Indirect Restorative Procedure Outline

The text on the page only makes sense in the context of the figure (a blank form). Therefore, treating this as a figure and outputting a brief description wrapped in
tags.

Clinical Documentation and Workflow1

DiagramProcedure description:

Procedure Stages and Sign-Offs2

StageDate, Signature and clinical code
DISCUSSION and MOUNTING
(Preprocedural Temporization, Overall dentition consideration and suitability)
CC:
FORM 26 signedCC:
FINAL IMPRESSION
MMR (if necessary)
TRY IN
INSERTION

Footnotes

  1. Original PDF page 1: Form 26A - Indirect Restorative Procedure Outline (Fixed Pros), p.1

  2. Original PDF page 2: Form 26A - Indirect Restorative Procedure Outline (Fixed Pros), p.2