 |
Andres Dental Studio Aesthetic Prescription |
| Doctor: | Date: |
|
|
| Patient: |
|
Seat Date: | |
Gender:
M
F Age:
|
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| Goals
of the Final Case: |
| Teeth
to Be Restored: |
| Type
of Restoration: Pressed Ceramic Pressed to Metal Feldspathic Diagnostic Waxup |
Other: |
| Case
Checklist:
|
| Prep Shade: | |
| #'s
St.
Body Shade
|
 |
| Lengths:
Centrals mm Laterals mm Canines mm |
| Gingival
Recontouring: |
| Specific
changes to be made from provisionals (e.g., midline, lengths, incisal
edge position, shapes, occlusion, etc.): |