PATIENT NAME : TYPE...
Date :
Clinic : TYPE ...
Type ...

Total of Aligners :
UPPER # ENTER .. LOWER # ENTER ..
Est. Treatment Time :
UPPER # NAN DAYS LOWER # NAN DAYS
* Each Aligner need to be worn for 10 days.
Elastic Type Type ..
Size : Type ..
Legend
PATIENT NAME :
Date :
Clinic :
Type ...

SMILE SUMMARY

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FULL SMILE