Single Tooth Implant Restoration ___________________________________________ 1 Surgical Stint $195 1 Temporary Flipper (Approximately) $235 1 Essex Retainer (Optional) $100 1 Provisional Implant Crown (Optional) $105

Components 1 Implant Simulation Analog $30 1 Soft Tissue Simulation $40

Abutment Options (Additional Costs) Surgeon-Provided Abutment/Reduction Coping (if $35

necessary) Stock Abutment With Custom Contour Labor $295 Custom CAD/CAM Titanium Abutment $325 Custom CAD/CAM Zirconia Abutment $395

Restoration Options (Additional Costs) Porcelain Fused to Metal Crown $295

(Including Approximate 2 Grams of Gold) Pressable Ceramic Crown $285 Lava Zirconia Crown $325 Single Central Surcharge $150

(if applicable) Multiple implant fixed bridgework is the same cost for components and labor per unit. Pontics billed at high-tech rate plus the cost of gold. Total Estimate, Restoration Only $400-940 Sales Tax (Approx.) $32-75 Total (w/ Tax) $436-1,015 Total with Essex Retainer (w/ Tax) $536-1,115 Total with Provisional Implant Crown (w/ Tax) $541-1,120 Total with Flipper (w/ Tax) $671-1,250 Average fee to patient per Implant Crown Please Call

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All-on-4 Implant Hybrid Denture With Lab Assistance*

__________________________________________ Pre/Post Workup 1 Duplicate Denture Clear Stint $195 1 Temporary Denture $450 1 Reline Temp Denture Chairside Includes Temp Cylinders, Analogs, Guidepins $1250 Labor CAD/CAM Hybrid Bar $1,700 Implant Verification Index $365

Hybrid Denture $1,000 (Includes Custom Tray, Bite Blocks, Teeth, Processing, Resets)

Total Estimate, Restoration Only and Conversion Assistance $4.960 Sales Tax (Approx.) $385 Total (w/ Tax) $5,345 Options: Nobel Guide Surgical Stint and Design add $750 Additional Cost per Implant if more than 4 implants used $495/implant ______________________________________________________

2

2 or 4 Implant Locator Overdenture _________________________________ 1 Surgical Stint $185 1 Temporary Denture $450

Components 2-4 Locator Implant Simulation Analog $36-72 2-4 Locator Abutments $240-480 Labor Set Locator Attachments $150-300 Cast Chrome Cobalt Frame $350

Overdenture $650 (Includes Custom Tray, Bite Blocks, Teeth, Processing)

Total Estimate, Restoration Only $1,426-1,852 Sales Tax (Approx.) $114-148 Total with Tax $1,540-2,000 Total with Temporary Denture (w/tax) $1,990,-2450 Average fee to patient Please Call New Retentive Attachments and Reline: $500-700 ______________________________________________________

2

2 - 4 Implant Haderbar Overdenture _________________________________ 1 Surgical Stint $195 1 Temporary Denture $450

Components 2-4 Implant Simulation Analog $60-120 2-4 Denture Attachments $75-235 1 Soft Tissue Simulation $35

Labor CAD/CAM Hader Bar $1000-2,000 (Distal Locators on 4-unit)

Implant Verification Index $270-390 Overdenture $1,250-1,400

(Includes Custom Tray, Bite Blocks, Teeth, Processing, Chrome Framework)

Total Estimate, Final Restoration Only $2,690-4,180 Sales Tax (Approx.) $215-334 Total (w/tax) $2,905-4,514 Total with Temp Denture (w/tax) $3,355-4,964 Average fee to patient Please Call Annual Reline Fee with new attachments and analogs: $550-750 ______________________________________________________

2

6 Implant Bar - Locking Overdenture _________________________________ 1 Surgical Stint $195 1 Temporary Denture $450

Components 6 Implant Simulation Analog $150 1 Soft Tissue Simulation $35 Labor CAD/CAM Milled Bar $2,550 Overdenture Support $2,000 Implant Verification Index $390

