
Colombo Dental Lab
126/1, Park Road, Colombo 05
Tel : 0117 129001
Email : colombodentallab@gmail.com
TRAY - U/L
(Metal / Plastic / Full / Partial)
ABUTMENT
SCREWS
LAB ANALOG
CASTABLE ABUTMENT
PROSTHETIC HAND DRIVE
No's
Lab Use Only:
FACIAL SHAPE:
TYPE OF CASE
| CROWN | |
| BRIDGE | |
| VENEERS | |
| INLAY / ONLAY | |
| MARYLAND BRIDGE | |
| TELESCOPIC CROWN | |
| MILLING SURVEY CROWN | |
| IMPLANT CROWN | |
| IMPLANT BRIDGE | |
| SURGICAL GUIDE PLATE | |
| IMPLANT CUSTOM ABUTMENT | |
| WINGS / REST | |
| % WINGS | |
| DOWEL POST & CORE | |
| ATTACHMENT | |
| TEMPORARY | |
| CAD / CAM DESIGN ONLY |
SHADE
TRANSLUCENCY (T)
OCCLUSAL STAIN
Glaze
I agree to pay urgent chargers
(03 working days)
(03 working days)
Sign:
TEMPORARY MATERIALS
| ACRYLIC | |
| CAD/CAM PMMA | |
| 3D PRINTING TEMP |
Specially for CAD/CAM Zirconium cases.
The preparation stump is discoloured (black color)
YES NO
COPING DESIGN (PLEASE CIRCLE ONE) :
Return: TEMPORARY
WAX UP
METAL TRIAL
BISQUE
FINISHED
TYPE OF CASE DESIGN
TYPE OF MATERIALS
| PFM (BEGO - METAL & VITA PORCELAIN) | |
| PFM NICKEL FREE | |
| FULL METAL CROWN | |
| FULL PLAIN FUSED GOLD | |
| GOLD 18K | |
| CAD/CAM ZIRCONIA | |
| CAD/CAM ZIRCONIA OPAQUE (FOR IMPLANT & BLACK STUMP) | |
| CAD/CAM ZIRCONIA LOW TRANSLUCENCY | |
| CAD/CAM ZIRCONIA HIGH TRANSLUCENCY | |
| CAD/CAM ZIRCONIA SUPPER HIGH TRANSLUCENCY | |
| CAD/CAM ZIRCONIA MULTI LAYER | |
| CAD/CAM PEEK FOR IMPLANTS | |
| CAD/CAM SINTRON (NICKLE FREE) | |
| VITA SUPRINITY | |
| IPS E-MAX CAD/ CAM | |
| CAD/CAM VITA ENAMIC - HYBRID CERAMIC + COMPOSITE | |
| 3D PRINTING MODEL |
SPECIAL NOTE
Email: colombodentallab@gmail.com | Tel: 0117 129001