Dental Supply Order Form

Transcription

1 Dental Supply Order Form All order forms should be completed and submitted via fax to: , Attn: Hannah # Requested Supply Type Patterson Schein Item # Item # Bosworth Fastray Kit Coe Comfort, Professional pkg GC reline, std pkg Flexacryl hard, Lang small pro. Pkg Kooliner, pro. Pkg Coe Soft, pro. Pkg Permasoft, combo kit Softline, intro kit Tru Repair, std kit Duralay, std kit red Amalgam, double spill, 50 count Amalgam, double spill, 500 count Amalgam squeeze cloths, Lidocaine topical, Septodent Hurricaine Spray, kit Comfortcaine, cherry Comfortcaine, grape Comfortcaine, strawberry Topical anesthetic, bubblegun Lidocaine 2% with 1/100k epi Mepivacaine 3% plain Septocaine 4% with 1/100k epi Marcaine 0.5% with 1/200k epi Citanest 4% plain Monoject Needles, 30 x-short Monoject Needles, 30 short Monoject Needles, 27 long Monoject Needles, 27 short Monoject Needles, 25 short Protector needle sheath prop, Articulating paper,microthin, 14 books/box, blue Articulating paper,thin, 14 books/box,blue Shimstock foil, 300 strips Bausch microthin, red BK-10, 100 per box PIP, Mizzy,2.25 oz jar PIP, Mizzy,spray PIP brushes, Burs, Midwest 330, 10 pk of 8

2 Burs, Midwest 330, 100 pk Burs, Midwest 331, 10 pk Burs, Midwest 331, 100 pk Burs, Midwest 169, 10 pk Burs, Midwest 556, 10 pk Burs, Midwest 169L, 10 pk Burs, Midwest 557, 10 pk Burs, Midwest, 1/4 round, 10 pk Burs, Midwest 1/2 round, 10pk Burs, Midwest, 1 round, 10 pk Burs, Midwest, 2 round, 10 pk Burs, Midwest, 4 round 10 pk Burs, Midwest, 6 round, 10 pk Burs, Midwest, 8 round, 10 pk Burs, Midwest, 245, 10 pk Burs, Surgical MW, 2 round, 2 pk Burs, Surgical MW, 1557, 2 pk Esthetic finishing bur kit Finshing burs, MW, 7901, 10 pk Finshing burs, MW, 7902, 10 pk Finishing burs, MW, 7008, 10 pk Finishing burs, MW,7406, 10 pk Finishing burs, MW, 7408, 10 pk Finishing burs, MW, 7104, 10 pk Burs Short shank, MW, 330SS, 10 pk Burs Short shank, MW, 2SS, 10 pk Burs Short shank, MW, 1/2SS, 10 pk Burs short shank, MW 1156SS, 100pk Burs short shank, MW, 4SS, 10 pk Burs short shank, MW, 556SS, 10 pk Burs, Midwest 2157, 10 pk Burs, MW latch, 2, 10pk Burs, MW latch, 4, 10pk Burs, MW latch, 6, 10pk Burs, MW latch, 8, 10 pk Bur, lab 84T Bur, lab 82T Bur, lab 52D Bur, lab SE Bur, lab 41P Bur, lab 83E Bur, lab 88A Neodiamond 1900, 25pk Two striper, CS Two striper, CS Two striper, CS Two striper, L770.8 CS Two striper, CS Two striper, CS of 8

3 Two striper, CS Two striper, CS Two striper, 230 CS Copalite, set Dycal, std pk Vitrebond plus, single IRM, complete pkg Fuji plus, starter Fuji plus refill Rely X, Unicem automix, starter Fuji temp LT Durelon, intro Neotemp, complete kit Versatemp, intro kit Jet acrylic 6/ Tempbond, automix Gluma desensitizer,, 5ml Mixing pads, 3x Ivoclean, 5ml Orange slovent, 8oz Absolute dentin, white, comp. kit CompCore, white, intro Luxacore Z dual,pkg Etching Gel, 40%, 12 pk Adper single bond+, unidose bulk Scothbond universal, unit dose, giant G bond unit dose Amalgam bond+, kit Filtek Supreme Ultra, capsule refills: A A A A3, A B B B B C C C D D WB XWB TPH Spectra, LVS, compule refills: A A A of 8

