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ORDER FORM Scan Post AND Base Laboratory Name, RST name Street, number City, postal code Phone A F T E R ION LE T C O MP E ND I T S JU S T OUR TO Y R. E DE A L Fax Email Customer ID Implant systems

How to fill out sirona tibase chart form

How to fill out sirona tibase chart:

1. Locate the sirona tibase chart form.
2. Begin by filling out the patient's personal information, such as their name, age, and contact details.
3. Next, provide the patient's dental history, including any previous treatments, surgeries, or relevant medical conditions.
4. Document the specific area or tooth being treated, noting any existing restorations or prosthetics.
5. Record the treatment plan, outlining the recommended procedure and any necessary steps or materials.
6. Enter the date of the appointment and any scheduled follow-up visits or procedures.
7. Include any additional notes, instructions, or concerns related to the patient's treatment.

Who needs sirona tibase chart:

1. Dentists and dental professionals who are treating patients and want to maintain detailed records of their dental history and treatment plans.
2. Patients who want to keep track of their dental health and have a comprehensive record of their treatments for future reference or for insurance purposes.
3. Dental clinics or organizations that require organized and standardized documentation of patient care for regulatory or research purposes.

For pdfFiller’s FAQs

What is sirona tibase chart?

Sirona TiBase chart refers to a chart that showcases the different types of TiBase components available for restorative implant dentistry. TiBase is a term coined by Sirona, a dental equipment manufacturer, which refers to a prosthetic component used for the restoration of dental implants. The chart displays various TiBase designs and specifications, helping dental professionals in selecting the appropriate component for their specific cases. It provides information about the different materials, sizes, and characteristics of the available TiBase options.

Who is required to file sirona tibase chart?

The Sirona TiBase Chart is a dental implant component that is primarily used by dentists and oral surgeons. It is not something that requires filing or documentation by any specific individual. Instead, dentists and oral surgeons use the Sirona TiBase Chart as part of their dental implant procedures, keeping it as a reference or record for the specific patient's treatment plan.

How to fill out sirona tibase chart?

To fill out a Sirona TiBase chart, follow these steps: 1. Start by identifying the patient details, such as name, contact information, and unique identifier (e.g., patient ID or medical record number). 2. Record the date of the TiBase procedure or appointment. 3. Note the specific tooth or teeth for which the TiBase is being used. Use the standardized tooth numbering system (such as the Universal Numbering System) to designate the tooth. 4. Indicate the type of implant being used, including the brand, model, and size. 5. Document the TiBase material being used, such as zirconia or titanium. 6. Specify the restoration type, such as a crown, bridge, or denture, that will be placed on the TiBase. 7. Note any additional details or relevant information about the TiBase procedure, such as any modifications or adjustments made during the process. 8. Include any special instructions or precautions related to the TiBase restoration and its care. 9. Finally, the chart should be signed and dated by the dental professional responsible for the TiBase procedure or treatment. Remember to maintain accurate and up-to-date records for each patient, as these charts serve as vital references for future treatments and follow-ups.

What is the purpose of sirona tibase chart?

The purpose of the Sirona Tibase chart is to provide a reference guide for dental professionals to determine the appropriate size and position of the TiBases used in the Sirona implant system. TiBases are titanium bases that are attached to dental implants to support dental restorations such as crowns, bridges, or dentures. The chart helps in selecting the correct TiBase based on the implant diameter and abutment height, ensuring a precise fit and optimal aesthetic results for the final restoration.

What information must be reported on sirona tibase chart?

The Sirona TiBase chart typically includes the following information: 1. Patient details: Name, age, gender, contact information, and any relevant medical history. 2. Implant system: The specific implant system used, including the manufacturer's name, implant model, size, and placement date. 3. TiBase details: Information about the TiBase used, including the manufacturer's name, TiBase model, size, and material. 4. Prosthetic components: Details of the prosthetic components used, such as the crown or bridge type, material, and specific manufacturer's name. 5. Laboratory and technician information: The name and contact information of the dental laboratory or technician involved in fabricating the prosthetic restoration. 6. Case notes: Any specific notes or comments regarding the implant and prosthetic procedure, such as complications or special considerations. 7. Clinical photographs: Photographic documentation of the implant site, TiBase, and prosthetic restoration before and after placement. It is important to note that the specific content and format of the Sirona TiBase chart may vary depending on the dental practice or laboratory's preferences and protocols.

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