Post on 21-Jun-2018
Nordent New Practice Set-Up Worksheets Number of Kits=_____
Periodontal Surgery Kit (1 of 5)
DP2, Dressing Plier, College Locking, (6”, 150mm)
(Please check the pattern you want to include.) Do you want a Dressing Plier in this kit? YES NO
DP1 DP4 Other________________
Other Suggested Patterns: Nordent Catalog Page B10
(Please check the pattern you want to include.) Do you want a Mirror Head in this kit? YES NO
M5, Mirror Head, Front Surface, Cone Socket, 15/16” Diameter
M4 M5DS Other________________
Other Suggested Patterns: Nordent Catalog Page B3
(Please check the pattern you want to include.) Do you want a Cheek Retractor in this kit? YES NO
RCM, Cheek retractor, University of Minnesota
RCW26 RCW36 ____________________
Other Suggested Patterns: Nordent Catalog Page E10
(Please check the pattern you want to include.) Do you want a Probe in this kit? YES NO
CEPCOW, Probe, Williams (1,2,3,5,7,8,9,10), DuraLite® ColorRing
REPCOW CEPCN12 Other________________
Other Suggested Patterns: Nordent Catalog Page B8-9
(Please check the pattern you want to include.) Do you want a Mirror Handle in this kit? YES NO
HM20, Mirror Handle, DuraLite ColorRing, Cone Socket
HM16 HM12 Other________________
Other Suggested Patterns: Nordent Catalog Page B3
CEEX11-12, Explorer, #11-12 ODU, DuraLite® ColorRing Handle
(Please check the pattern you want to include.) Do you want an Explorer in this kit? YES NO
REEX11-12 CEEX11-12L Other________________
Other Suggested Patterns: Nordent Catalog Page B5-6
Nordent New Practice Set-Up Worksheets Number of Kits=_____
Periodontal Surgery Kit (2 of 5)
(Please check the pattern you want to include.) Do you want a Perio File in this kit? YES NO
CEFPS3-4, Perio File, Sugarman 3-4, DuraLite ColorRing
CEFPS1-2 CEFPS9-10 Other________________
Other Suggested Patterns: Nordent Catalog Page E6
(Please check the pattern you want to include.) Do you want a Scalpel Blade Handle in this kit? YES NO
HB5, Scalpel blade Handle, Round #5 (6”, 155 mm)
HB3 _____________________ _____________________
Other Suggested Patterns: Nordent Catalog Page E7
(Please check the pattern you want to include.) Do you want an Periodontal Chisel in this kit? YES NO
CECP36-37, Perio Chisel Rhodes 36-37, DuraLite® ColorRing
CECPK13-TG CECPFEDI2 Other________________
Other Suggested Patterns: Nordent Catalog Page E4-5
(Please check the pattern you want to include.) Do you want an Bifurcation Probe in this kit? YES NO
CEPCNAB2, Nabors Probe, Bifurcation, CC, DuraLite ColorRing
REPCNAB2CEPNAB2 Other________________
Other Suggested Patterns: Nordent Catalog Page B10
CEEPMO9, Periosteal Molt 9, DuraLite® ColorRing Handle
CEEPGAR2 CEEPGF14Other________________
Other Suggested Patterns: Nordent Catalog Page E8-9
(Please check the pattern you want to include.) Do you want a Periosteal Elevator in this kit? YES NO
(Please check the pattern you want to include.) Do you want a Surgical Curette in this kit? YES NO
CECSM11, Surgical Curette, Miller #11, DuraLite® ColorRing
CECSL84 CECSCL85 _____________________
Other Suggested Patterns: Nordent Catalog Page E20-21
Nordent New Practice Set-Up Worksheets Number of Kits=_____
Periodontal Surgery Kit (3 of 5) (Please check the pattern you want to include.) Do you want an Anterior Scaler in this kit? YES NO
CESCN67, Scaler, Offset Anterior Sickle 6/7, DuraLite ColorRing
RESCN67 CESCN137M Other________________
Other Suggested Patterns: Nordent Catalog Page C4-7
Do you want a Universal Curette in this kit? (Please check the pattern you want to include.) YES NO