4 A3, A B C B1-I B B BW C C2-O C C CE D GC Kalore, compules: A A A A A B B B C C D Equia fil intro kit Twinky star, kit Flowable comp, syringes: A A A A3, B Fuji IX GP Extra: A A A A B B G-aenial universal flow A A A A Twinky star, kit Fuji Triage, refill Helioseal Clear of 8

5 Saliva ejectors, HVE tips, Surgical evac. Tips, Microbrush, asst Cotton tip applicators, Facemasks, ear loop, level Facemasks, cup Face shields, op d op Cover gowns Nitile gloves, xs Nitirle gloves, S Nitrile gloves, M Nitirle gloves, L Nitrile gloves, XL Cetylcide II, empty spray bottle Cetylcide II, concentrate, 32 oz Cavicide1, spray bottle Cavicide1, gallon Cavicide, spray bottle Cavicide, gallon Wipes, Disinfecting/germicidal SporeCheck, kit SporeCheck refills Team Vista waterline cleaner Tape and tell Asst Autoclave tape, IMS: restorative endo perio pedo exam surgery extraction NuPro angles with mint Bibeze Econoback pt bib x12 3/8 table covers Profluoride varnish, cherry Profluoride varnish, caramel Profluoride varnish, melon Profluoride varnish, mint MI varnish Prophy angles Glitter bubblegum medium prophy paste Matrix bands # Matrix bands # Matrix bands # T Bands, large T Bands, small of 8

6 Mylar strips Interdental wedges Retraction cord # Retraction cord # Retraction cord # Traxodent Hemodent Surgicel Gelfoam Iodoform Gauze Eugenol Formocresol Dry Socket Paste Chromic gut suture, Disposable scalpel # Disposable scalpel # Silk Suture Dental Dam, non latex Saniclenz 2% soap, pint Sodium Chloride irrigating sol'n Panoramic film, green Utility rope wax Baseplate wax Ultrasonic Cleaner X ray solution x2 gauze, cotton, nonwoven x4 gauze Autoclave pouches: 2.25 x x x x x IMS cassette wrap, small IMS cassette wrap, large Modern material Denstone golden Lab Plaster Diestone Denture brush Denture box Toothbrush, Infant Toothbrush, Toddler Toothbrush, Child Toothbrush, Teen Toothbrush, Adult Floss, Glide Digital X ray sheath CritiKit Instrument/suction covers of 8

7 Light handle covers Chair covers -- currently get from luetzow industries; Headrest covers Crest, kids Crest, adult Floss threaders Prohealth rinse Dental bags Cotton pellets Cotton rolls Monoject syringes Alginate Genie, heavy body Genie, light body Genie bite Imprint 4, intro kit Imprint 3, intro kit VSP adhesive Spray adhesive Bite registration paste Isoform crowns Polycarb crowns SS crown kit, molar SS crown kit pedo Impression Trays: Upper, L Upper, M Upper, S Lower, L Lower, M Lower, S Ant upper Ant lower Quad, UL,LR Quad, UR,LL Harmony trays, ant Harmony trays, post Sticky wax Impression compound Denatured alcohol EDTA solution Pogo/Enhance kit Seperating discs Silent Stone Composite polishing kit Sof-lex kit Mandrels Heatless stones Muslin wheel, 3 in x30 ply of 8

8 Pumice Flour of pumice Enzymax spray gel Enzymax concentrate, gallon Tartar and stain remover Color transfer applicators EVAC cleaner, gallon Fit checker, advanced Autoclave cleaner Sharps container Red waste bags Saliva ejector traps Disposable traps evac traps, kerr, Flaps x ray tabs Max pins, M Bondent pin kit EZ fit fiber post CI post kit Patient cups of 8