Order ID Dr. Name Email Phone Number Patient Name Required Date Priority OrdinaryUrgent R L Number of Units Shade Porcelain (P.F.M) Crown & Bridge Porcelain Crown (Excel)Porcelain Crown (Exceptional)P.F.M Implant SupportedPFM Screw RetainedPorcelain Facing with MetalPorcelain Excel with Post Crown Metal Metal CrownMetal Post PinC.P.D with Acrylic Work Metal Free Press-Traditional Crown & BridgeE. Max Aesthetic Veneers Acrylic Jobs Acrylic DentureDeluxe Denture with Ivoclar TeethRepairRelineTemporary CrownSoft Base DentureFlexible DentureOrtho / Retainer / Splint etc.Night Guard / Bleaching TrayBite SplintOthers Digital Solutions (CAD / CAM) Screw Retained HybirdSnipe on SmileE. Max Milled VeneersE. Max Milled CrownZirconium C/B Full ContourZirconium C/B Multi LayerZirconium Inlay / OnlyZirconium C/B Layring3D Printing ModelsDigitally Printed Metal CopingSmile Design Please tick* Die TrimDie SpacerRidge ReliefPontic ReliefInterproximal SpaceOcclusal AdjustmentOcclusal StainMargin Porcelain Enclosures* ArticulatorImpressionModelWax BiteOther Special Instructions Terms & Conditions I agree to the Terms and Conditions
