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About All at Once
®
About Us
What’s Happening
Resources
Contact Us
About All at Once
®
About Us
What’s Happening
Resources
Contact Us
Information
for Patients
Submit Case
Order
Planning and Manufacturing Service for the All at Once
®
Implant Bridge provides:
• Checklist of minimum required information for planning treatment and manufacturing
• Advice regarding restorative design and implant locations
• Restorative design based on clinician information
• Surgical plan based on clinician information
• Surgical protocol
• Necessary guides for surgical phase of treatment
• Files to facilitate manufacturing of All at Once
®
implant bridge (to be manufactured and supplied by your choice of AuDentes
®
accredited laboratory
• Follow up instructions
Does not provide:
• Dental implants
• Fixation pins
• Guided surgery kit
• Implant abutments
Submission of patient data does not guarantee the provision of the AuDentes service. AuDentes reserves the right to withhold the service at its sole discretion.
The All at Once
®
Implant Bridge and associated protocols are protected intellectual property. Disclosure of protocols, tools, accessories, guide designs by the signatory to any other individuals is prohibited unless prior approval has been obtained.
I acknowledge the terms and conditions and inclusion services for the All at Once
®
Implant Bridge as listed above and as agreed in the AuDentes
®
Service Agreement.
I acknowledge that the responsibility for clinical data collection, decision making, and implementation lies solely with the clinician. Responsibility of clinical outcomes does not lie with the AuDentes service, nor its owners, associates, staff or affiliates at any time.
Case ID
Please provide a unique Case ID for the patient. This could be a specific code or reference number of your choice.
Patient Name
Patient Date of Birth
Surgery Date is Confirmed
Yes
No
Date of Surgery
Estimated Surgery Date (if exact date is unknown)
Dentist Name
Dentist Phone
Dentist Email
Surgeon's Name
Surgery Location
Clinic
Hospital
Clinic / Hospital Name
Patient is insured
Yes
No
Medical Conditions
Current smoker
Diabetic
Osteoporosis medications
None
Laboratory
Omni Dental
Syd Lab
Other* (subject to AuDentes accreditation)
Product
All at Once® with zirconia bridge
All at Once® with PMMA bridge
All at Once® with PMMA bridge (unfinished)
Smile Design
Use my design
Make new design
Arch
Maxilla
Mandible
Both
Colour (A1, A2, etc)
A1
A2
A3
B1
Bleach (BL2)
Bleach (BL3)
Shape
Length
Prominence
Midline
Number of Teeth
Amount of gingiva showing
Occlusal scheme
Conform to opposing occlusion
Ideal occlusion
Vertical dimension
As recorded
Open (1mm)
Open (2mm)
Open (3mm)
Implant brand
Straumann
Southern Implants
Ideal number of implants
Pre-existing implant information (site, brand, size)
Additional Notes
New users
- upload all data files to Dropbox and share with
plans@audentes.com.au
Existing users
- upload all data files to our shared Dropbox folder.
Select if relevant:
I have sent CBCT and IOS data via coDiagnostiX caseXchange.
Submit