Fax: 314.429.7575 > www.dynaflex.com
The DynaFlex® Philosophy We are intensely committed to providing our customers with the service, quality and value that they expect and deserve. We will do whatever it takes to service our customers in every detail with consistency and courtesy. We want to be your first choice!
Best Fit Guarantee You demand it . . . DynaFlex® guarantees it! Our goal if for our appliances fit the first time every time. If you are unsatisfied with any appliance fit or function that we manufacture, DynaFlex will repair it at not cost to you, no matter when we manufactured it.
How to Send a Case DynaFlex® is a state of the art 3D Digital Laboratory. We can produce a physical model, from a digital record taken in your office, and fabricate any orthodontic appliance on it. You can send cases to us through our DynaFlex File Portal or through your scanners drop down menu (if that feature is available). If you are sending in working models or impressions, please wrap the model with the enclosed packaging. Also, it is very important to fill out the prescription fully and accurately - especially the date wanted box. Prescriptions can be downloaded at www.dynaflex.com.
Delivery Times Please utilize the date wanted box on all your prescription forms with a specific date, not ASAP or RUSH. We know how important it is to have your appliance back for your patient’s appointment. With a specific date, we can inform you ahead of time if there is a delay. TIP: Your date wanted should be the day prior to your patient’s appointment.
General laB aPPlIanCeS - In lab time is 3-5 days. If circumstances require shorter or same day lab service, it is available on most appliances.
eZ alIGn – In lab time is 5-7 days.
TooTH PoSITIonerS anD – In lab time is 7-10 days. If circumstances require shorter lab service (5 days or less), it SleeP aPnea DevICeS is available for Sleep Apnea devices for a fee of $100.00 per device.
General shipping is 2-3 days each way but shipping times may vary.
Shipping & Handling For shipping your cases to DynaFlex®, we provide convenient postage pre-paid mailing labels. A postage paid label is available on our website. All your cases will be returned guaranteed FedEx for a small shipping and handling fee. OVERNIGHT DELIVERY is also available for an additional charge.
To avoid damage, we recommend that each model is wrapped individually. All models should be marked with both the patient and doctor’s name for proper identification.
Technical assistance DynaFlex® is as close as your telephone or computer. Feel free to call our toll free number 1-800-489-4020 or e-mail
us at [email protected] for assistance on appliance designs and appliance adjustments.
retainer assurance When you purchase Retainer Assurance you are guaranteed a one time replacement of your retainer. The certificate is good for six months and is only valid on retainers.
800.489.4020 > 314.426.4020
meet your helpful laboratory teamJohn Pietroburgo Executive Vice President, CDT John has provided his expertise and knowledge in appliance design and manufacturing to DynaFlex® clients for more than 30 years. John is extremely committed to solving difficult problems in regards to orthodontic appliance selection and custom manufacturing. John has direct contact with all laboratory technicians to ensure that DynaFlex® consistently produces quality appliances that fit the first time. E-mail at [email protected].
Max Hall Vice President of Sales Max comes to DynaFlex® with 30+ years of experience in the Orthodontic lab industry. The majority of that time was as co-founder, Director of Sales and Marketing and Key Accounts Manager at AOA labs. Throughout his career, Max has been dedicated to providing unparalleled appliance knowledge and expertise, innovative and high quality lab treatment solutions and outstanding customer care to the industry. E-mail at [email protected].
Jennifer Novack Director of Digital SalesPrior to becoming a regional manager at DynaFlex, Jennifer worked for 7 years as an orthodontic assistant. She offers a wide variety of orthodontic knowledge as well as sales and marketing expertise. Jennifer is now the director of digital sales at DynaFlex and can assist in new account set-ups for all practices utilizing digital file transfer and for all new digital model storage customers. E-mail at [email protected].
Keith George Technical Laboratory Advisor Keith has several years of technical and custom laboratory design experience. As a Technical Laboratory Advisor, Keith is available to assist DynaFlex® clients with appliance selection, design and provide quality fabricated appliances. E-mail at [email protected].
Randy Williams Senior Technical Lab Advisor Randy has many years of experience in technical orthodontic appliance fabrication and design. Over the years Randy has attended many continuing education courses as well as lectured to multiple orthodontic groups. His extensive laboratory training and knowledge provides our clients with a level of service far beyond our competitors. Randy is always available to help you with custom appliance design and fabrication. E-mail at [email protected].
Gary Quaka Director of Dental Sleep Medicine Gary has more than 30 years of laboratory sales and marketing expertise. He attends most of the continuing education courses as well as lectures to university programs and study clubs. Due to his extensive laboratory experience, he is an excellent source of information on the newest developments in sleep appliance design and function. E-mail at [email protected].
Alex Buddemeyer Dental Sleep Medicine Technical Advisor Alex is our latest CDT to join the DynaFlex® team . With his knowledge and lab skills there is not a question he can’t handle. With this combined skill set he can help you over the phone and in the lab with your sleep devices. He helps make sure the OSA devices we fabricate in our brand new sleep laboratory are of the highest quality. He also makes sure each doctor is personally taken care of with his great customer service. E-mail at [email protected].
Slee
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. Ort
ho Gary Kline Director of Digital Laboratory Gary is an expert in computerized digital technology and has led the way on the set-up of our 3D Ortho laboratory. Due to his extensive knowledge and expertise in digital orthodontics, Gary is now leading the implementation of our interactive digital indirect bonding system. If you or your staff have questions concerning our digital indirect bonding software, Gary is here to assist you. E-mail at [email protected].
Tommy Manson Lead Digital Technician Tommy Manson is the lead technician for the 3D Ortho division and has been working with the DynaFlex® team for 2 years. He handles the on-site training for our desktop scanner systems and also assists with the setting up and training of doctors interested in our interoral orthodontics solution. With a background in information technologies and customer service, Tommy is always willing to help you find a solution to any technical issue you may have. E-mail at [email protected].
Fax: 314.426.1967 > www.dynaflex.com i i i Fax: 314.429.7575 > www.dynaflex.com
table of contents
13D.Ortho
3D.Ortho
3D.Ortho . . . . . . . . . . . . . . . . . . . . . . 1 - 8
Utilizing the latest technology to create efficiency in your orthodontic and sleep appliance manufacturing!
Sleep Devices
Sleep Appliances . . . . . . . . . . . . . 41 - 45
2Lab Services
Lab Services
Lab Appliances . . . . . . . . . . . . . . . . 9 - 40
Manufacturing the highest quality orthodontic appliances in the industry for the past 45 years.
3 Sleep Appliances
The ONLY laboratory in the country cleared by the FDA to manufacture 8 different anti-snoring & sleep apnea appliances.
1
LEADING THE WAY
™
a fully integrated digital orthodontic solution
3 800.489.4020 > 314.426.4020
revolutionizing appliance fabrication
With the technology behind our Objet Rapid Prototyping Printers, DynaFlex® can print models and
start appliance fabrication with the click of a mouse.
...one model at a time
Fax: 314.429.7575 > www.dynaflex.com 4
3D.Ortho
In 2011, orthodontics reached a milestone: the ability to become alginate free. 3D.Ortho™, a division of DynaFlex®, began offering alginate-free appliance fabrication in January of 2011. This means that a practice can use an intra-oral scanner to scan your patient and send that electronic file to DynaFlex for appliance manufacture. We will then send that file to our rapid prototyping printer. Then the printer will create or “grow” a model from your file that will be sent to our technicians in the laboratory. DynaFlex® can also accept any open .stl file that most orthodontic scanners can produce. If you do not own your own scanner, we can also provide your practice with digital model storage. Please contact us at 800-489-4020 to schedule a free demonstration.
Changing the Way You Practice...Forever!
iTero® Lythos™ 3M™TrueDefinition
Trios®
5 800.489.4020 > 314.426.4020
Send Your Digital Scan Files for Fabrication
DynaFlex® is able to print your scanned orthodontic case on our Rapid Prototyping Printers into a physical working model. Using DFT, these models can then be sent into our laboratory for appliance fabrication. The model-building material is a non-toxic durable material that does not break easily. The accuracy of the model is outstanding and the appliance fit is extremely accurate!
