www.aurumgroup.com Smile Design Checklist (10 Units or Less) Dentist: ______________________________________ Patient: ____________________________________ Date: ________________________________________ Master Impression of Full Arch with Clear Hammular notches Analog / Digital Lower Impression or Original Model (If No Adjustments Made) Diagnostic Waxup or Temp Model with Mounting Plates Stick Bite Numbers of Teeth and Product Length of Centrals Prepared Tooth Shade Shade of Final Restorations Smile Design Digital Patient Photos
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Diagnostic aup Smile Design Checklist treatment planning ......Smile Design Description of Patients oals and Desires Smile Design Checklist (10 Units or Less) Dentist: _____ Master
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Diagnostic Wax-up & treatment planning
Dentist: ______________________________________
Patient: ____________________________________
Date: ________________________________________
Full arch impression Upper & Lower with Clear
Hammular notches
– Clear, accurate with Labial Vestibules– Analog / Digital (non alginate)
Bite Registration
Stick Bite
Digital Patient Photos (DSD/AACD)
Desired Length of Centrals
Number of Teeth Involved, Bridges, Implants, etc
Removable Orthotic
Bonded Orthotic
NaturalFit Orthotic
Smile Design
Description of Patients Goals and Desires
www.aurumgroup.com
Smile Design Checklist(10 Units or Less)
Dentist: ______________________________________
Patient: ____________________________________
Date: ________________________________________
Master Impression of Full Arch with Clear Hammular notches Analog / Digital
Lower Impression or Original Model(If No Adjustments Made)
Diagnostic Waxup or Temp Model with Mounting Plates