Fixed Case Feedback Form - Palma Dental Laboratory 2026

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The document is a Fixed Case Feedback Form designed for doctors to evaluate various aspects of dental work, including interproximal contacts, margin fit, esthetics, occlusal contacts, and service. It provides a rating scale from 1 to 4 and includes space for additional comments. The form should be returned with the next case or sent via fax or email.

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Click ‘Get Form’ to open the Fixed Case Feedback Form in the editor.
Begin by entering the Doctor’s Name and Patient’s Name/Initials in the designated fields at the top of the form.
Fill in the date when the case was delivered in the 'Case delivered on' field.
Rate each aspect of our work, including Interproximal Contacts, Margin/Framework Fit, Esthetics, Occlusal Contacts, Service, and Anterior Esthetics. Use a scale from #1 (needs improvement) to #4 (excellent work) by selecting your rating for each category.
In the 'Other Comments' section, provide any additional feedback or comments you may have regarding your experience.
Once completed, save your form. You can then enclose it with your next case or send it via fax to 7819368719 or email it to palmadental@me.com.

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What is required before a dental laboratory technician can perform a task?

A dental laboratory is a special place where expert technicians, called dental lab technicians, make custom dental appliances based on what dentists and patients need. These appliances can make crowns, bridges, dentures, and orthodontic gear like braces and retainers.

Which is required prior to a case being sent to a dental laboratory?

All outgoing cases are cleaned and disinfected before being shipped to remove any debris or pathogenic micro-organisms that came into contact with the case during processing. Prostheses are disinfected by immersion in Sporox II for 10 minutes as the materials may not be compatible with sodium hypochlorite.

What is the appropriate procedure for preparing to send an impression to a dental laboratory?

Steps for Taking Dental Impressions Distribute dental putty into a plastic or metal tray. Place the tray over the patients teeth and hold it there. Wait a few minutes for the putty to set and harden. Carefully remove the tray (and putty) from the patients mouth. Send the impression to a dental laboratory.