Getting the Most from Your Orthodontic Scanner
DFTDigital File Transfer
Fax: 314.429.7575 > www.dynaflex.com 6
3D.Ortho
ABO Based Study Models can be printed on our
Objet printers. Any case you store with DynaFlex®
can be printed into a physical form with the ABO
base attached. These models have accurate and
correct dimensions according to the ABO standards.
Each DMS case will receive; a digital model that you
can easily manipulate on your computer, and a .pdf
(containing six views of the case in a 1:1 ratio). All
cases are stored forever in five different locations
all meeting HIPA standards. If your patient breaks or
loses their appliance, you can order a replacement
with a simple phone call.
DMS saves you time and space! Traditional time
consuming, dusty and less accurate model making
steps are eliminated when you send DynaFlex® your
upper and lower impressions and a bite registration.
We scan the impressions and, within very short order,
you will receive back digital scans of your models via
our DynaFlex® File Portal.
DMSDigital Model Storage
DynaFlex® uses the most technologically advanced scanning system available to convert your impressions or models into a 3D image.
7 800.489.4020 > 314.426.4020
D I G I TA L I N D I R E C T B O N D I N G S Y S T E M
• Digital interfaceallowsthepracticetomanipulate bracket placement.
• Show patients a digital rendering oftreatment simulation.
• Once the case is approved, DynaFlex® uses an advanced bracket-locking system to assure that brackets stay in place during tray fabrication.
DynaFlex® now offers state-of-the-art interactive software to put the control of bracket placement in your hands.
Bracket placement where you want it.
Fax: 314.429.7575 > www.dynaflex.com 8
3D.Ortho
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
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FINGER
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ESSIX™ RETAINER
ADAMS
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MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
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MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TradiTional BrackeT HeigHT PrescriPTion - Only cOmplete with traditiOnal bOnding
3.0 mm2.0 mm
2.5 mm
2.0 mm
2.5 mm
4.0 mm 4.5 mm 5.0 mm 4.5 mm 5.0 mm 5.0 mm 4.5 mm 5.0 mm 4.5 mm 4.0 mm 3.0 mm
3.0 mm3.5 mm4.0 mm4.5 mm4.0 mm4.0 mm4.0 mm4.0 mm4.5 mm4.0 mm3.5 mm3.0 mm
r l
Custom HeigHt
Custom HeigHt
Custom HeigHt
Custom HeigHt
standard HeigHt
standard HeigHt
standard HeigHt
standard HeigHt
Case InformatIon Upper Lower
Brackets enclosed with case
sending Impressions or working models
tray sectionsfull arch midline split 3 Pieces
Digital file transfer
indirecT Bonding PrescriPTion
On the diagram tO the right: for missing, not to be bonded, or to be extracted teeth, mark with an “X”. for over-corrections, indicate with arrows.
Digital Indirect BondingCustom Base
model Print feeDigital model storage
traditional Indirect Bonding(manual bracket placement)
Custom Base(price of custom base included with digital IDB, $39 add’l on traditional IDB)
Use Dynaflex® Brackets
stability®(mini-twin with mesh pad)
mtX®(MIM mini-twin)
revolution®(self-ligating bracket)
ClearViz+ ™(monocrystalline)
roth .018
mBt
With Hooks
Without Hooks.022
Bracket Prescription
IN LAB 3-5 DAYS
9 800.489.4020 > 314.426.4428 9 800.489.4020 > 314.426.4020
LEADING THE WAY
10 Fax: 314.429.7575 > www.dynaflex.com 10
Quality Orthodontic Laboratory Appliances
Stealth The new stealth palatal screw is used in cases requiring a physically smaller expansion screw. The screw allows for approximately 11mm of activation and more patient tongue space providing optimal patient comfort. It is ideal for cases needing upper & lower arch development.
Fixed ExpandersFixed maxillary and mandibular expanders include a broad range of appliance designs. The designs are used to correct cross-bites, narrow arches and crowding. The fixed expanders utilize some mechanism of force (expansion screws, self-activating spring or wire activation) for development of the arch. These fixed designs require minimal patient compliance and provide the doctor with total control during active orthodontic treatment. Auxiliary attachments such as brackets and habit breakers can be requested for most of the expander appliances.
Bondable RPEAcrylic onlays or pads are placed over the posterior teeth and then bonded in place.
Haas This fixed design is both tissue and tooth borne to provide orthopedic and orthodontic changes.
Memory Screw RPEThe new line of memory screw expanders puts the control back in the clinician’s hands. Once the Memory screw is activated 4-to-5 turns the Niti coil springs that are built into the screw become active. The Niti coil springs then provide light continuous forces for biocompatible arch development. This new screw can be used in both fixed and removable appliance designs.
“Snap-Fit” RPE The .036 contoured buccal-lingual wire eliminates path of insertion problems. Composite is used to lock in the appliance
Super Screw The Super Screw expander is used in situations that require a larger degree of arch development but a physically smaller screw is desired. A 12mm or 16mm screw can be requested. A special adjustment wrench is sent along with each appliance.
Super Screw
Memory Screw RPE
“Snap-Fit” RPE
Haas
Bondable RPE
Stealth
11 800.489.4020 > 314.426.4020
lab appliancesFixed Expanders
NiTi-Expander This is a pre programmed thermally activated appliance. The appliance comes in several different sizes to allow for a wide range of expansion. The individual appliances are anchored in place via horizontal sheaths attached to molar bands. This is an exceptional appliance when mild to moderate expansion is required. It is possibly the finest appliances at acquiring distal rotation of 1st permanent molars.
E-ArchTypically a lower appliance designed to upright lingually inclined posterior teeth. This NiTi spring loaded appliance is a very effective & popular choice do to its streamlined design. When the desired lateral development is achieved the spring can be deactivated by adding composite.
Slimline This fixed expander improves the lower archform with an expansion screw along with extensions to engage the lingual surface of posterior teeth as well as primary or permanent canines.
WilliamsThe most popular of our lower uprighting appliances. This appliance uses a mini screw capable of 10mm of activation. The design incorporates an .018 NiTi archwire that freely slides labially to apply pressure to the lingual of the lower incisors to improve alignment as arch form improvement occurs.
Fixed Fan Gear The fixed fan gear appliance is the appliance of choice when presented with a tapered maxillary arch and a fixed appliance is required. The screw provides 9mm of activation.
Spring Jet I & II Achieve slow arch expansion with controlled continuous NiTi spring force. No patient compliance required. Substitute for screw or pre-set wire expanders. Provides reliable results with minimal tipping & no patient compliance.
Quad-HelixThis appliance allows for the development of the maxillary arch by utilizing active helical springs. The springs can be activated to provide overall arch form improvement or to address either anterior or posterior expansion needs. The design of the appliance also allows for improvement of molar rotation.
Quad-Helix
Spring Jet I & Spring Jet II
Fixed Fan Gear
Slimline
E-Arch
Williams
For more fixed expanders, see our Series 2000® on page 17 & 18.
NiTi-Expander
Fax: 314.429.7575 > www.dynaflex.com 12
Fan Gear
Three WaySchwarz
Distal-Drive Upper & Lower
3 Screw Sagittal Upper & Lower
Schwarz
Arch Length Development - Sagittal
A variety of active appliances can be fabricated for arch width and arch length development. Active designs are beneficial for development of the arches prior to fixed treatment. A minimum of four clasps is suggested to maximize retention. In addition to our standard designs; springs, small expansion screws and wires provide forces to move individual teeth. Maxillary occlusal coverage can be added as desired.
Schwarz Upper & LowerDesigned to gain lateral arch development in the upper and /or lower arches.
Three Way SchwarzUsed in the upper arch for both lateral and anterior development.
NordA Maxillary appliance, designed for the correction of unilateral cross bites.
Fan GearDesigned to develop the bicuspid area, it is ideal for correcting tapered arch forms.
The Sagittal appliances are designed to regain lost arch length in an anterior and/or posterior direction.
Anterior Sagittal Upper & LoweTo ensure anterior development, the design maximizes posterior anchorage with screw placement and occlusal indentations.
Distal-Drive Upper & LowerThis design facilitates distal driving of posterior teeth to regain lost arch length. To maximize distalization, splits are cut mesial to first molars.
