you want a Mirror Handle in this kit? YES NO

HM20, Mirror Handle, DuraLite ColorRing, Cone Socket

HM16 HM12 Other________________


CEEX11-12, Explorer, #11-12 ODU, DuraLite® ColorRing Handle

(Please check the pattern you want to include.) Do you want an Explorer in this kit? YES NO

REEX11-12 CEEX11-12L Other________________

Other Suggested Patterns: Nordent Catalog Page B5-6



(Please check the pattern you want to include.) Do you want a Perio File in this kit? YES NO

CEFPS3-4, Perio File, Sugarman 3-4, DuraLite ColorRing

CEFPS1-2 CEFPS9-10 Other________________


(Please check the pattern you want to include.) Do you want a Scalpel Blade Handle in this kit? YES NO

HB5, Scalpel blade Handle, Round #5 (6”, 155 mm)

HB3 _____________________ _____________________


(Please check the pattern you want to include.) Do you want an Periodontal Chisel in this kit? YES NO

CECP36-37, Perio Chisel Rhodes 36-37, DuraLite® ColorRing

CECPK13-TG CECPFEDI2 Other________________

Other Suggested Patterns: Nordent Catalog Page E4-5

(Please check the pattern you want to include.) Do you want an Bifurcation Probe in this kit? YES NO

CEPCNAB2, Nabors Probe, Bifurcation, CC, DuraLite ColorRing

REPCNAB2CEPNAB2 Other________________


CEEPMO9, Periosteal Molt 9, DuraLite® ColorRing Handle

CEEPGAR2 CEEPGF14Other________________


(Please check the pattern you want to include.) Do you want a Periosteal Elevator in this kit? YES NO

(Please check the pattern you want to include.) Do you want a Surgical Curette in this kit? YES NO

CECSM11, Surgical Curette, Miller #11, DuraLite® ColorRing

CECSL84 CECSCL85 _____________________



Periodontal Surgery Kit (3 of 5) (Please check the pattern you want to include.) Do you want an Anterior Scaler in this kit? YES NO

CESCN67, Scaler, Offset Anterior Sickle 6/7, DuraLite ColorRing

RESCN67 CESCN137M Other________________

Other Suggested Patterns: Nordent Catalog Page C4-7

Do you want a Universal Curette in this kit? (Please check the pattern you want to include.) YES NO

CESCBH5-6, Universal Curette, Barnhart 5-6, DuraLite ColorRing

RESCBH5-6 CESCCO13-14 Other________________


(Please check the pattern you want to include.) Do you want a Posterior Scaler in this kit? YES NO

CESC204S, Scaler, Posterior Sickle 204S, DuraLite ColorRing

RESC204S CESC204 Other________________


(Please check the pattern you want to include.) Do you want a Posterior Distal Gracey in this kit? YES NO

CESCG13R-14R, Gracey Curette 13-14 Rigid, DuraLite® ColorRing

RESCG13R-14R CESCG17R-18R Other________________


(Please check the pattern you want to include.) Do you want an Anterior Gracey in this kit? YES NO







(Please check the pattern you want to include.) Do you want a Posterior Mesial Gracey in this kit? YES NO



(Please check the pattern you want to include.) Do you want a Hemostat in this kit? YES NO

H104, Hemostat, Kelly Curved (5 3/4”, 145 mm)

H102 H103_____________________


(Please check the pattern you want to include.) Do you want a Needle Holder in this kit? YES NO

NH203, Needle Holder, Crile-Wood, Carbide Beaks, (6”, 150 mm)

NH201 NH208 _____________________


(Please check the pattern you want to include.) Do you want a Tissue Forceps in this kit? YES NO

FT110, Tissue Forceps, Semkin-Taylor Curved (5”, 125 mm)

FT109 FT108 Other________________


(Please check the pattern you want to include.) Do you want a Suction Tip in this kit? YES NO

ATF12, Aspirator Suction Tip, Frasier 12 (5”, 3 mm dia.)

ATF10 _____________________ _____________________




(Please check the pattern you want to include.) Do you want a Suture Scissor in this kit? YES NO

S306, Scissors, Spencer Suture (4 3/4”, 120 mm)

S322 S304 _____________________


(Please check the pattern you want to include.) Do you want a Tissue Scissors in this kit? YES NO

S314, Scissors, Lagrange Curved, 1 Blade Serrated, (4 1/2”, 115mm)

S320 S313 _____________________


Number of Periodontal Surgery Kits_____ X

Price per Kit $__________ (Add price of each item included)

=Total Cost for Periodontal Surgery Kits $__________

(Please check the pattern you want to include.) Do you want a Periodontal Knife in this kit? YES NO

KK15-16, Periodontal Knife, Kirkland 15-16, Standard Handle

KGF11 _____________________ _____________________


(Please check the pattern you want to include.) Do you want a Periodontal knife in this kit? YES NO

KOR1-2, Periodontal Knife, Orban 1-2, Standard Handle

KOR1 KOR2 _____________________


Number of Kits= Periodontal Surgery Kit - Prestige Dental … · 2011-02-26 · Do you want a...

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