Lab Communication
Lab Prescription Forms
Standardized lab prescriptions for LOCATOR overdentures, F-Tx cases, Ivotion orders, and more. Fill in patient details, customize specifications, then email directly to your lab, print, or copy — zero ambiguity.
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═══════════════════════════════════════════════════ LAB PRESCRIPTION — LOCATOR OVERDENTURE PRESCRIPTION ═══════════════════════════════════════════════════ PRACTICE: Bilski Dental DOCTOR: Dr. Tom Bilski PHONE: 216-524-4410 | EMAIL: [email protected] ADDRESS: 6527 Brecksville Rd., Suite B, Independence, Ohio 44131 PATIENT: [Patient Name] DOB: [Date of Birth] DATE: 4/18/2026 LAB: [Lab Name] LAB EMAIL: [Lab Email] DUE DATE: [Due Date] ═══════════════════════════════════════════════════ PRESCRIPTION DETAILS ═══════════════════════════════════════════════════ PROSTHESIS TYPE: Implant-Retained Removable Overdenture ARCH: Mandibular IMPLANT SYSTEM: Zimmer Biomet (TSV/T3) IMPLANT POSITIONS: #21, #22, #27, #28 ABUTMENT TYPE: LOCATOR R-Tx CUFF HEIGHTS: 2.0mm, 3.0mm RETENTION SYSTEM: • Attachment: LOCATOR R-Tx • Insert Retention Level: Medium (Pink) • Processing Males: Black (Block-Out) for processing PROSTHESIS SPECIFICATIONS: • Material: Ivotion (Nano-Ceramic Hybrid) • Tooth Shade: A2 (VITA Classical) • Gingival Shade: Light Pink • Occlusal Scheme: Balanced Bilateral • Vertical Dimension: Maintain Current VDO • Lip Support: Normal DESIGN NOTES: • Metal-reinforced framework recommended for longevity • Ensure adequate clearance for LOCATOR housing (min 8.5mm) • Provide relief over implant sites • Stippled gingival characterization requested • Festooning per natural tissue contours ═══════════════════════════════════════════════════ SPECIAL INSTRUCTIONS ═══════════════════════════════════════════════════ None ═══════════════════════════════════════════════════ AUTHORIZATION ═══════════════════════════════════════════════════ Doctor Signature: _________________________ Date: __________ Dr. Tom Bilski | License #: ___________ Bilski Dental | 216-524-4410