3 Screw Sagittal Upper & LowerThis features the Sagittal design with a midline expansion screw for lateral development.
Anterior Sagittal Upper & Lower
Nord
Schwarz Upper & Lower
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lab appliances
The Frog is designed for maxillary molar distalization without adjustment of
palatal wires. The small expansion screw provides the force to move
the molars. Each counter-clockwise activation delivers 0.4mm of distalization. The Frog design can be used for the first phase or in combination with fixed appliances.
Frog Appliance
Frog
Nitanium Molar Rotator
Specially designed heat-activated nickel titanium palatal wire is used
to correct mesially and distally rotated molars. The rotator fits
easily into lingual sheaths for immediate activation. Once molar rotations are corrected the appliance can be used as a transpalatal retainer.
Nitanium Molar
Rotator
Pendulum Appliances
The Pendulum expanders provide both distalization and rotation of the maxillary first molars with .032 TMA® wire. A midline expansion screw can be added for arch development. The design includes upper first molar bands with bands or rests placed on the first bicuspids.
Pendulum An .032 TMA® wire provides light forces to distalize and rotate upper first molars. A Nance button provides anchorage.
Pendex Upper arch development along with molar distalization is gained by adding an expansion screw in the acrylic.
T-Rex This appliance is used for maxillary arch expansion and molar distalization. An expansion screw is used to first develop the maxillary arch. Once transverse movement is gained, the pre-activated .032 TMA® wires are trimmed loose for molar rotation and distalization.
* TMA is a registered trademark of ORMCO.
Pendulum
Pendex
T-Rex
The Distal Jet offers the unique feature of unilateral or bilateral molar distalization and molar rotation correction with one appliance. The appliance is anchored off the first bicuspids or in cases requiring maximum anterior stabilization second bicuspids can be used. For lateral arch development an expansion screw can be requested.
Distal Jet Appliances
Distal Jet with Expansion
Distal Jet
Bowman Distal Jet
Fax: 314.429.7575 > www.dynaflex.com 14
Fixed appliances are used for anchorage and retention between phases of treatment and after final orthodontic treatment. Various appliance designs are utilized to preserve space and hold teeth in a desired position. Stainless steel wire is used in appliance fabrication and is available in a number of round and rectangular sizes.
This brilliant new design is super-efficient, super-comfortable and very simple to manage. All of the mechanisms are built for comfort and convenience. The larger anterior mechanism (SmartStop) has a small set screw that locks into place after you have made your necessary adjustments to the appliance (Figure 1). The smaller mechanism (SmartGuide) is threaded on the coil spring for secure positioning and will accept our exclusive Z clip for connection to the lingual sheath. The super elastic nickel titanium spring maintains a consistent 200 grams of force and slides friction free along the wire. Another incredible feature of the SmartJet™ is the ability to mesialize a molar by sliding the SmartStop anteriorly and pulling the molar into position as shown in the picture (Figure 2). The SmartJet™ is truly the smartest appliance….
Composite Pads Transfer Tray Nance Transpalatal
Tongue Habit Spiked Thumb HabitMyo-Functional Bead
6 x 6 or L.H.A.
The fixed habit appliances are used for correcting both tongue thrust and thumb sucking habits. A variety of appliance designs can be used for habit correction. In some cases, persistent finger habits may require a more aggressive appliance design such as small prongs or spikes to act as a deterrent to correct the habit.
3 x 3
Fixed Retention Appliances
SmartJet™ - DynaFlex® Exclusive
Fixed Habit Appliances
FIG. 1
FIG. 2
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lab appliances
Maxillary RetainerMandibular Retainer
Essix® Retainer
Spring Retainer
Modified Spring Retainer
San Antonio Retainer(wrap around)
The Hawley Retainers are used for finished orthodontic cases to securely maintain
the teeth in their new position. DynaFlex® finish ing retainers meet all the major
criteria for effective retention of your finished orthodontic cases.
Retainers
QCM Clear Bow Retainer
Bracket Carving/ removal: To assure stability for your finished cases, DynaFlex® can accurately remove brackets from working models. Your
retainer can be insert ed at the debracketing visit. This eliminates the possibility of “drifting” of the teeth between patient visits. It is important to
take the impression with the arch wire removed to prevent the impression material from tearing.
The new highly esthetic clear labial bow retainers are excellent for your teenage
and adult patients. The labial bow will remain crystal clear and guaranteed not to
stain or discolor with extended wear. The “QCM” retainer can be used in both the
upper and lower arch.
Fax: 314.429.7575 > www.dynaflex.com 16
MAX-2000™
DMAX-2000™
DMJ-2000™
DMAX/RPE-2000™
SAG-2000™
TB SAG-2000™
SAN-2000™
Maxillary Designs Series 2OOO®MAX-2000™MAX-2000™ is a maxillary spring loaded palatal expander. The MAX-2000™ utilizes the nickel titanium open coil spring rod-tube mechanism for a continuous low force system to gain arch width.
DMAX-2000™DMAX-2000™ or “Distalizing Maxillary Expander” utilizes either a midpalatal nickel titanium open coil spring rod-tube mechanism or a standard jackscrew for transverse movement and the same rod-tube mechanism on the lingual to distalize the molars.
DMAX/RPE-2000™DMAX/RPE-2000™ or “Fixed Distalizing Maxillary Expander”. The hygienic fixed design is superior for total maxillary arch development. The rapid palatal expansion screw provides positive force for transverse movement. No adjustments are needed for molar distalization. Bodily movement without crown tipping is gained by the low continuous forces of the nickel titanium open coil springs.
DMJ-2000™DMJ-2000™ or “Distalizing Molar Jig” is designed to distalize maxillary molars with the telescopic rod-tube using a low continuous nickel titanium force. The DMJ-2000™ also utilizes an acrylic Nance button for additional anchorage.
SAG-2000™SAG-2000™ is a fixed sagittal appliance which incorporates a midpalatal jackscrew as well as the telescopic rod-tube nickel titanium open coil spring design. The SAG-2000™ is designed to be used in Class III skeletal cases with midface deficiencies anterior-posterior as well as transversely.
TB SAG-2000™TB SAG-2000™ Tooth borne sagittal design for Class II Division II correction. This appliance will distalize maxillary molars and simultaneously put pressure on central and lateral incisors for forward movement. It is excellent for Class III skeletal cases.
SAN-2000™SAN-2000™ or “Spring Advancing Nance” is a superior appliance following SAG-2000™ treatment to maintain skeletal arch advancement. The nickel titanium spring loaded SAN-2000™ supplies a predetermined amount of continuous force to the maxilla. The totally spring activated design requires no adjustments by the patient or doctor.
*Stainless steel crowns or Rollo Bands may be substituted for bands.
17 800.489.4020 > 314.426.4020
lab appliances
© Copyright 2014 DynaFlex® is the exclusive licensed laboratory in the United States to fabricate Series 2000® appliances. Series 2000® appliances are trademarked and are covered by one or more of the following patent num-bers 5645422, 5769631, 5919042, 6036488, 6241517, 6402510, 6520772, 6719557.
EAS MSX-2000™
EAS-2000™
EAS MJX-2000®
EAS MSC-2000™
SAL-2000™
MSC-2000™
MSX-2000™
MJX-2000®
Series 2OOO®Mandibular Designs
Mandibular Advancement Designs
MSX-2000™MSX-2000™ or “Mandibular Spring Expander” is a totally spring activated appliance requiring only recall observation visits. The MSX-2000™ employs the nickel titanium open coil spring rod-tube mechanism bilaterally and replaces the midline jackscrew with nickel titanium open coil spring rod-tube mechanism.
MJX-2000™MJX-2000® or “Mandibular Jackscrew Expander” is a lower arch developing appliance that utilizes a midline jackscrew for arch width and a lingual nickel titanium open coil spring rod-tube mechanisms bilaterally for distalizing molars simultaneously gaining arch length.
MSC-2000™MSC-2000™ or “Mandibular Space Closer” is excellent for bodily advancing molars mesially where second bicuspids have been removed. The unique rod-tube and titanium spring produces light force for space closure without crown tipping. The self adjusting springs require no adjustments once the appliance is cemented in place.
SAL-2000™SAL-2000™ or “Spring Advancing Lingual” is excellent to advance mandibular incisors to a predictable result. The SAL-2000™ does not require activation or de-activation chair side adjustments. The telescopic rod-tube and open coil titanium springs provide low continuous forces for advancement of the incisors to a predetermined position. This is also an excellent choice for single tooth cross bites in the maxillary arch.
