RX Web Form

Download File or open in a new tab


Crown and Bridge


Non-precious
Semi-precious
Noble
High Noble
Captek


Non-precious
Semi-precious (silver)
High Noble (yellow)


IPS Empress: Crown/Veneer/Inlay/Onlay
IPS e.max
e.max ZirPress
Full Zirconia
BruxZir
BruZir Anterior
Layered Zirconia
Lava
Composite Resin
Temporary (Acrylic)


Porcelain Butt Margin
Post & Core
Occlusal Rest Seat
Survey Crown
Maryland Bridge
Cantilever
Space Maintainer
Implant Crown
Implant Custom Abutment
Titanium
Zirconia
Occlusal Guard Upper
Lower
Custom Tray
Upper
Lower


None
Light
Medium
Dark

Normal
Heavy & Broad
Point

Modified Ridge (standard)
No Contact
Point Contact
No Ridge

Standard
Full Porcelain Coverage
Metal Occlusal
Excluding Buccal Clusp
Including Buccal Clusp



In Occlusion
Slight Out of Occlusion
Out of Occlusion


Adjust Opposing
Spot Prep
Reduction Coping
Place Metal Pad
Call Me

Dentures & Partials

mm
mm
mm
mm
mm


Standard Denture:
Premium Denture With IPN Teeth
Upper
Lower
Wax Rim
Set up
Finish
Other







verification code