CESCBH5-6, Universal Curette, Barnhart 5-6, DuraLite ColorRing
RESCBH5-6 CESCCO13-14 Other________________
Other Suggested Patterns: Nordent Catalog Page C13-16
(Please check the pattern you want to include.) Do you want a Posterior Scaler in this kit? YES NO
CESC204S, Scaler, Posterior Sickle 204S, DuraLite ColorRing
RESC204S CESC204 Other________________
Other Suggested Patterns: Nordent Catalog Page C8-10
(Please check the pattern you want to include.) Do you want a Posterior Distal Gracey in this kit? YES NO
CESCG13R-14R, Gracey Curette 13-14 Rigid, DuraLite® ColorRing
RESCG13R-14R CESCG17R-18R Other________________
Other Suggested Patterns: Nordent Catalog Page C20-24
(Please check the pattern you want to include.) Do you want an Anterior Gracey in this kit? YES NO
CESCG1R-2R, Gracey Curette 1-2 Rigid, DuraLite® ColorRing
RESCG1R-2R CESCG3R-4R Other________________
Other Suggested Patterns: Nordent Catalog Page C20-24
CESCG11R-12R, Gracey Curette 11-12 Rigid, DuraLite® ColorRing
RESCG11R-12R CESCG15R-16R Other________________
Other Suggested Patterns: Nordent Catalog Page C20-24
(Please check the pattern you want to include.) Do you want a Posterior Mesial Gracey in this kit? YES NO
Nordent New Practice Set-Up Worksheets Number of Kits=_____
Periodontal Surgery Kit (4 of 5)
(Please check the pattern you want to include.) Do you want a Hemostat in this kit? YES NO
H104, Hemostat, Kelly Curved (5 3/4”, 145 mm)
H102 H103_____________________
Other Suggested Patterns: Nordent Catalog Page E18
(Please check the pattern you want to include.) Do you want a Needle Holder in this kit? YES NO
NH203, Needle Holder, Crile-Wood, Carbide Beaks, (6”, 150 mm)
NH201 NH208 _____________________
Other Suggested Patterns: Nordent Catalog Page E16-17
(Please check the pattern you want to include.) Do you want a Tissue Forceps in this kit? YES NO
FT110, Tissue Forceps, Semkin-Taylor Curved (5”, 125 mm)
FT109 FT108 Other________________
Other Suggested Patterns: Nordent Catalog Page E11
(Please check the pattern you want to include.) Do you want a Suction Tip in this kit? YES NO
ATF12, Aspirator Suction Tip, Frasier 12 (5”, 3 mm dia.)
ATF10 _____________________ _____________________
Other Suggested Patterns: Nordent Catalog Page E13
Nordent New Practice Set-Up Worksheets Number of Kits=_____
Periodontal Surgery Kit (5 of 5)
(Please check the pattern you want to include.) Do you want a Suture Scissor in this kit? YES NO
S306, Scissors, Spencer Suture (4 3/4”, 120 mm)
S322 S304 _____________________
Other Suggested Patterns: Nordent Catalog Page E14-15
(Please check the pattern you want to include.) Do you want a Tissue Scissors in this kit? YES NO
S314, Scissors, Lagrange Curved, 1 Blade Serrated, (4 1/2”, 115mm)
S320 S313 _____________________
Other Suggested Patterns: Nordent Catalog Page E14-15
Number of Periodontal Surgery Kits_____ X
Price per Kit $__________ (Add price of each item included)
=Total Cost for Periodontal Surgery Kits $__________
(Please check the pattern you want to include.) Do you want a Periodontal Knife in this kit? YES NO
KK15-16, Periodontal Knife, Kirkland 15-16, Standard Handle
KGF11 _____________________ _____________________
Other Suggested Patterns: Nordent Catalog Page E7
(Please check the pattern you want to include.) Do you want a Periodontal knife in this kit? YES NO
KOR1-2, Periodontal Knife, Orban 1-2, Standard Handle
KOR1 KOR2 _____________________
Other Suggested Patterns: Nordent Catalog Page E7