EAS-2000™*EAS-2000™ or “Expanding Advancing Sheath” combines the MAX-2000™ design for maxillary transverse movement with mandibular advancing mechanics for skeletal Class II correction. The lower appliance designs incorporate Series 2000™ options for either development of arch width, arch length or extraction space closure.
EAS MSX-2000™EAS MSX-2000™ is a totally spring activated appliance requiring only recall observation visits. The MSX-2000™ employs the nickel titanium open coil spring rod-tube mechanism bilaterally and replaces the midline jackscrew with nickel titanium open coil spring rod-tube mechanism.
EAS MJX-2000®EAS MJX-2000® is a lower arch developing appliance that utilizes a midline jackscrew for arch width and a lingual nickel titanium open coil spring rod-tube mechanisms bilaterally for distalizing molars simultaneously gaining arch length.
EAS MSC-2000™EAS MSC-2000™ or “Mandibular Spring Closure” is excellent for bodily advancing molars mesially where second bicuspids have been removed. The unique rod-tube and titanium spring produces light force for space closure without crown tipping. The self adjusting springs require no adjustments once the appliance is cemented in place.
Fax: 314.429.7575 > www.dynaflex.com 18
Your Class II and Class III SolutionCS-2OOO®
BEFORE
X-rays compliments of Dr. Andy Hayes of St. Louis, MO
Simply break off the tip of the screw allowing the pivot to move freely on the archwire
AFTER
Actual Class III patient treated with the CS-2000® system placed directly on the archwires and the case required no compliance.
This revolutionary system will guarantee results with your Class II and Class III orthodontic cases. The CS-2000® Niti springs are a DynaFlex® exclusive, utilizing a patented, low-continuous force (350 grams), closed coil spring and a specially built “key-hole” end which fits over a patented slotted base pivot similar to a Herbst® housing nut.
New deSiGN:The newly designed collared pivot allows for an arch wire to slide easily through the base and reduces the possibility of abrasion. The new hybrid screw can be active or passive allowing you the ability to lock the pivot to the archwire, if desired. The pivot is designed to be used on the archwire or can also be welded to a band or crown for amazing versatility.
There are multiple options to use CS-2000® in Class II & III along with upper and lower fixed appliances.
(upper view) (lower view)
19 800.489.4020 > 314.426.4020
lab appliances
Fixed MTA
Removable MTA
MTA in use.
Face mask in use.
Say Good Bye to Face Masks... Say Hello to the Modified Tandem™
The Modified Tandem™ Appliance (MTA) is designed for orthopedic correction of the growing Class III patient. The appliance design is more comfortable than conventional devices because it is worn intra-orally. The simple MTA utilizes three separate units; an upper appliance (active or inactive), a lower appliance (fixed or removable), and a traction bow. Design modification is simple for both the upper and lower arch, any combination of fixed or removable appliance designs may be requested.
For more information, refer to these JCO Articles:
April 2003, “Early Orthopedic Class III Treatment with a Modified Tandem™ Appliance”.
June 2011, “Early Treatment of Skeletal Class III Open Bite with the Tandem™ Appliance”. (available at www.dynaflex.com)
Modified Tandem™
Fax: 314.429.7575 > www.dynaflex.com 20
Rick-A-Nator Rick-A-Nator ll“Stage ll”
Once “three-point” contact
has been achieved a fixed
or removable incline bite
plane is used to support
Class II correction. The Stage
II appliance is used until the
bicuspids have erupted into
occlusion and the posterior
open bite has been closed.
Twin Block to Close Sagittal
Twin Block
Standard Twin Block
Dr. William Clark, an Orthodontist, developed an uncomplicated technique that incorporates the use of upper and lower bite blocks to reposition
the mandible forward for skeletal Class II correction. The Twin Block technique is easy to use and very patient friendly. The design utilizes two
separate appliances that fit the maxilla and mandible. The unique design allows for more patient comfort and increased patient cooperation. The
Twin Block design also allows for independent development of the upper and lower arches with the addition of transverse and/or sagittal screws.
Twin Block Appliances
Twin Block Stage II
McNamara Twin Block
Dr. James McNamara designed Twin Block includes two
upper expansion screws for maxillary arch development. To
enhance retention of the lower portion of the appliance a
labial bow with acrylic is added to the design. In addition, the
lower flanges of acrylic are extended to the molars.
21 800.489.4020 > 314.426.4020
lab appliancesMARA® Appliance
MARA (Mandibular Anterior Repositioning Appliance) is
used to achieve Class II correction treatment goals in the
“noncompliant” patient. For the MARA patient to close
his / her mouth and occlude the teeth, they must posture
the jaw forward into the desired Class I occlusion.
With the MARA, the mandible is held forward in Class I
occlusion by the labs positioning of the buccal
attachments on the molars. The MARA is anchored to
the molars in the same manner that a Herbst appliance is
i.e. crowns, modified crowns or bands. The lower buccal
attachments are fixed to the molars while the upper
buccal attachments (called Elbows) are removable. The
upper Elbows being removable enable the Orthodontist
and/or staff to make adjustments and advancements
in the appliance. Each MARA comes with both upper
and lower archwire tubes to facilitate the option of
fixed mechanics being used in conjunction with MARA
treatment. Additionally, advancement shins in various
sizes are available by request.
MARA® “U” ApplianceTo enhance the effectiveness of the Mara Appliance in very deep overbite cases the U-Mara is an excellent alternative. In
deep overbite cases when the mandible is advanced there is a large posterior open bite making it difficult for the patient
to keep the upper elbow and lower loop properly engaged. The “U” modification addresses this problem by reversing the
lower loop to provide additional millimeters of vertical engagement between the lower arm and upper elbow.
Fax: 314.429.7575 > www.dynaflex.com 22
Herbst®
appliances
MiniScope™ & MiniScope w/ Apple Core™The MiniScope Herbst is a three section telescoping mechanism that will not become disengaged during patient opening. The Apple Core housing nut has a curved radius to allow for increased lateral excursion, reduction of breakage and optimum patient comfort.
The Herbst® appliance is a superior fixed functional appliance which effectively corrects skeletal Class II malocclusions. DynaFlex® has created quality Herbst® appliances for doctors all over the world for forty years and counting. DynaFlex laboratory offers value pricing, expertise, and a vast knowledge of current Herbst® designs.
Herbst® Designs: The Herbst® designs include stainless steel crowns, Rollo Bands, bands and/or acrylic. The amount of mandibular advancement and bite opening depends on the case and appliance design. All Herbst® designs can be reactivated by using precut “shims” or “spacers” to gain further advancement of the mandible. The EAS® design allows for 5 additional mm of advancement with a built-in screw mechanism.
23 800.489.4020 > 314.426.4020
lab appliances
Flip-Lock® Herbst®The Flip Lock mechanism is comprised of a simple ball joint hinge that allows for maximum lateral excursion and extremely easy chair side assembly. It can be fabricated with the traditional design or the cantilever design for increased patient comfort. Any Herbst design can be fabricate with the Flip-Lock mechanism. All Herbst accessories can be included in a Flip-Lock Herbst.
EAS-2000™EAS-2000™ or “Expanding Advancing Sheath” combines the MAX-2000™ design for maxillary transverse movement with
mandibular advancing mechanics for skeletal Class II correction. The lower appliance designs incorporate Series 2000™ options for either development of arch width, arch length or extraction space closure.
Hanks™ Telescoping Herbst®The HTH was developed by Dr. Stephen Hanks as a major
improvement to the traditional rod and tube design and is the only true “one piece” design available for Herbst® treatment. The telescoping design eliminates problems of disengagement and incorporates a ball and socket pivotal screw that is built into the
telescoping mechanism. The ball and socket allows for tremendous lateral excursion and increased patient comfort. Also, the built
in screw makes chair side placement extremely easy.
Traditional Herbst®This design highlights the traditional rod and tube mechanism, however any Herbst mechanism can be used with this Dr. Jim Hilgers designed Herbst. The upper first molar crowns and the lower first bicuspid crowns provide sufficient anchorage; however the LHA rest can be bonded for greater anchorage.
