Page 216 - Preat Product Book ( Instructions) FlipBook.zip

Precision Design and Manufacturing Center

preat.com
1-800-232-7732 Order # ____________________

Lab Name _________________________________ c Call for Consultation
Address ___________________________________ Bar Design
___________________________________ c Locator c Universal Plunger Lock
c Hader c Ceka M2 / M3
Phone # ___________________________________ c Preci Clix c Dolder Rigid Mini / Std

Email ___________________________________ c Preci Vertix c Dolder Resilient Mini / Std
Contact Name ______________________________ c Preci Ball c Round Bar / Preci Clip
Number of Implants __________
Case Design Materials Bar Design Specifics
c Maxillary c Mandibular Distal Extension ______ Mesial Extensions ______
Bar Design
c Hybrid c Attachment Bar Space Between Bar and Tissue ______
c Ceramic Bridge c Bridge w/Preparations Bar Height ______ Hybrid Retention Elemnts?______
Alloy Type Additive Manufacturing
c Titanium c Cobalt-Chrome
Process Increased surface retention for Hybrid? Yes / No
c Additive c 5-axis milling
Implant Information
c Good Bone c Fair Bone
c Poor Bone
Number of Implants __________

Type / Platform Additional Information
c 3I Biomet _________________________ Opposing Dentition _____________________________
c Astra _________________________ Patient Issues __________________________________
c Biohorizons _________________________
c Camlog _________________________ Additional Instructions:
c Implant Direct _________________________
c IMZ _________________________
c Keystone _________________________
c Nobel Bio. _________________________
c Straumann _________________________
c Zimmer _________________________
c Other: _________________________ Please outline the desired design:
Materials Supplied
c Denture Setup c Soft tissue Master Cast
c Verification Jig c Labial Key / Putty Matrix

c Other:________________________________

Ship to:
Preat Corporation
2625 Skyway Drive, Suite B
Santa Maria, CA 93455
216