Candidate number: {FEL 0700} Patient: {ABC} Case Type: {Case of

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Photographs
Required Views: Single tooth and Edentulous segment of two or
more adjacent teeth
1) Centric occlusion showing the restored tooth or teeth and the embrasures
and gingival architecture, including free gingival margins, papillae, and
surrounding attached tissue and mucosa. Make a close-up facial view
showing no more than three full teeth in one photo. A span of four or
more teeth will require at least two photographs.
2) Right lateral working movement that shows the restored tooth or teeth.
3) Left lateral working movement that shows the restored tooth or teeth.
4) Protrusive working movement that shows the restored tooth or teeth.
All photographs must comply with applicable patient privacy laws
Do not submit any photographs that are not required.
Photographs
Required Views: Immediate placement of one or more implants in
the maxillary anterior segment cases
Centric occlusion showing the restored
tooth or teeth and the embrasures and
gingival architecture, including free
gingival margins, papillae, and
surrounding attached tissue and mucosa.
Make a close-up facial view showing no
more than three full teeth in one photo.
A span of four or more teeth will require
at least two photographs.
5)
Frontal view of proposed immediate site
in the aesthetic zone prior to extraction
6)
Occlusal view of the proposed
immediate site prior to immediate
implant placement
7)
Frontal view of the proposed immediate
site prior to immediate implant
placement
2)
Right lateral working movement that
shows the restored tooth or teeth.
8)
Occlusal view of the immediately
placed implant
3)
Left lateral working movement that
shows the restored tooth or teeth.
9)
Frontal view of the immediate
provisional
4)
Protrusive working movement that
shows the restored tooth or teeth.
1)
Photographs
Required Views for: Edentulous Cases
1)
Frontal (maxillary and mandibular teeth in
occlusion)
2)
Protrusive
3)
Occlusal view of the arch that was restored
4)
Lateral view in centric occlusion, left
5)
Lateral view in centric occlusion, right
6)
Lateral view of left working
7)
Lateral view of right working
For cases that include a removable prosthesis, three additional
photographs are required:
8)
An occlusal view of the superstructure without the removable prosthesis in place.
9)
A frontal view of the superstructure without the removable prosthesis in place.
10) A view of the intaglio (tissue side) surface of the removable prosthesis.
All photographs must comply with applicable patient privacy laws
Do not submit any photographs that are not required.
Photographs
Required Views for Graft Cases
1)
2)
3)
4)
5)
6)
Pre-surgical occlusal view showing the atrophic ridge
Pre-surgical facial (lateral) view showing the atrophic ridge
Immediate post-surgical occlusal view
Immediate post-surgical facial (lateral) view
Occlusal view of healed site, typically 4 - 6 months after ridge augmentation and preimplant placement
Facial (lateral) view of healed site, typically 4 - 6 months after ridge augmentation and
pre-implant placement
All photographs must comply with applicable patient privacy laws
Do not submit any photographs that are not required.
Candidate number:
Patient:
Case Type:
Candidate number:
Case Type:
View:
Date Photo was taken:
Patient Initials:
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