Fax: 314.429.7575 > www.dynaflex.com 24
* Wilson 3D is a registered trademark of Rocky Mountain Orthodontics
The 3D® appliances are a group of prefabricated “fixed-removable” modules that are
interchangeable at chairside. The 3D® lingual tubes provide a quick and secure plug
in system to achieve various orthodontic movements such as arch development,
single tooth movement and maintenance of arch space. The 3D® system is easily
incorporated into any fixed technique.
Wilson 3D® Appliances
3D® Palatal ApplianceThis very popular maxillary appliance can be used as a traditional transpalatal bar or can be used to provide lateral development throughout the arch or can be selectively adjusted to provide bicuspid/cuspid expansion.
3D® Bi-Metric ArchThis product allows for predictable molar distalization without the use of external headgear. The appliance can be used either unilaterally or bilaterally & require minimal adjustment and patient compliance.
3D® Lingual ArchThe 3D® Lingual Arch allows for multiple functions ranging from anchorage control to maintaining or improving arch length. It can easily be adjusted to provide buccal expansion and molar uprighting.
3D® Quad-HelixTraditionally used as a maxillary expansion appliance, it is also a very effective appliance at providing molar rotation.
3D® Quad-ActionThis appliance is an excellent alternative to multiple arch lengthening and expansion appliances. This versatile appliance allows for a variety of movement with minimal adjustment and great patient acceptance.
3D® Bi-Metric Arch
3D® Palatal Appliance
3D® Quad-Helix
3D® Quad Action
3D® Lingual Arch
25 800.489.4020 > 314.426.4020
lab appliances
Bionator l to Open
Orthopedic Corrector
Frankel ll
Bionator/Orthopedic Corrector
Frankel Appliances
The Frankel appliances are removable
designs invented by Professor Rolf
Frankel. The Frankel philosophy uses
the vestibules to enhance favorable
growth in developing dentition
and restrict undesirable muscle
forces. Thus, the Frankel appliance
is reported to provide an “ideal”
environment for maximum arch
development and proper skeletal
jaw relationship. The three most
commonly used designs are the
Frankel II, Frankel III and Frankel IV.
The functional appliances include
Activators, Frankels, Bionators,
Orthopedic Correctors, Twin Block™
and Herbst® designs. The doctor can
choose from various re movable and
fixed appliance designs. All functional
appliance designs address Skeletal
Class II problems by advancing the
mandible forward to a corrected
Class I position.
How To Send a Case:
All Functional Appliance designs
require accurate working models.
A construction bite should be
provided to indicate the amount
of mandibular advancement and
vertical change.
Fax: 314.429.7575 > www.dynaflex.com 26
Orthopedic Splints
Maxillary Flat Plane
DynaFlex® has over 45 years of experience fabricating orthopedic splints. DynaFlex® is experienced at constructing a variety of splints custom made to the specific needs of your patient. The splints pictured below are some of the more commonly requested designs used to treat TMJ dysfunction. Additional splint designs are available upon request.
How to Send a Case: Send accurate maxillary and mandibular working models from high quality alginate impressions. To guarantee “best fit” the impressions should be poured immediately. For proper appliance fabrication include a wax bite to the desired vertical opening and mandibular advanced position.
Maxillary Anterior DeprogrammerFull coverage splint most often used for clenching and bruxing problems. A flat platform lingual to the upper incisors is designed to provide contact with the lower incisors. The lower posterior teeth are held out of occlusion which differentiates this splint from a maxillary flat plane splint.
Maxillary Flat PlaneUpper splint designed to have all lower teeth to strike evenly. This splint is commonly designed to include cuspid disclusion or anterior guidance. It is most commonly used as a traditional night guard for occlusion related problems.
Dorsal SplintA nighttime splint designed to provide aggressive mandibular repositioning. The Dorsal fin on the mandibular appliance interfaces with the maxillary appliance preventing the lower jaw from retruding during sleep. This appliance is most often fabricated out of a dual laminate material, but can also be fabricated with traditional acrylic.
Farrar SplintFarrar Splint, often referred to as a maxillary repositioning splint, utilizes an aggressive incline plane lingual to the incisors to force the mandible into a protrusive position. This splint can be fabricated with or without posterior support depending upon personal preferences. This is a very common nighttime appliance.
Farrar Splint
Dorsal Splint
Maxillary Anterior Deprogrammer
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lab appliances
Orthopedic Splints
Luco
Gelb
Modified Gelb
Stack Bionator
Pull Forward Splint
Tanner
GelbA traditional lower diagnostic splint. Most commonly used to establish proper vertical dimension with slight to moderate anterior repositioning. The amount of repositioning dictates how heavily indexed the poste-rior bite pads become.
Modified GelbMost popular splint similar to Gelb splint with the addi-tion of anterior acrylic for additional support.
Pull Forward SplintMandibular splint designed to aggressively reposition the lower jaw to a down and forward position. The lingual flange or acrylic helps guide the mandible to a specific position. These flanges also help prevent lateral movements, and are generally reduced over time as the patient becomes comfortable in the new position.
TannerPopular lower splint that includes both posterior sup-port as well as an anterior cap of acrylic. This cap is a common addition on patients who will wear this splint for an extended period of time.
LucoLower splint fabricated on the buccal as opposed to the lingual. This is a patient friendly splint as it pre-serves tongue space. Similar to other lower splints, the amount of repositioning is controlled by the design of indexing of the upper posterior teeth into the occlusal pads.
Stack BionatorA monoblock style appliance that aggressively holds the lower jaw in a down and forward position. This is most commonly used in adult post mandibular reposi-tioning patients to prevent dual bites from occurring. It is considered a night-time appliance.
Fax: 314.429.7575 > www.dynaflex.com 28
Tie-Dye Guard
Custom made Pro-Form mouthguards from DynaFlex® give your patients the absolute best in comfort, fit, retention and protection.
Pro-Form mouthguards offer the best protection available for athletes without interfering with breathing or speech during play and they can also protect your patients from many types of oralfacial injuries during athletic events including tooth fracture and concussions. All Pro-Form mouthguards are custom made by skilled technicians with many years of experience and the fit is always guaranteed. They are available in a variety of colors and can be made with or without a helmet strap.
Pro-Form Mouthguards
The Glitter Guard
Mouthguard straps
Multiple color choices for each style!
Basic Mouthguard
Glitter Green Orange Pink
Tie-Dye Midnight Patriot Wilderness
Color Black Blue Clear Green Orange Red Purple Yellow
29 800.489.4020 > 314.426.4020
lab appliances
DynaFlex® offers a complete line of orthodontic display appliances for patient‘s education and case presentation. All demonstration appliances are constructed from superior materials and finished to a high quality gloss.
Demonstration appliances are excellent for enhancing your patient understanding of the orthodontic treatment you are prescribing for them. They are great for increasing patient acceptance of both fixed and removable appliances.
Demonstration appliances can be ordered in complete sets or individually. Any of the appliances in the DynaFlex® catalog can be ordered as demonstration appliances. The cost of these appliances are comparable to our standard laboratory fees.
White or two-tone models are available.
Enhance the way your demonstration models are showcased. DynaFlex® now offers an exquisite brown leather case with a light soft fabric interior. Also makes travel safer and easier. Available for purchase, ask for details.
Demonstration Appliances
Tooth PositionerFor many years now, the Orthodontic community has considered the Positioner to be the ultimate case finishing appliance.
The Positioner combines the use of state-of-the-art materials, an intelligently constructed tooth set-up, used at the ideal time to move the teeth into the best occlusion possible. This combination allows the Orthodontist to finish off those difficult movements of correcting rotations, tipping, torquing, leveling, width discrepancies, space closure and occlusal plane corrections all in a relative short wearing time. Achieving these tasks in such a relative short time allows the case to be finished several months / weeks earlier than without using a Positioner.
All DynaFlex® Positioners are custom fabricated to your specifications; material type, flange thickness and height, retention auxiliary are designed to blend appliance efficiency and patient comfort.
Sending DynaFlex a Positioner case:
There are a variety of ways and times in treatment to send DynaFlex® your case.
The ways to send DynaFlex® a case is either digitally (DynaFlex® accepts scans for nearly all scanners i.e. iTero, Lythos, Trios, True Definition), or plaster models sent in shipping boxes that we provide via UPS, FedEx or U.S. Mail.
