Appliance Catalog

Exquisite craftsmanship at competitive prices.

CREATING IDEAL APPLIANCES …
PROVIDING CONSULTATION …
OFFERING DIRECT ACCESS

WE STRIVE TO EXCEED
YOUR EVERY NEED.
Dear Valued Customer:

We know that when it comes to choosing a dental laboratory you have many choices which is why
we strive to exceed your every need and expectation. The O² Orthodontic Laboratory is here to help,
whether it’s creating ideal appliances for your patients, providing consultation on cases, or offering direct
access to all the great product brands, such as: Ortho Organizers®, MASEL®, and ClassOne®.

In addition, the O² Orthodontic Laboratory will enhance your orthodontic practice by offering state-of-
the-art laser welding capabilities for custom, precision appliances.

Our laboratory is able to help you keep pace with today’s rapidly changing orthodontic technologies.
We are an indispensable partner for you and your team—we offer superior service and exquisite
craftsmanship at competitive prices. Our team will ensure that the finished appliance(s) exceed
your expectations and are ready for placement right out of the box. Furthermore, your satisfaction is
guaranteed with the following advantages:

• Our technicians offer over 115 years of combined laboratory experience

• Precise fit—we create and bend your wire under at least 2.5x power
• Complete line of removable and fixed appliances
• Cephalometric tracing and study model services
• Our laser-welded appliances are 300% stronger than solder
• Five-day, in-laboratory turn-around time
• Home of the aesthetic and comfortable Triple Play™ Clear Aligner Trays

The O² Orthodontic Laboratory Team looks forward to working with you to make your orthodontic
treatment as effortless for you and your patients as possible!

Best Regards,
The O² Orthodontic Laboratory Team
How to Get Started
Using O2 Orthodontic Laboratory
1. Call our toll-free number 800.547.2000 and request a free lab starter kit. This will be sent to
you at no charge. In it you will find packaging material to protect your models, a prescription
form, a fee schedule, a pre-paid UPS 2-Day delivery label, and the shipping box. If you require
Rx forms immediately, you may download them by visiting the Ortho Organizers Web site
OrthoOrganizers.com under the Laboratory section.

2. There is no need to pour your models in diestone. To save you expense, we recommend
pouring your models in yellow or buff labstone.

3. Once you receive the Lab Starter Kit, use the enclosed packaging foam to securely wrap your
models to help prevent breakage during shipping. If you prefer you may send impressions
which we can pour for a minimal fee. We accept PVS or alginate impressions. If sending
alginate impressions, please wrap in moist paper towels inside sealed plastic bags.

4. Place the wrapped models, and a completed Rx form, in the shipping box. Attach the UPS
shipping label to the outside of the box and fill in your return address.

5. Ordering the pick up: O² Orthodontic Laboratory provides inbound 2-day shipping at no expense
to you. Contact UPS at 1.800.PICKUPS for a pick-up, or drop-off at any UPS Store, UPS Drop
Box or other UPS authorized location.

6. If you are interested in receiving a consultation on one of your cases, simply indicate that you
would like a phone consultation on your Rx form, or call us anytime at 800.547.2000.

7. Once we receive your case, we will: disinfect the contents, list the contents
on the back of the Rx form, and review both your case design request and the
requested delivery date.

8. Fabrication begins the day the case is received, and is shipped back to you on or
before the fifth day.

9. The case will be shipped back to you via UPS. You will be billed for the return
shipment at our standard UPS Ground delivery rate, but we will send the case
back via UPS so you may have it in your office the very next day!

10. An invoice will be included with each case. If you are currently a customer who purchases
Ortho Organizers, MASEL, or ClassOne products, you will be billed using your regular terms
unless you would like to change them specifically for your lab cases.

