Prescription Forms
Prescription Forms
Prescription Forms
Aesthetic Case Checklist
What to send to BECDEN for a Diagnostic Wax-Up:
Pre-operative photographs. These can be emailed to photos@becdendental.com
- Full face
- Close up of full smile showing teeth
- Retracted smile
- Right and left lateral views including the lateral on the opposite side
Pre-operative study models with pencil marks to indicate:
- Where the lingual finish line if your preparation will be
- Where you will be doing any tissue re-contouring
Bite registration
Stick bite to indicate horizontal plane, taken with the patient standing
Detailed prescription indicating:
- Smile design choice
- Smile Imaging (if used) “SmilePix – Picturing the Perfect Smile”
- Incisal length measurements
What to send to BECDEN for Final Restorations
Return everything in the previous section, including the Diagnostic Wax-Up
Two clear, full arch impressions (if in doubt take another one to prevent having to cut off temporaries if an area of the impression is not readable)
Photograph of the prepared teeth with dentin (stump) shade tab in place when the preparations show, variations in color
Full face photograph of the patient with provisionals in place
Study model or detailed description if significant changes have been made to the provisionals
Bite registration
Stick bite registration and photo of the stick bite in place
Final restorations prescription including:
- Product choice
- Changes, if any, made to provisionals
- Patient’s age and sex
- Amount of incisal translucency desired
- Amount of surface texture desired
- Any other special requests