The times in treatment to send DynaFlex® Positioner cases varies from the end of treatment after brackets are removed, to several months prior to finish with bracket still on the models.
The majority of Positioner cases at DynaFlex® are received a few months/weeks prior to bracket removal from your patient. We remove the brackets from the models; fabricate the set-up and positioner and return both to you prior to you removing the brackets from the patient. This technique allows you to take advantage of the teeth being most mobile when brackets/archwires are just removed and the teeth can most easily settle into the ideal set-up of the Positioner.
Fax: 314.429.7575 > www.dynaflex.com 30
EZ-Align® is a clear tray system that will progressively align your patients teeth until the final results have been achieved. EZ-Align® is an affordable alternative to other aligner systems!
EZ-Align® trays are custom fitted clear trays with progressive tooth alignment built into each tray.
Your will start with tray “A” then move to tray “B” and so on, until treatment has been completed.
Each tray should be worn for approximately 2-3 weeks prior to moving to the next tray.
Each aligner tray comes individually packaged and labeled for easy identification.
31 800.489.4020 > 314.426.4020
Medical Grade Material
Custom Fit
Smooth Edges
Fast
Removable
Easy to clean
Proven Results
Comfortable
Affordable
FDA Clearance
EZ-Align®
Affordable Aligner System
EZ-Align® is a time proven system that has provided tremendous results for thousands of
patients over the past several years.
lab appliances
Call a laboratory technical representative today for more information on the EZ-2000® expanders.
Excellent for pre-aligner treatment
•Completelyinvisible
•Easilyopensspace
•Reducesoreliminatesinterproximalreduction
•Qualifymorecandidatesforalignertherapy
•NickelTitaniumspringloadedscrewfor patient comfort
EZ-2000® Appliances
EZ-Align® Marketing Kit
EZ-2OOO®
Scalloped edges for patient comfort.
Fax: 314.429.7575 > www.dynaflex.com 32
Askabout our FREE patient marketingkit
Patient Marketing KitIncrease office revenue by marketing directly to patients in your practice with the FREE EZ-Align patient marketing kit. The brochure will inform your patient how the clear tray aligner system is the easy and affordable way to align minor crowding.
29 Baseball 67 Soccer Ball 68 Football
69 Basketball
70 Volleyball 71 Cow Print
72 Tiger Print
73 Paw Prints
74 Mouse Trap
75 Eight Ball 77 Comedy Tragedy
78 Orange Slice 79 Smiley 80 Cherries
81 Stl
82 Peace Sign 83 Cash Money 84 Angel
85 Stars 86 Heart With Arrow 87 Cause Ribbon 88 Lips
89 Lady Bug
90 Paradise Island
91 Spider Web
92 Shamrock 93 Clouds
94 Cross 95 Balloons 96 Butterfly 97 Sunset 98 Tropical Dots 99 Stained Glass
100 Blue Marble 101 Green Marble
102 Hello Kitty
103 Fish 105 Pacman95 Yellow/Green
106 Lizard 107 Sun 108 Class of 109 Small Hearts 110 Cup Cake 111 Superman
1 Penguin
2 Tennis Racket
3 Racing Stripes
4 Black/White Dots 5 Floral Design
6 Bear Claw
7 White/Red Stripe 8 White/Black Dots 9 Strawberry
10 Tic-Tac-Toe
11 Snoopy
12 New York New York
13 Kite
14 Piano Keys
15 Ying–Yang
16 Pin Wheel
17 Camouflage
18 Lightning Strikes
19 Black/Sunflower 20 Apple Seed
21 Tiger Claw
22 Pair of Dice
23 Zebra Stripes 24 Watermelon
25 Frog
26 Black/Daisy
27 Racing Car
28 Life Saver
30 Pink Pig
31 A B C
32 No To Drugs
33 Golf Green
34 Flower
35 American Flag 36 Black Eye Susans
76 Alien
(change color for your cause)
(change to your school colors)
33 800.489.4020 > 314.426.4020
49 3 Color Combo 50 Rainbow
51 2 Color Combo 55 Red
56 Pink
57 Clear
58 Purple
59 Yellow
60 Blue
65 Green
66 Orange
112 Tropical Red 113 Tropical Orange
114 Tropical Pink
115 Tropical Purple
116 Tropical Yellow
117 Tropical Blue 118 Tropical Teal
37 Pink/Purple Sparkles
38 Yellow/Green Sparkles
39 Blue Sparkles
40 Orange/Purple Sparkles
41 Green Sparkles
42 Purple Sparkles
43 Red Glitter
44 Blue Glitter
45 Clear/Pink Glitter
119 Tropical Green 120 Dark Pink 121 Black 122 Teal 123 Maroon 124 White
46 Green Glitter
47 Clear/Gold Sparkles
48 Red/Green Sparkles/Hearts
52 Rainbow Glitter
53 Multi Glitter
54 Gold Glitter 132 Stardust 133 Purple Glitter 134 Silver Glitter
135 Orange Glitter
136 Blue Silver Swirl 137 Glitter Vortex
138 Star Sparkles
61 OrangeGlow-In-The Dark
62 PinkGlow-In-The Dark
63 RedGlow-In-The Dark
64 ClearGlow-In-The Dark
125 PurpleGlow-In-The Dark
126 TealGlow-In-The Dark
127 BlueGlow-In-The Dark
128 Green Glow-In-The Dark
129 YellowGlow-In-The Dark
130 Blue Yellow Swirl
131 Pink Orange Swirl
CUSTOMIZE ANY DESIGN BY CHANGING THE COLOR OR ADDING GLOW-IN-THE-DARK AND GLITTER
Assorted Colors
Glow In The Dark
Glitter & Sparkles
lab appliancesartistic retainers
Fax: 314.429.7575 > www.dynaflex.com 34
35 800.489.4020 > 314.426.4020
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ETI
NG
, P
RIN
T, M
AIL
314-
429-
4848
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®ORTHO PRESCRIPTION
BIONATORESSIX™ RETAINEREZ-ALIGN®EZ-2000FIXED
FRANKELHABIT APPLIANCEHAWLEY
HAWLEY SPRING RETAINER HERBST®INDIRECT BONDINGMARA®PROFORM MOUTH GUARDSAGITTALSCHWARZSERIES 2000®
SLEEP APPLIANCESPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™ABO FULL BASED STUDY MODELSSLIM BASED STUDY MODELS
OPEN BITE CLOSE BITE NEUTRALUPPER LOWERUPPER LOWER RESETUPPER LOWERBANDED RPE DISTAL JET™ PENDULUM PENDEXBONDED RPE WILLIAMS WILSON™ TYPE _________ HAAS TRANS PALATAL LHA E ARCHSTEALTH FLEA NANCE BONDED RETAINER (3X3)
TONGUE THUMB BLUE GRASSUPPER LOWER CLASP BALL ADAMS CIRCUMFERENTIAL ARROW FINGERLABIAL WIRE 3X3 WRAP AROUND QCMSPRINGS FINGER___ MUSHROOM
UPPER LOWER CUSTOM BASE PROVIDE BRACKETSEXPANSION BUCCAL SHIELD MARA® U TYPE ______
UPPER LOWER 3-WAY SCREW NORD FAN GEARMAX® DMAX® DMAX® -RPE DMJ® SAL® MSX® MJX® SAG® SAN®EAS® TB-SAG® MSC® CS-2000®
SUPER SCREW FAN GEAR QUAD HELIX OTHER ________
TYPE ________________________________
TYPE ________________________________
TYPE ________________________________
TYPE ________________________________
COLOR __________________________
UPPER LOWER RESET
TYPE ________________________________
TO OPEN TO CLOSE TYPE _______________
UPPER ________________ LOWER _________________
DUPLICATE MODELSWORKING MODELS
DENTAQUEST PROCESSING
LOWER COLOR _________________
DIGITAL MODEL STORAGE
REMOVE BRACKETS RETURN MODELS
UPPER COLOR _________________
UPPER LOWER ANTERIOR DRIVE DISTAL DRIVE 3-SCREW
321 123321 123
21 1221 12
HELMET STRAP
*indicate teeth to be bonded Upper Lower Composite pads
Mesh pads
Upper Lower Hawley Spring retainer Spring retainer 3x3 4x4
Spring retainer with 3x3 4x4 wire extensions
