Desert Sky Dental Design – Lab RX
Desert Sky Dental Design

DESERT SKY DENTAL DESIGN

DENTAL LABORATORY PRESCRIPTION

Ph: (480) 819-9842 Desertskydentaldesigns@gmail.com
desertskydentaldesign.com
Phoenix, Arizona
Practice & Patient Information
Tooth Chart — Click to Select Teeth
LOWER (Mandibular)
Lower arch
UPPER (Maxillary)
Upper arch
SELECTED TEETH: —
Restoration Type — Select Per Tooth
FC = Full Crown  |  P = Pontic  |  AC = Abutment & Crown  |  V = Veneer  |  MC = Mock Up Crown  |  EZC = Emax Facial / Zirconia Cutback  |  NG = Splint / Night Guard
UPPER  1–16
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
LOWER 17–32
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Appliance & Shade
Appliance:
Shade:
Implant Details
Screw Access:
Ti-Base:
Analog Incl.:
Special Instructions / Notes
Attach Files — Photos, Scans, ZIP Folders
Submission confirms RX accuracy.
Desert Sky Dental Design · Phoenix, AZ