Patient:__________________________________________________

 

Date Uncovered:______________________________

 

 

I have uncovered _______ implants for your patient. These implants were manufactured by _______________________ and were originally placed on ___________________.  These implants will be ready for restoration on _______________.  I would suggest you order the following IMTEC parts (or any compatible external hex parts from any other manufacturers) for the restoration from Denis Slawsby at Pinnacle Dental Technologies: 800-452-0582. (FAX: 602-451-9361).

 

For help with prosthetic Design, please feel free to call me or visit the Dental Implant Web Site at http://www.dental-implants.com.

 

 

Part

 

Catalog #

 

Number Needed

 

Date Ordered

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

If you have any questions, please call either Tina or myself and we will be glad to help you. Please return all temporary abutments to me as soon as possible. I will bill patient for unreturned parts.  Thanks for your confidence in me.

 

Sincerely,

 

 

 

S. Robert Davidoff, DMD, FACP