Upper Lower essix™ retainer Hawley Flat Bow Hawley Standard wrap Around Design Soldered to “C” Clasp Soldered to Adams Clasp Solid Wire Flat Bow wrap Around Design Soldered to “C” Clasp Soldered to Adams Clasp Solid Wire QCM wrap Around Design Soldered to “C” Clasp Soldered to Adams Clasp
ACCeSSorieS Finger Springs Holding Spurs Soldered Springs Habit Crib Support Wires Pontics Shade
CLASpS Soldered “C” Clasps “C” Clasps Adams Clasps Ball Clasps Arrow Clasps Delta Clasps Other
ACryLiC optionS Horseshoe Palate Scallop Anteriors Add Acrylic to Bow Anterior Bite Plane Flat Inclined Posterior Bite Plane
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ETI
NG
, P
RIN
T, M
AIL
314-
429-
4848
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
IN LAB 3-5 DAYS
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
RetaineR PRescRiPtion
Lower CoLor ________________
reMoVe BrACKetS
Upper CoLor _________________
StUDy MoDeLS (SoApeD For preSentAtion)
DUpLiCAte MoDeLSretUrn MoDeLS
Do not reset teethreset teeth ideallyreset teeth circled on diagram below
Upper Lower r L 3 2 1 1 2 3 3 2 1 1 2 3
r
r
L
L
3 2 1
3 2 1
1 2 3
1 2 3
3 2 1
3 2 1
1 2 3
1 2 3
retAinerS
BonDeD LingUAL retAinerS
Spring retAinerS
eZ-ALign® (Allow 5-7 Days in Lab)
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
EZ-Align® PrEscriPtion
IN LAB 5-7 DAYS
SEND DYNAFLEX® EZ-ALIGN® PATIENT MARKETING KITFree of Charge
RETURN MODELS
DIGITAL FILE TRANSFER
DUPLICATE MODELS
STONE MODELS OR IMPRESSIONS
EXTRA FINAL RETAINERS
UPPER LOWEREssix Retainer
IPR INSTRUCTIONS
Enamel Reduction Diagram 1
Reduce Teeth as Needed in Laboratory
IPR Done Clinically Prior to ImpressionsYellow IPR card from Laboratory Noting Changes Included
NO IPR for Reset
Diagram 1
R L 3 2 1 1 2 3 3 2 1 1 2 3
Diagram 2RESETS
Reset Teeth to Ideal
Reset Teeth CircledDiagram 2
EZ-ALIGN® SYSTEM
Contact Office (Concerning Number of Trays)
Lab Discretion UPPER LOWER
EZ-aLigN® is designed to facilitate minor tooth alignment of the upper & lower anterior teeth, using up to 5 trays.
Number of Trays UPPER LOWER
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
DUPLICATION OF CASTS
DIGITAL MODEL STORAGE
RETURN MODELS
SerieS 2000® PreScriPtion
DMJ-2000®
MAX-2000®
DMAX-2000®
SAG-2000®
TB SAG-2000®
SAN-2000®
UPPER LOwERMJX-2000®
MSX-2000®
SAL-2000®
MSC-2000®
EAS-2000® Lower ________ Upper ________
CS-2000® Lower ________ Upper ________
EZ-2000® Lower ________ Upper ________
Series 2000® AppliancesUPPER COLOR
IN LAB 3-5 DAYS
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
Bite Relationship Use Enclosed wax bite for ap
Use Lines on Models for ap
position for Class 1 Molars
position anterior Edge to Edge
expansion options Slimline 12mm (2 arm)
Standard 12mm Screw (4 arm) upper
Other ______________
WiRe accessoRies Lower Lingual arch
Upper Transpalatal arch
aRchWiRe tuBes Upper aW Tubes .018 .022
Extend aW to 2nd Bicuspid
Lower aW Tubes .018 .022
Occlusal Center Gingival
cRoWn accessoRies Remove Occlusal from Crowns
add Lingual Seating Lugs
add Vent Holes
add Vertical Slits
cRoWn accessoRies add Ball Clasps Upper Lower
Banded heRBst Standard Banded Herbst
Cantilever Banded Herbst
Reinforce Bands
cRoWn heRBst Crown Cantilever
Dischinger Cantilever
Hilgers
Smith Type I Smith Type II
Space Closing Herbst
otheR heRBst designs acrylic Splint Herbst
Band/Crown Combination
heRBst MechanisMs Standard Rod & Tube
Hanks Telescope (HTH)
Mini-Scope with apple Core
Flip-Lock
Offset Lower Rods
advancement Shims ____mm ____qty
MaxiMuM Bite opening _______________mm
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ETI
NG
, P
RIN
T, M
AIL
314-
429-
4848
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
cRoWns
ciRcle cRoWns to Be seated
ciRcle Bands to Be seated
ciRcle occlusal Rests
DynaFlex provide -per Diagram Below
Crowns, Bands or Rollo Bands enclosed - per Diagram Below
Bands Rollo Bands
7 6 5/e 4/d d/4 e/5 6 77 6 5/e 4/d d/4 e/5 6 7
7 6 5/e 4/d d/4 e/5 6 77 6 5/e 4/d d/4 e/5 6 7
7 6 5/e 4/d d/4 e/5 6 77 6 5/e 4/d d/4 e/5 6 7
Herbst® PrescriPtion
IN LAB 3-5 DAYS
2. RubbeR Black
3. Multi-Functional Silicone:
Light Medium Heavy
4. IMpak:
thickness: Normal Other
Height: Normal Other
breathing Pathways: Yes No
end positioner Distal to: 1st 2nd 3rd molars
Mesh coverings:
ball clasps: 8 7 6 5 4 4 5 6 7 88 7 6 5 4 4 5 6 7 8
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
IN LAB 7-10 DAYS
call to discuss case
Full Set-up: Reset all teeth (Positioner and bases)
Partial Set-up: Mark teeth on diagram
Diagnostic Set-up
articulated Set-up Sam Denar Hanau Whip-mix
no Set-up necessary (fabricate positioner only)
4 PoSitioneR MateRial SelectionS1. Vinyl: color Clear Blue Red pink purple Green Orange
occlusal Plane: overbite:overjet:arch Form:
Space closure Close all Compromise Leave space between
Flat Curve of Spee Cuspid Rise Same as model
1-2mm Increase Decrease Same as model
0-1 mm 1-2mm Other Same as model
Normal Tapered Ovoid Same as model
upper: Narrow Expand Same as model
lower: Narrow Expand Same as model
Fit Upper to Lower
upper: Labial Lingual Same as model
lower: Labial Lingual Same as model
upper lower
anteriorRoot torque:
arch Width:
Wax in lingual Retainer:
Wax in Pontics where necessary:
1 - 1 2 - 2 3 - 3 4 - 4
8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 88 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8
3 2 1 1 2 33 2 1 1 2 3
Positioner
8 7 6 5 4 3 2 1 1 2 3 4 5 6 7 88 7 6 5 4 3 2 1 1 2 3 4 5 6 7 8
R L
Drs. x-ray Hinge axis tracing
R l
R l
41 800.489.4020 > 314.426.4428
3d.Ortho PReSCRiPTiON
LEADING THE WAY
Fax: 314.429.7575 > www.dynaflex.com 42
DynaFlex Dorsal® acrylicThe DynaFlex Dorsal® Device has evolved into one of the most popular choices for snoring and obstructive sleep apnea. The two piece construction allows for maximum patient comfort and lateral jaw movement. The Dorsal fins on the mandibular appliance interface with inclines built into the facial of the upper appliance to dictate a specific mandibular position. The device is fabricated with adjustable screws in the maxillary appliance to allow for further mandibular advancement.
DynaFlex Dorsal® Comfort-FitThe DynaFlex Dorsal is constructed from our new “comfort fit” material. The DynaFlex Dorsal Comfort Fit is 19% thinner reducing buccal bulk in the vestibule areas for increased patient acceptance. Many of our doctors are reporting improved night time wear with the new comfort fit design. The soft inner lining provides superior night time retention. The outer durable acrylic covering is designed for long lasting wear. The great news . . . the comfort fit design can be requested at no additional charge.
