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Revised 05/2013. SPECIFIC INSTRUCTIONS. Please print clearly and do not abbreviate. Please mark/note all teeth to be extracted. TEETH SELECTION.
Optional: Mount denture in reline jig instead of articulator. Carefully remove denture from cast. Do not break the ridge off the cast (This is why you
Not all Benefit plans include Enhanced benefits. Oral hygiene instructions. Not a covered benefit Each additional cast post – same tooth; indirectly.reline. 14631. This document provides a description of the covered services under the Academic Employees’ Dental Plan along with the related procedure code.
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