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Name: Fillable Online CROWN & BRIDGEWORK Fax Email Print - pdfFiller
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EMAIL MAGISTRACY YOUR CASEakl@scdlab.comDentistPractice Malpractice AddressSuburbTelEmailPatient IDDatePostcodePatient ID If patient name is listed here, please ensure you have written patient consent.

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How to fill out crown amp bridgework

01

Prepare the tooth by removing any decay and shaping it to fit the crown.

02

Take precise impressions of the tooth and surrounding teeth to create a custom crown.

03

Select the appropriate shade of the crown to match the patient's natural teeth.

04

Cement the crown onto the prepared tooth and adjust for proper fit and bite.

05

Provide post-operative care instructions to the patient for maintaining the crown.

Who needs crown amp bridgework?

01

Patients with severely damaged or decayed teeth that cannot be restored with a filling.

02

Patients who have undergone root canal therapy and need to protect the weakened tooth.

03

Patients with missing teeth who require bridgework to fill in the gaps.

04

Patients with cosmetic concerns such as discolored or misshapen teeth.

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What is crown amp bridgework?

Crown and bridgework is a type of dental restoration that involves covering or replacing a damaged tooth with a crown or bridge.

Who is required to file crown amp bridgework?

Dentists and dental offices are required to file crown and bridgework.

How to fill out crown amp bridgework?

Crown and bridgework forms are typically filled out by the treating dentist and submitted to the insurance provider or patient.

What is the purpose of crown amp bridgework?

The purpose of crown and bridgework is to restore the function and appearance of damaged teeth.

What information must be reported on crown amp bridgework?

Information such as patient demographics, dental procedure codes, tooth numbers, and date of service must be reported on crown and bridgework forms.

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