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Este formulario debe ser completado si Specialty Appliances está proporcionando brackets para su caso de unión indirecta. Incluye instrucciones para cambios de dirección, información de contacto y detalles sobre el tratamiento con brackets.
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Indirect bonding rx refers to a prescription or request used in orthodontics for the indirect bonding of brackets to teeth using a custom tray or template.
Orthodontists or dental professionals who are planning to use indirect bonding techniques for their patients are required to file an indirect bonding rx.
To fill out an indirect bonding rx, the orthodontist must provide patient information, specify the type of brackets to be used, detail the intended bonding procedure, and include any other relevant clinical information.
The purpose of indirect bonding rx is to facilitate the accurate and efficient placement of orthodontic brackets by utilizing a customized tray that allows for consistent and precise positioning.
Information reported on an indirect bonding rx typically includes patient name, date of birth, treatment plan, type of appliances requested, specific tooth numbering, and any special instructions or notes.
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