DynaFlex Dorsal® accu-Fit* Custom Thermal AcrylicFits first time, every time! The Accu-Fit design is the newest device added to the Dorsal family of sleep appliances for treating patients with sleep apnea. The unique custom thermal acrylic liner allows the appliance to fit at the first delivery appointment without acrylic or wire adjustments. The Accu-Fit design is ideal for patients who will require future dental work (restorations, crowns or bridges). The new design eliminates costly remakes after dental work. The thermal acrylic liner is remolded in hot water (160 degrees) to fit the patient’s arch after dental restorations.
Custom Thermal Acrylic Liner
“ Predictability, reliability and service are 3 words to describe my experience working with DynaFlex®.”
dr. Kenneth A. Mogell, d.M.d., diplomate, ABdSM Sleep Dentist - Boca Raton, Broward County & Palm Beach
“ It is a pleasure to have oral appliances made that fit well and require few adjustments” dr. Larry Z. Lockerman, d.d.S., diplomate, ABdSM UMass Memorial Medical Center
*Patent Pending
New Low Profile Design22% Less Bulk
dynaFlex dorsal®Available in 3 Different Materials
“From personal experience, the ability to re-adapt the Accu-Fit to restorative changes sets it apart from similar sleep appliances.” dr. Neil Zane, d.d.S. New York Center for Neuromuscular Dentistry
43 800.489.4020 > 314.426.4020
adjustable Herbst® applianceThe Adjustable Herbst® is a two piece construction held together with two inseparable hinged mechanisms on the buccal of the upper and lower appliances. The hinged mechanisms are designed with advancement screws to allow for titration and advancement of the mandible. The Adjustable Herbst® is designed for incremental advancement of the mandible to the desired position. The advancement screws have a 5mm range with an adjustment ratio of 16:1 or 16 quarter turns to one millimeter.
TaP® 1, TaP® 3 & TaP® 3 elite Thornton adjustable PositionerThe two piece Tap® appliances are fully adjustable on a horizontal plane, providing dentists the ability to locate the ideal mandibular position for their patient. This custom appliance is fabricated with separate upper and lower trays. The maxillary component utilizes an adjustable screw and hook which interfaces with a lower socket or lower lingual bar to hold the mandible in the desired position.
“ DynaFlex® has been very helpful in meeting our specific needs. As a full time oral appliance practice, having a single source for our most frequently used appliance designs is a real bonus.”
dr. John M. McCrillis, d.d.S., diplomate, ABdSM Louisville Dental Sleep Medicine
eMa®The Elastic Mandibular Advancement appliance is the smallest of our obstruction sleep apnea appliances. The individual trays are constructed of 2mm vacuum form material and are held together with straps of varying lengths and flexibility. These straps provide unsurpassed lateral movement and comfort as well as dictating the amount of mandibular advancement. These straps are positioned between the teeth and cheek leaving the palate free from obstruction.
Fax: 314.429.7575 > www.dynaflex.com 44
adjustable Herbst®
Medicare Tap® 1
Medicare Tap® 3 elite
adjustable HerbstThese devices have both FDa Clearance and Medicare e0486 verification.
E0486 Medicare Verified*
SLEEP APNEA APPLIANCES
Double bar modification required to meet Medicare specifications.
*ReferencetheredboxonyourprescriptionforMedicareAppliances.
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
TONGUE
UPPER
CLASP
THUMB
LOWER
BALL
ARROW
3 X 3
FINGER
UPPER
BLUE GRASS
ESSIX™ RETAINER
ADAMS
FINGER
CIRCUMFERENTIAL
MUSHROOM
LOWER
57251
ALL
EG
RA
MA
RK
ET
ING
, P
RIN
T,
MA
IL31
4-42
9-48
48
MARGINALS HERE
HAWLEY SPRING RETAINERHERBST®INDIRECT BONDINGMARASAGITTALSCHWARZSERIES 2000®
CLOSE BITE
LOWER
LOWER
DISTAL JET™
WILLIAMS
TRANS PALATAL
BONDED RETAINER (3x3)
P.O. Box 99St. Ann, Missouri 63074-9910
POSTAGE WILL BE PAID BY ADDRESSEE
BUSINESS REPLY LABELFIRST CLASS PERMIT NO. 8722, ST. LOUIS, MO
NO POSTAGENECESSARY
IF MAILEDIN THE
UNITED STATES10403 International Plaza Drive
P.O. Box 99 • St. Ann, Missouri 63074(800) 489-4020 • (314) 426-4020 • FAX (314) 429-7575
[email protected] • www.dynaflex.com
IF NEW ACCOUNT:
DOCTOR
ADDRESS
CITY STATE ZIP
ACCT. # OFC #
PATIENT’S NAME AGE DATE SENT DATE WANTED
REMOVEBRACKETS
RETURNMODELS
FIRST CASE
SEND MORE RXS
SEND BOXES
R
COMMENTS
PHONE NUMBER SIGNATURE PRINT NAME
UPPER COLOR
LOWER COLOR
BIONATOREZ-ALIGN®EZ-2000®FIXED
SLEEP APPLIANCE
HABIT APPLIANCEHAWLEY
SPLINTTANDEMTOOTH POSITIONERTWIN BLOCK™STUDY MODELS (SOAPED FOR PRESENTATION)
DIGITAL MODEL STORAGE
OPEN BITE
UPPER
UPPER
BANDED RPE
BONDED RPE
NANCE
E ARCH
TYPE
NEUTRAL
RESET
PENDULUM
WILSON™
LHA
PENDEX
TYPE
TYPE
321321
123123
2121
1212
CIRCUMFERENTIAL
RESET
QCMLABIAL WIRE
SPRINGS
TYPE
UPPER
EXPANSION
UPPER
MAX®
MSX®
EAS®
TYPE
UPPER
TO OPEN
TYPE
TO CLOSE
LOWER
BUCCAL SHIELD
LOWER
DMAX®
MJX®
TB-SAG®
DMJ®
SAG®
MSC®
SAL®
SAN®
CS-2000®
LOWER
TYPE
FLEA
RX FORMS ARE AVAILABLE AT www.dynaflex.com PLEASE PROVIDE DATE WANTED TO AVOID DELAYS
PT1= ORIGINAL (RETURN TO DYNAFLEX) / PT2= DOCTOR’S COPY (RETAIN FOR YOUR FILES)
PROVIDE BRACKETSCUSTOM BASE
UPPER LOWER
DUPLICATE MODELS
®
EMA (FDA: K971794)
DynaFlex Dorsal (FDA: K103076)
Open Screws _____mm
AirPlusTM
(includes reverse fins & shorten lingual)
Acrylic Shorten Lingual
Comfort Fit
Accu-Fit* (add’l $50)*Patent Pending
Accu-Fit Plus*(add’l $65)*Patent Pending Add Reinforcement
Reverse Fin
Add Hooks
No advancement screws required
TAP® 1 (FDA: K972061)
ThermAcryl®
ThermAcryl® Plus
Triple Laminate
ThermAcryl® Plus
ThermAcryl®
TAP® 3 (FDA: K062951)Triple Laminate
ThermAcryl® Plus
TAP® 3 Elite (FDA: K062951)
ThermAcryl®
Triple Laminate
Add anterior platform on appliance to disclude posterior teeth
Add occlusal platform for posterior support
Color:
Open anterior to allow tongue space
IN LAB 7-10 DAYS
Rush Service
Date Wanted:
less than 5 days in labAdditional $100
ThermAcryl® Plus
TAP® 1 (FDA: K972061)
ThermAcryl®
Triple Laminate
Acrylic
Comfort Fit
ThermAcryl® Plus
TAP® 3 Elite (FDA: K062951)
ThermAcryl®
Triple Laminate
Adjustable Herbst® (FDA: K103076)
Medicare E0486 Verified
Anti-snoring & sleep ApneA
Accu-Fit (add’l $50)*Patent Pending
Accu-Fit Plus (add’l $65)*Patent Pending
072314 © 2014 DynaFlex® Laboratories, St. Louis, MO 63074. Printed in U.S.A. All rights reserved. It is a violation of copyright law to reproduce all or part of this material, including photography, without the permission of DynaFlex® Laboratories.
St. Louis: 314-426-4020 • Fax: 314-429-7575P.O. Box 99 • St. Ann, MO [email protected] • www.dynaflex.com
Laboratory: 800.489.4020Fax: 314.429.7575
LEADING THE WAY