Overdenture $1,250 (Includes Custom Tray, Bite Blocks, Teeth, Processing)

Total Estimate, Restoration Only $6,375 Sales Tax (Approx.) $510 Total (w/ Tax) $6,885 Total with Temporary Denture (w/ Tax) $7,335 Average fee to patient Please Call ______________________________________________________

2

6 Implant Hybrid Denture __________________________________________ 1 Surgical Stint $19 1 Temporary Denture $450 1 Temporary Implant Hybrid (Includes Temp Cylinders) $985

Components 6 Implant Simulation Analogs $150 1 Soft Tissue Simulation $35 Labor CAD/CAM Hybrid Bar $2,550 Diagnostic Setup $250 Verification Index $390

Hybrid Denture $1,750 (Includes Custom Tray, Bite Blocks, Teeth, Processing)

Total Estimate, Restoration Only $5,125 Sales Tax (Approx.) $410 Total (w/ Tax) $5,535 Total with Temporary Denture (w/ Tax) $5,985 Total with Temporary Fixed Hybrid (w/ Tax) $6,520 Average fee to patient Please Call ______________________________________________________

2

6 Implant Titanium Prepared Arch Cemented Restorations

_________________________________ 1 Surgical Stint $195 1 Temporary Denture $450 1 Temporary Fixed Bridge (Includes Temp Cylinders, Pontics) $1,850

Components 6 Implant Simulation Analog $150 1 Soft Tissue Simulation $35

Labor

Milled Titanium Framework $3,000 Pink Tissue Simulation $1,260 14 PFG/LAVA Crowns $4,000 Diagnostic Setup $250

Implant Verification Index $390

Total Estimate, Restoration Only $9,085 Sales Tax (Approx.) $726 Total (w/ Tax) $9,811 Total with Temporary Denture (w/ Tax) $10,261 Total with Temporary Bridge (w/Tax) $11,661 Average fee to patient Please Call ______________________________________________________

2

Implant-Borne Cement-On PFM Bridge _________________________________ 1 Surgical Stint $195 1 Temporary Denture $450 1 Temporary Fixed Bridge (Includes Temp Cylinders, Pontics) $1,850

Components 6 Implant Simulation Analog $150 6 Custom CAD/CAM Abutments $1,950 1 Soft Tissue Simulation $35 1 76% Palladium Noble Alloy $1,500 Labor 12-Unit High Tech PFG Bridge $2,880 1 Pink Porcelain Gingival Tissue Simulation $1,140 Total Estimate (Not Including Temporary) $7,655 Sales Tax (Approx.) $612 Total (w/ Tax) $8,267

Total with Temp Denture (w/ Tax) $8,717 Total with Temp Fixed Bridge (w/ Tax) $10,117

Average fee to patient Please Call Average fee per additional implant (including tax) $750 ______________________________________________________

2

Temporary (Implant) Fixed Bridge _________________________________ 1 Surgical Stint $185

Components 6 Implant Simulation Analog $180 1 Soft Tissue Simulation $35 6 Temporary Cylinders $360

Labor

BioEsthetic Implant Temps (6) $600 BioEsthetic Pontic Temps (8) $480 Wire Reinforcement $45

Total Estimate, Restoration Only $1,700 Sales Tax (Approx.) $136 Total (w/ Tax) $1,836 Total with Surgical Stint (w/tax) $2,036 Average fee to patient Please Call ______________________________________________________

2

Hybrid Denture Sequence _________________________________ The following outline is provided to give you a better understanding of the fabrication of a hybrid denture from start to finish. This will allow everything to flow smoothly and ease any confusion or frustration your patient may go through. First appointment

1. Remove healing caps from implants 2. Take opposing impression 3. Seat impression copings and take polyvinyl impression with custom tray 4. Take impressions of existing dentures for reference

**Tissue abutments may need to be seated before the next step depending on implant system.** Second appointment (7 Working Days Later)