Don’t Forget!
We also offer cephalometric tracing and analysis services. There are several ways you may send us your
cephalometric X-rays: Regular mail, UPS, email them to Ortho.Lab@OrthoOrganizers.com, or you can
upload them in the “Laboratory” section of the Ortho Organizers Web site under “Cephalometrics.”
(See instructions provided.)
Table of
Contents
The images that appear on the following pages are merely examples of appliances we have created
and are not the complete listing of appliances that the O² Orthodontic Lab provides. All appliances
crafted in a laboratory are handmade and therefore, unique to each patient. As such, the clinical
case you receive for your patient may vary slightly from the images that appear in this catalog.

Case Planning and Diagnostic Aids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

Cephalometrics
Model Analysis
Study Models

Removable Retainers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Hawley and Circumferential Retainers
Acrylic Color Chart
QCM Retainers
Invisible Retainers

Triple Play Clear Aligners . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Removable Spring Retainers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Fixed Lingual Retainers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

Fixed Appliances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Removable Active Appliances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Functional Appliances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Fixed Active Appliances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

Wilson 3D® Appliances . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Indirect Bonding Trays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

Laser Welding . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17

Prescription Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

Product List . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Case Planning and
Diagnostic Aids

As you develop a treatment plan for each patient you will need to gather a 1822 Aston Ave.
Carlsbad, CA 92008
Ph: 760.448.8745

significant amount of information. Luckily the O² Orthodontic Laboratory is here to

Fax: 760.448.8746

ORTHODONTIC EXAM FORM

Jackson Analysis
Case Number: Code Number:
Patient Name: Nancy Sample Doctor Name: John Doe

help, and offers expertise in creating accurate, detailed, and easy-to-understand

Patient Age (YY-MM): 12.6 Patient Race (1-2):
Patient Sex (1=M/2=F): 2 Dentition Stage:
Diagnostician: John Doe Date (MM-DD-YY): 12/03/2008
85.404.156.467

Measurements Patient Norm Difference Interpretation

patient diagnostic records. The comprehensive report we prepare can help with
Skeletal
SNA 85.100 82 3.100 The maxilla is slightly prognathic
SNB 79.500 80 -0.500 The mandible is slightly retrognathic
ANB 5.500 2 3.500 The patient exhibits a slight Class II relationship
FH/NP (FA) 87.800 85 2.800 The mandible is normally positioned
SND 75.700 77 -1.300 The mandible is slightly retrognathic

case diagnosis as well as the strict dental and legal record requirements. With our
IMPA (Tweed) 100.000 90 10.000 The lower incisor is severely proclined
FMIA (Tweed) 54.000 65 -11.000 The lower incisor is in a moderate posterior position
FMA (Tweed) 25.900 25 0.900 The patient exhibits neutral growth
Go-Gn/SN 32.100 32 0.100 The patient exhibits neutral growth
Y-Axis (FH) 57.600 59 -1.400 The patient exhibits slight counterclockwise growth
Y-Axis (SN) 65.100 66 -0.900 The patient exhibits slight counterclockwise growth

analysis you can test multiple treatment plans and compare results before you
OP/SN 13.100 14 -0.900 The patient exhibits slight counterclockwise growth
Wits (mm) -1.700 0 -1.700 The patient exhibits a slight Class III relationship
Gonial Angle (deg) 131.500 122 9.500 The patient exhibits moderate clockwise growth
SL Line (mm) 48.100 51 -2.900 The patient exhibits neutral growth
Chin Button (Pg to NB) 1.200
Chin Button (Maturity) 1.200

place any appliances or brackets. Once you decide the course of treatment, the
UF Height (mm) 41.500 50.00% 44.29%
LF Height (mm) 52.200 50.00% 55.71%

Dental
Mx 1/NA (deg) 16.900 22 -5.100 The upper incisor is moderately retroclined
Mx 1/NA (mm) 0.400 4 -3.600 The upper incisor is in a slight posterior position

cephalometric tracings, study models and your existing patient photos may be
Mn 1/NB (deg) 33.000 25 8.000 The lower incisor is severely proclined
Mn 1/NB (mm) 4.600 4 0.600 The lower incisor is in a normal position
1/1 (deg) 124.600 131 -6.400 The interincisal angle is moderately concave
Mn 1/AP (mm) 1.200 0 1.200 The lower incisor is normally positioned on the Williams Line

Soft Tissue

used as an exceptional tool to document your patient records.

