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3shape Implant Studio Surgical Report: Approved

This surgical report details a dental implant procedure for patient Tuong Cong involving the placement of two implants in the lower jaw. The report provides contact information for 3Shape Implant Studio and notes the procedure was approved by Dr. Bao Duy. It then lists implant details for positions 35 and 36, including the manufacturer, type, length, diameter, and safety zone measurements for two 7mm x 4.5mm gray DIO implants.

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nha khoa NHƯ NGỌC
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340 views3 pages

3shape Implant Studio Surgical Report: Approved

This surgical report details a dental implant procedure for patient Tuong Cong involving the placement of two implants in the lower jaw. The report provides contact information for 3Shape Implant Studio and notes the procedure was approved by Dr. Bao Duy. It then lists implant details for positions 35 and 36, including the manufacturer, type, length, diameter, and safety zone measurements for two 7mm x 4.5mm gray DIO implants.

Uploaded by

nha khoa NHƯ NGỌC
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Contact information:

3Shape Implant Studio

Surgical Report

Order Details APPROVED


Patient Name: Tuong Cong

Client Order Reference: 97728_20210415_1359_05

Creation Date: 4/15/2021 2:12:02 PM

Approved by Dr Bao Duy


(0e7819ef-c561-4b98-9627-c7bf8025089b)

Lower Jaw

Implant information
Implant position (FDI) 35 36
Manufacturer DIO DIO
Type UF(II) 4507 UF(II) 4507
Order number UF(II) 4507 UF(II) 4507
Length, mm 7 7
Diameter (Ø), mm 4.5 4.5
Color Gray Gray

Limitation of Liability: Page 1


This instruction incorporates a custom document that is based on a surgical plan proposed by the surgeon before operation. The surgeon,
therefore, takes full medical responsibility for the design and the application of the surgical guide, the intended used surgical tray kit, implants and
sleeves – all as specified on the order form received by the supplier. The custom document shall be considered as an addition to all other
documents sent with and pertaining to the case, and it does not replace any of those other documents.
Implant Information

Implant position (FDI) 35

Manufacturer DIO

Type UF(II) 4507

Order number UF(II) 4507

Length, mm 7

Diameter (Ø), mm 4.5

Color Gray

Safety zone - apical distance 2.0

Safety zone - radial distance 1.5

Buccal Mesial Lingual Distal

M D

Limitation of Liability: Page 2


This instruction incorporates a custom document that is based on a surgical plan proposed by the surgeon before operation. The surgeon,
therefore, takes full medical responsibility for the design and the application of the surgical guide, the intended used surgical tray kit, implants and
sleeves – all as specified on the order form received by the supplier. The custom document shall be considered as an addition to all other
documents sent with and pertaining to the case, and it does not replace any of those other documents.
Implant Information

Implant position (FDI) 36

Manufacturer DIO

Type UF(II) 4507

Order number UF(II) 4507

Length, mm 7

Diameter (Ø), mm 4.5

Color Gray

Safety zone - apical distance 2.0

Safety zone - radial distance 1.5

Buccal Mesial Lingual Distal

M D

Limitation of Liability: Page 3


This instruction incorporates a custom document that is based on a surgical plan proposed by the surgeon before operation. The surgeon,
therefore, takes full medical responsibility for the design and the application of the surgical guide, the intended used surgical tray kit, implants and
sleeves – all as specified on the order form received by the supplier. The custom document shall be considered as an addition to all other
documents sent with and pertaining to the case, and it does not replace any of those other documents.

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