450-444-5900
info@centredentairestonge.com
FR
Make an appointment
New in our clinic
The Clinic
Our Vision
Conference Room And Training
Referring Doctors
Dental Lab
Dental Care Services
General Dental Care
Esthetic dental care
Tooth Restoration And Replacement
Dental implants
Wisdom teeth
Pre and postoperative dental care
Team
Technologies
CDCP
Blog
Contact Us
Referring Doctors
Form to fill out
EN Referring Doctors
Date
To make an appointment
– Select –
Contact the patient
The patient will contact you
Daytime Phone Number
Referring Professional
Prothèse sur implants planifiée
Number of implants
1
2
3
4
5 or 12
Attachements
Locator
Ball
Rider
Removable
RP4
RP5
Fixed
FP3
3PF
PF3
PPP
Remarks
SEND FORM
Referred Patient
Birth date
Evening Phone Number
Reason for consultation
– Select –
Scan
Lower jaw
Upper jaw
Radiological guide
Simplant evaluation
Implant
Sinus lift elevation
Bone graft
Soft tissue graft (Alloderm, Gingival, Connective)
Hyperplastic tissues removal
Surgical extraction
Dental crown-lengthening
Position
A
B
C
D
E