1. Take wax bite registration using implant retained bite block 2. Indicate midline, smile line, occlusal plane 3. Record tooth shade, shape, special setup instructions 4. Seat angled abutments on all implants (if required)

Third Appointment (6 Working Days Later)

1. Seat any abutments that have been determined necessary to correct for angulations of implants (typically only uppers require abutments)

2. Index all individual pieces together the implant verification using jet glue cyanoacrylate material

3. Tryin of diagnostic setups with teeth set in wax 4. Make any changes to setup, take new bite if necessary 5. Take new pickup impression of luted verification index with custom trays 6. Reline temporary dentures to fit over the patients transitional dentures

(Possible denture reset appointment if needed, verify setup) 5 days later Fourth appointment (21 Working Days Later)

1. Tryin of titanium bars. 2. If the bars do not seat passively, cut the bar with the enclosed micro-thin disk. 3. Index the bar together in the mouth using the supplied Relate® indexing material.

Screw second set of analogs into hader bar and seat into crown box filled with plaster to hold indexed bar during shipping.

(Possible bar tryin after laser welding) 4 Working Days Later, If Necessary

1. Tryin bar after bar has been welded to insure passive fit. (If necessary) 2. If bar does not fit after soldering, repeat index procedure

Sixth appointment (6 Days Later, Either after Fourth or Fifth Appt.)

1. Tryin of waxup on titanium bars. (make any adjustments to setup if needed) Seventh appointment (6 days later)

1. Delivery of finished hybrid denture

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Locator Denture Sequence _________________________________ The following outline is provided to give you a better understanding of the fabrication of a Locator denture from start to finish. This will allow everything to flow smoothly and ease any confusion or frustration your patient may go through. First appointment

1. Take alginate impressions of the healing caps 2. Send models with surgery report that indicates length of healing caps 3. Take impressions of existing dentures for reference 4. Lab will order Locator Abutments and return to you to seat

Second appointment (5 Working Days In Lab)

1. Torque in Locator abutments on implants 2. Take wax bite registration with acrylic based bite block(s) 3. Indicate midline, smile line, occlusal plane 4. Record tooth shade, shape, special setup instructions 5. Place Locator impression copings on Locator abutments 6. Fill inside of acrylic based bite block with polyvinyl impression or polyether and

take wash/pickup impression of Locator impression copings 7. Reline transitional dentures with soft liner to adapt to fit over Locator abutments

Third Appointment (15 Working Days In Lab)

1. Tryin of diagnostic setups with teeth set in wax (setups with have chrome framework integrated into them)

2. Make any changes to setup, take new bite if necessary (Possible denture reset appointment if needed, verify setup) 4 days later Fourth appointment (7 Working Days Later)

1. Deliver Case

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Hader Bar/ Milled Bar Denture Sequence

_________________________________ The following outline is provided to give you a better understanding of the fabrication of a hader bar or milled bar denture from start to finish. This will allow everything to flow smoothly and ease any confusion or frustration your patient may go through. First appointment

1. Remove healing caps from implants 2. Seat impression copings and take polyvinyl impression with custom tray 3. Take opposing impression 4. Take impressions of existing dentures for reference

Second appointment (7 Working Days Later)

1. Take wax bite registration using implant retained bite block 2. Indicate midline, smile line, occlusal plane 3. Record tooth shade, shape, special setup instructions 4. Index together the implant verification index using duralay or relate

indexing material 5. Take new pickup impression of luted verification index with custom tray

Third Appointment (6 Working Days Later)

1. Tryin of denture setup with teeth set in wax 2. Make any changes to setup, new bite if necessary

(Possible denture reset appointment if needed, verify setup) 5 days later Fourth appointment (21 Working Days Later)

1. Tryin of titanium bar. 2. If the bar does not seat passively, cut the bar with the enclosed micro-thin

disk. 3. Index the bar together in the mouth using the supplied Relate® indexing

material. Screw second set of analogs into hader bar and seat into crown box filled with plaster to hold indexed bar during shipping.