Soft Tissue Convexity Angle (deg) 129.100 130 -0.900 The patient's face convexity is normal
Modified E-Plane Mx lip (mm) 2.600 0 2.600 The maxillary lip is slightly protruded
Modified E-Plane Mn lip (mm) 2.700 0 2.700 The mandibular lip is slightly protruded
Nasiolabial Angle (deg) 110.600 102 8.600 The patient exhibits severe esthetic concavity

Airway Constriction
Adenoidal Area (mm) 179.71% =>100% The adenoidal area appears normal
Tonsils (mm) 8.200 =<10 The lower airway appears normal

This information is suggestive only. Any diagnosis and prescription should

be the decision and sole responsibilty of the Doctor using this material.

Highlights of the O² Orthodontic Laboratory Cephalometric Tracing Service:

• Cutting Edge Technology—we support both digital and standard film cephalometric X-rays
• Time Savings—reports can be sent immediately as digital PDF files
• Cost Savings—your staff’s time is freed to focus on more profitable tasks
• Precise—our computer system is maximized to produce conclusive results
• Easy to understand—interpretations are in plain English

1822 Aston Ave.

How it Works:
Carlsbad, CA 92008
Ph: 760.448.8745
Fax: 760.448.8746

This information is suggestive only. Any diagnosis and prescription should

be the decision and sole responsibilty of the Doctor using this material.

The O² Orthodontic Laboratory cephalometric (“ceph”) tracing service

process begins when we import or scan your patient’s ceph into our
state-of-the-art computer system. Our system then clearly identifies
required markers for an extremely precise tracing with detail far
eclipsing the traditional hand-traced ceph. Model assessments are
handled in a similar manner with the model scanned into our system and
our software providing an acute assessment of the dental arches. Each Jackson Analysis Patient Name: Nancy Sample Diagnostician: John Doe Date (MM-DD-YY): 12/03/08

ceph X-ray and model is verified by our Quality Control team to ensure it
adheres to the highest standards. All information is then sent to you via
written report or as a digital PDF, depending on your preference.

Case Planning and Diagnostic Aids

6 Ortho Organizers
 Case Planning and
Diagnostic Aids

Model Analysis 1822 Aston Ave.

Carlsbad, CA 92008
Ph: 760.448.8745
Fax: 760.448.8746

ORTHODONTIC EXAM FORM

Key information in the treatment of your patient

Model Analysis
Case Number: Code Number:
Patient Name: Sally Sample Doctor Name: Mary Doe
Patient Age (YY-): 11.05 Patient Race (1-2):
Patient Sex (1=M/2=F): 2 Dentition Stage:
Diagnostician: Mary Doe Date (-DD-YY): 11/4/08

regarding the growth and development of the skeletal

#N/A

Cast Measurements Patient Genetic Potential Difference Interpretation

Upper Right Central (mesiodistal width) 8.10

Upper Left Central (mesiodistal width) 8.20
Upper Right Lateral (mesiodistal width) 6.40
Upper Left Lateral (mesiodistal width) 6.00

and dental anatomy can be found with the use of

Sum of the Incisors 28.70

Schwartz-Korkhaus Analysis (Arch Width)

Upper 4X4 31.80 35.50 -3.70 patient exhibits underdevelopment in the upper 4X4 plane
Upper 6X6 40.70 45.80 -5.10 patient exhibits underdevelopment in the upper 6X6 plane
Lower 4X4 32.10 35.50 -3.40 patient exhibits underdevelopment in the lower 4X4 plane
Lower 6X6 48.70 44.80 3.90 patient exhibits overdevelopment in the lower 6X6 plane

a model analysis. By sending the O² Orthodontic

Division II Severity
(central fossa of 1st Bi's to facial surface of 1's) 20.20 18.80 1.40 patient exhibits Division III Angulation

