Get the free Custom Abutment Order Form - Implant Direct

Custom Abutment Order Form Case Information Account # Account Name Address City, ST, Zip Contact Dentist Name Email Address Case ID Current Date Requested Delivery Date Dentist Zip Code Phone Technician

How to fill out custom abutment order form

How to fill out custom abutment order form:

1. Start by filling in your personal information, such as your name, contact details, and shipping address. This is important for the dental lab to reach out to you and deliver the custom abutment to the correct location.
2. Next, provide your patient information, including their name, date of birth, and any relevant medical history. This information is crucial for the dental lab to ensure the custom abutment is compatible with the patient's specific needs and dental health.
3. Indicate the type of restoration you require for the custom abutment. This could be a single crown, bridge, implant-retained denture, or any other specific restoration option. It's important to specify this accurately to ensure the dental lab produces the right custom abutment for your intended purpose.
4. Specify the implant system or brand that you are using. Different implant systems have different compatible custom abutments, so it's essential to provide this information accurately for a precise fit.
5. If needed, provide any special instructions or preferences regarding the custom abutment. This could include specific angulations, special materials, or any additional requirements you may have. It's important to communicate your needs clearly to the dental lab to ensure the final product meets your expectations.
6. Finally, review the completed form for any errors or missing information before submitting it. Double-check all the details to ensure everything is accurate and up to date.

Who needs custom abutment order form?

1. Dentists and dental specialists who are planning to restore a patient's missing tooth with a custom abutment.
2. Surgeons or implantologists who are involved in the placement of dental implants and require custom abutments to complete the restoration.
3. Patients who have undergone dental implant surgery and need to communicate their specifications and preferences for the custom abutment to their dental professional.

Overall, anyone involved in the process of restoring missing teeth using dental implants may need to fill out a custom abutment order form. It helps ensure that the right custom abutment is created to fit the patient's unique dental needs.

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What is custom abutment order form?

The custom abutment order form is a document used to request the fabrication of a custom abutment for a dental implant.

Who is required to file custom abutment order form?

Dentists or dental professionals who are placing dental implants and require a custom abutment to be made are required to file the custom abutment order form.

How to fill out custom abutment order form?

To fill out the custom abutment order form, the dentist or dental professional must provide patient information, implant specifications, and specific instructions for the fabrication of the custom abutment.

What is the purpose of custom abutment order form?

The purpose of the custom abutment order form is to communicate the specific requirements for the fabrication of a custom abutment to the dental laboratory.

What information must be reported on custom abutment order form?

The custom abutment order form must include patient name, date of birth, contact information, implant type, implant position, and any special instructions for the fabrication of the custom abutment.