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    Dentist

    Email Address *

    Practice / Practice Phone No.

    Patient / Patient Phone No.

    Appointment Date

    Appointment Time

    Stump Shade

    Neck

    Body

    Incisal

    Occlusal Staining
    LightMediumHeavyNone


    Photos to be emailed to quality@richmondceramics.com.au

    Case Type:

    Material:

    18


    Implant

    17


    Implant

    16


    Implant

    15


    Implant

    14


    Implant

    13


    Implant

    12


    Implant

    11


    Implant

    21


    Implant

    22


    Implant

    23


    Implant

    24


    Implant

    25


    Implant

    26


    Implant

    27


    Implant

    28


    Implant

    Upper

    Case Type

    Case Type:

    Material:

    48


    Implant

    47


    Implant

    46


    Implant

    45


    Implant

    44


    Implant

    43


    Implant

    42


    Implant

    41


    Implant

    31


    Implant

    32


    Implant

    33


    Implant

    34


    Implant

    35


    Implant

    36


    Implant

    37


    Implant

    38


    Implant

    Lower

    Case Type

    Notes

    Preferences

    Enclosed

    Prepare To Send

    Occlusion
    HeavyLightOpen

    Embrasures
    OpenClosed

    Contacts
    TightNormalLight

    Pontic Design
    HygienicRidge LapModified Ridge Lap

    In Case of No Occlusal Clearance
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    Other

     

     

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    Richmond Ceramics dental laboratory has been in operation for over 20 years. We have a team of dedicated experienced dental technicians.