Pont's Index for Arch Development (Arch Width)

Upper 4X4 31.80 35.88 -4.08 patient exhibits underdevelopment in the upper 4X4 plane
Upper 6X6 40.70 44.84 -4.14 patient exhibits underdevelopment in the upper 6X6 plane
Lower 4X4 32.10 29.18 2.93 patient exhibits overdevelopment in the lower 4X4 plane

Laboratory the upper and lower casts, a scan can be

Lower 6X6 48.70 43.84 4.86 patient exhibits overdevelopment in the lower 6X6 plane

AVERAGES (Arch Width combinations - Schwartz-Korkhaus and Pont's)

Upper 4X4 31.80 35.69 -3.89 patient exhibits underdevelopment in the upper 4X4 plane
Upper 6X6 40.70 45.32 -4.62 patient exhibits underdevelopment in the upper 6X6 plane
Lower 4X4 32.10 32.34 -0.24 patient exhibits underdevelopment in the lower 4X4 plane

performed and analyzed, and sent to you.

Lower 6X6 48.70 44.32 4.38 patient exhibits overdevelopment in the lower 6X6 plane

Moyer Mixed Dentition Analysis (Arch Length)

Upper mesiodistal widths
Upper Incisors 1's & 2's (mm) 26.80 28.70 -1.90 patient exhibits upper incisor space deficiency
Upper Right 3,4 & 5 (mm) 19.60 23.10 -3.50 UR quadrant space deficiency without mesial molar shift
Upper Left 3,4 & 5 (mm) 20.20 23.10 -2.90 UL quadrant space deficiency without mesial molar shift
Upper Arch Circumference Required 74.90 estimated
Upper Arch Circumference Available 66.60 -8.30 upper arch space deficiency without mesial molar shift
Lower mesiodistal widths
Lower Right Central (mm) 5.60 actual
Lower Left Central (mm) 5.80 actual Model Analysis Dr. Mary Doe Patient: Sally Sample Date: 11/4/08
Lower Right Lateral (mm) 6.50 actual
Lower Left Lateral (mm) 6.10 actual
Sum of Lower Incisors (mm) 24.00
Lower Incisors 1's & 2's (mm) 22.30 24.00 -1.70 patient exhibits lower incisor space deficiency
Lower Right 3,4 & 5 (mm) 19.20 22.80 -3.60 LR quadrant space deficiency without mesial molar shift
Lower Left 3,4 & 5 (mm) 19.60 22.80 -3.20 LL quadrant space deficiency without mesial molar shift
Lower Arch Circumference Required 69.60 estimated
Lower Arch Circumference Available 61.10 -8.50 lower arch space deficiency without mesial molar shift

This information is suggestive only. Any diagnosis and prescription should

be the decision and sole responsibilty of the Doctor using this material.

This information is suggestive only. Any diagnosis and prescription should

be the decision and sole responsibilty of the Doctor using this material.

Study Models
Study models are an important part of the diagnostic
process. They can help document tooth size, jaw
relationships, jaw alignment, and occlusal relationships.
In addition, they are an important visual aid when
discussing possible treatment options.

7 Ortho Organizers
Removable Retainers*

Hawley and Circumferential Retainers

Hawley and circumferential (wraparound) retainers are
used to retain ideal tooth position after fixed orthodontic
treatment. As you can see, the design options available
for this kind of appliance are virtually unlimited.

