STRAUMANN FICHA BARRA14 ING€¦ · U HADER ® ACKERMANN OTHERS: CREATECH BAR DOLDER ® BAR LOCATOR...
2
DOLDER ® U HADER ® ACKERMANN OTHERS: CREATECH BAR DOLDER ® BAR LOCATOR ® BAR PRECI-VERTIX ® BAR TITANIUM BARS ORDER FORM ATTACHMENT * I hereby confirm that the information given is correct and the model and wax-up are accurate and have been correctly disinfected. I authorize Createch Medical to design and manufacture the framework based on the impression and order form given. BAR PROFILES OPTIONS IMPLANT SYSTEM THE CREATECH RESTORATION IS DELIVERED WITH THE APPROPRIATE AMOUNT OF SCREWS. WOULD YOU LIKE ADDITIONAL PROSTHETIC COMPONENTS? IF YES, SELECT: ADDITIONAL NOTES: DATE: SIGNATURE: Polígono Kurutz Gain, P. 3-B 20850 Mendaro (Guipúzcoa) Spain CREATECH MEDICAL S.L. T. +34 943 708951 [email protected] www.createchmedical.com DOCTOR: PATIENT NAME | CODE: LAB: CASE INFORMATION MICRO MACRO CUSTOMER NUMBER: CREATECH LOCATOR ® PRECI-HORIX ® PRECI-VERTIX ® DOLDER ® Y MICRO MACRO YES NO GOLD SHADED TYPE PLATFORM BONE LEVEL SOFT TISSUE LEVEL SYNOCTA ® 1.5 ABUTMENT SCREW-RETAINED ABUTMENT MULTI-BASE ABUTMENT NC RC NN Ø 3,5 OTHER STRAUMANN PLATFORM NNC Ø 3,5 RN Ø 4,8 WN Ø 6,5 Ø 3,5 Ø 4,5 Ø 6,5 ANGLED ABUTMENT Ø 3,5 Ø 4,6 RN Ø 4,8 WN Ø 6,5 IMPLANT POSITION ABUTMENT-LEVEL IMPLANT-LEVEL
Transcript of STRAUMANN FICHA BARRA14 ING€¦ · U HADER ® ACKERMANN OTHERS: CREATECH BAR DOLDER ® BAR LOCATOR...
DOLDER®
U HADER®
ACKERMANN OTHERS:
CREATECHBAR
DOLDER®
BAR LOCATOR® BAR
PRECI-VERTIX® BAR
TITANIUM BARS ORDER FORM
ATTACHMENT
* I hereby confirm that the information given is correct and the model and wax-up are accurate and have been correctly disinfected. I authorize Createch Medical to design and manufacture the framework based on the impression and order form given.
BAR PROFILES
OPTIONS
IMPLANT SYSTEM
THE CREATECH RESTORATION IS DELIVERED WITH THE APPROPRIATE AMOUNT OF SCREWS.WOULD YOU LIKE ADDITIONAL PROSTHETIC COMPONENTS?IF YES, SELECT:
ADDITIONAL NOTES:
DATE: SIGNATURE:
Polígono Kurutz Gain, P. 3-B 20850 Mendaro (Guipúzcoa) Spain
CREATECH MEDICAL S.L. T. +34 943 [email protected]
www.createchmedical.com
DOCTOR:
PATIENT NAME | CODE:
LAB:
CASE INFORMATION
MICRO
MACRO
CUSTOMER NUMBER:
CREATECH LOCATOR®
PRECI-HORIX®
PRECI-VERTIX®
DOLDER®
Y MICRO
MACRO
YES NOGOLD SHADED
TYPE PLATFORM
BONE LEVEL
SOFT TISSUE LEVEL
SYNOCTA® 1.5 ABUTMENT
SCREW-RETAINED ABUTMENT
MULTI-BASE ABUTMENT
NC
RC
NN Ø 3,5
OTHER STRAUMANN PLATFORM
NNC Ø 3,5
RN Ø 4,8
WN Ø 6,5
Ø 3,5
Ø 4,5
Ø 6,5
ANGLED ABUTMENT
Ø 3,5
Ø 4,6
RN Ø 4,8
WN Ø 6,5
IMPLANT POSITION
AB
UTM
EN
T-LE
VE
LIM
PLA
NT-
LEV
EL
PREPARATION OF THE MASTER MODELFOR A CORRECT PROCESSING OF YOU CASE, PLEASE PROVIDE A MASTER MODEL WITH THE FOLLOWING:
• NEW ORIGINAL ANALOGS THAT DO NOT MOVE IN THE MODEL.
- DAMAGED, MOVING AND COPYCAT ANALOGS WILL RESULT IN POOR FIT OF THE FRAMEWORK.
• A REMOVABLE SOFT TISSUE IN ONE PIECE.
• FINAL WAX UP FIXED TO THE MODEL IN AT LEAST 2 POSITIONS.
ALWAYS USE NEW, GENUINE STRAUMANN® ANALOGS DO NOT USE DAMAGED OR SCRATCHED ANALOGS
NO MOVING ANALOGS REMOVABLE SOFT TISSUE MASK
* Should the model not fulfill the requested conditions, Createch Medical reserves the right to return the case for the its modification to the requested conditions.
Polígono Kurutz Gain, P. 3-B 20850 Mendaro (Guipúzcoa) Spain
CREATECH MEDICAL S.L. T. +34 943 [email protected]
www.createchmedical.com