(Possible bar tryin after laser welding) 4 Working Days Later, If Necessary

1. Tryin bar after bar has been welded to insure passive fit. (If necessary) 2. If bar does not fit after soldering, repeat index procedure

Sixth appointment (6 Days Later, Either after Fourth or Fifth Appt.)

1. Delivery of finished bar and overdenture

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Bar Overdenture Reline Procedue _________________________________ The following outline is provided to give you a better understanding of the relining procedure. This will provide you with instructions on how to get the impressions we will need to reline your overdenture. Bar Overdenture Reline Procedure:

1. Remove all attachments from the inside of the overdenture 2. Block out all undercuts from beneath the bar using utility

wax 3. Fill the overdenture base with medium body polyvinyl or

polyether impression material. 4. Seat denture in mouth and allow patient to bite down on

overdenture to seat. 5. Remove denture from mouth taking care that impression

material stays in denture. 6. Remove the bar from the patient’s mouth. 7. Place appropriate healing caps on the implants to prevent any

food impaction and tissue collapse. 8. Send bar and denture to laboratory for processing.

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Ceramic Crowns over Titanium Substructure _________________________________ The following outline is provided to give you a better understanding of the fabrication of a hybrid denture from start to finish. This will allow everything to flow smoothly and ease any confusion or frustration your patient may go through. First appointment

1. Remove healing caps from implants 2. Take opposing impression 3. Seat impression copings and take polyvinyl impression with custom tray 4. Take impressions of existing dentures for reference

Second appointment (7 Working Days Later)

1. Remove healing caps from the implants. 2. Seat the sectioned pieces of the implant verification index on the implants 3. Lute the pieces together using the supplied Relate® resin powder/liquid 4. Take a full arch pickup impression of the luted index taking care to capture the soft

tissue in the mouth Third Appointment (7 Working Days Later)

1. Remove the healing caps from the implants 2. Seat the bite registration platform (with wax) over the implants 3. Record the centric bite, midline, smile line etc

Fourth Appointment (7 Working Days Later)

1. Remove the healing caps from the implants 2. Seat the diagnostic setup in the mouth and verify the centric and esthetics. (reset and additional tryin if necessary 5 days later)

Fifth appointment (21 Working Days Later)

1. Tryin of titanium bar 2. If the bars do not seat passively, cut the bar with the enclosed micro-thin disk. 3. Index the bar together in the mouth using the supplied Relate® resin powder/liquid.

Screw second set of analogs into hader bar and seat into crown box filled with plaster to hold indexed bar during shipping.

(Possible bar tryin after laser welding) 4 Working Days Later, If Necessary

1. Tryin bar after bar has been welded to insure passive fit. (If necessary) 2. If bar does not fit after soldering, repeat index procedure

Sixth appointment (10 Days Later, Either after Fourth or Fifth Appt.)

1. Tryin of Titanium Bars with Ceramic Crowns in place. (Bisque Bake) 2. Verify composite tissue contour and esthetics. 3. Make any adjustments to occlusion as needed

Seventh appointment (6 days later)

1. Delivery of finished hybrid denture with polished ceramic crowns

Provisional Bridge Sequence _________________________________ The following outline is provided to give you a better understanding of the fabrication of a provisional bridge from start to finish. This will allow everything to flow smoothly and ease any confusion or frustration your patient may go through. First appointment

1. Remove healing caps from implants 2. Take opposing impression 3. Seat impression copings and take polyvinyl impression with custom tray 4. Take impressions of existing dentures for reference

Second appointment (7 Working Days Later)

1. Take wax bite registration using implant retained bite block 2. Indicate midline, smile line, occlusal plane 3. Record tooth shade, shape, special setup instructions

Third Appointment (6 Working Days Later)

1. Tryin of diagnostic setups with teeth set in wax 2. Make any changes to setup, take new bite if necessary

Fourth appointment (7 Working Days Later)

1. Deliver Provisional Bridge

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