Circumferential Hawley

Hawley with C-clasp Hawley with C-clasp

Circumferential Circumferential

Acrylic Color Chart

Fire Red Fire Red Pink Pink Royal Blue Royal Blue
(Translucent) (Opaque) (Translucent) (Opaque) (Translucent) (Opaque)

Banana Yellow Banana Yellow Sour Apple Green Sour Apple Green Pumpkin Orange Pumpkin Orange
(Translucent) (Opaque) (Translucent) (Opaque) (Translucent) (Opaque)

*Immediate Retainers—Send us your models prior to de-bracketing your patients so that retainers are readily available at the time of removal.
This assists in preventing any potential shifting of teeth. The O² Laboratory technicians can accurately remove stone brackets from the models
to complete the retainer. Don’t forget to remove the archwires before taking the impressions.

8 Removable Retainers Ortho Organizers

 Removable Retainers

Clear Bright Red 80’s Neon Pink Lemon Meringue Bright Green Bright Orange
(Opaque) (Opaque) (Opaque) (Opaque) (Opaque)

Red Sparkle Silver Sparkle Green Sparkle Purple Sparkle Blue Sparkle Rainbow Sparkle

Desert Storm Camo Army Camo Pure Black Purple Grape Purple Grape Psychedelic 60’s
(Opaque) (Opaque) (Opaque) (Translucent)

Checkers Strawberry Flames Hibiscus Flowers Giraffe Hugs & Kisses

Zebra Basketball Apple Daisies Butterfly Flag

Tiger Stripes Polka Dots Watermelon Cherries

9 Ortho Organizers
Removable Retainers

QCM Retainers
QCM retainers utilize a clear labial bow providing
an aesthetic option for patients who would like to
take a more “invisible” approach to tooth position
maintenance. QCM retainers can be used on either
the upper or lower arch.

Invisible Retainers
Clear trays are another aesthetic option for retaining
ideal tooth position after the removal of a fixed
orthodontic appliance.

10 Removable Retainers Ortho Organizers

 Clear Aligners

Triple Play Clear Aligner TRAYS

Triple Play Clear Aligner Trays from the O² Ortho Laboratory offer a comfortable, convenient, and
aesthetic solution to correct minor anterior crowding and rotations in the upper and lower arches.
It is also an ideal solution for post-retention relapse in cases that have already
undergone traditional orthodontic treatment.

Detailed custom analysis

• Shows how many aligners will be required to treat each arch
• Indicates where and how much interproximal reduction is required

Cost effective
• You pay only for the trays you require

No annual purchase commitment required

• No cost for the custom analysis
• You determine what your patient needs
• No set requirement for amount of cases treated per year

How to get started:

1. Complete a prescription form requesting a no charge Triple Play analysis.

2. Include either both upper and/or lower models, or impressions.**

3. Use any shipping box or call Customer Service to request a free Lab Starter Kit.

4. Use our prepaid UPS 2-Day shipping label.

5. Send models to:

O² Orthodontic Laboratory
1822 Aston Ave.
Carlsbad, CA 92008

6. Within 24 hours of receipt of your case, the lab will return the analysis to you via email or fax.
(If your case is not ideal for aligner treatment you will be notified in the analysis.)

7. When we receive your approval to proceed, the five-day, in-house production process begins.

8. If you choose not to proceed, simply let us know and we will dispose of your models.

**If you prefer you may send impressions which we can pour for a minimal fee. We accept PVS or alginate impressions.
If sending alginate impressions, please wrap in moist paper towels inside sealed plastic bags.

11 Ortho Organizers
Retainers

SPring Retainers
Spring retainers help finish cases; or regain ideal
tooth position of upper or lower anterior incisors.

Fixed Lingual Retainers

If patient compliance is an issue, custom-made 3 x 3
bonded retainers with either pads or loops are an ideal
alternative to removable appliances.

Optional: A bonding tray can be ordered to stabilize

and hold the retainer while you bond it to the teeth.

12 Retainers Ortho Organizers

 Appliances

Fixed Appliances
Many appliance design options are available to
maintain space and hold teeth in the desired position
while a patient moves through the phases of
treatment. Undesirable patient habits that negatively
affect the dental architecture can be treated through 6 x 6 Fixed Lingual Arch Habit Appliance—Tongue

the use of different designs.

Unilateral Space Maintainer Habit Appliance—Bead

Unilateral Space Maintainer Habit Appliance—Digit

Removable Active Appliances

When either transverse or sagittal arch development
is required, appliances can be designed with a series
of anchorage clasps and screws to achieve the
desired outcome.
Schwarz Schwarz

Schwarz Lower 3-Way

Schwarz Lower Sagittal

13 Ortho Organizers
Appliances

Functional Appliances
Functional appliances can help treat or correct
conditions of improper jaw position.

Twin Block® Twin Block

Rick-A-Nator Rick-A-Nator II

Lower Splint Twin Block

Upper Splint Anterior Deprogrammer

14 Appliances Ortho Organizers

 Appliances

Fixed Active Appliances

Fixed active appliances can treat cases that require
expansion, arch lengthening, molar distalization, etc.,
by developing fixed anchorage from stable dentition.

TransForce® Sagittal Arch Developer 3D Quad Helix

Nitanium® Palatal Expander™ Transverse Arch Developer

RPE Hyrax RPE Hyrax w/Habit Prevention

Upper “E” Arch Lower “E” Arch

CD Distalizers Doctor Driven Sagittal

Modified Haas Doctor Driven Sagittal/Rick-A-Nator

15 Ortho Organizers
Appliances / Bonding Trays

Wilson 3D Appliances
By attaching Wilson 3D vertical tubes to bands, many
prefabricated treatment solutions can be employed
to develop or maintain spacing. These treatment
solutions can be removed by the clinician during any
phase of the treatment.
3D Multi-Action Palatal 3D Multi-Action Palatal

3D Lingual Arch

Indirect Bonding Trays

The use of indirect bonding trays can reduce chair
time and the potential for the improper placement of
brackets. The most common types of indirect bonding
trays are: the two-piece which has a soft inner tray that
holds the brackets, and a separate, hard outer tray; or
the one-piece soft tray alone to hold the brackets.

Appliances / Bonding Trays

16 Ortho Organizers
 Laser Welding

Laser Welding SERVICES

At the O² Orthodontic Laboratory we use the latest state-of-the-art laser welding equipment.
When fabricating fixed or removable appliances that require metal pieces to be joined together,
there is nothing stronger than laser welding. Unlike some other laboratories, at O² Orthodontic
Laboratory, there is no extra charge for laser welding.

Some of the benefits of laser welding include:

• Joints that are 300% stronger than soldered joints
• No solder which can cause corrosion and corrosive by-products
• All work is completed at 20x magnification
• Laser-welded joints are less bulky

17 Ortho Organizers
Prescription Form

When you submit a case to the O² Orthodontic

Laboratory, you will include a completed Prescription
PRESCRIPTION FORM
1822 Aston Avenue
Carlsbad, CA 92008
(Rx) Form along with the model(s) associated with Ph: 760.448.8745 or 1.800.547.2000
Fax: 760.448.8746
OrthoOrganizers.com
the case. This Rx form will be sent to you from the
Name______________________________________________________ PLEASE SEND:
O² Orthodontic Laboratory upon request. Additional Address _____________________________________________________ Rx Forms
City, State, Zip ________________________________________________ Price List

forms may also be printed directly off of Ortho Telephone ___________________________________________________

Email___________________________________________________
Shipping Supplies
Shipping Boxes
Flat
Organizers’ Web site at OrthoOrganizers.com under PLEASE PRINT First Folded
PATIENT’S NAME Last Ortho Organizers®
the “Laboratory” section. There is also an area on the DATE WANTED___________________________ CALL ME __________
Product Catalog

Rx form where you can request to have additional U/L

HAWLEY RETAINER ____________________
QCM RETAINER _______________________

materials sent directly to you including: additional Rx CIRCUMFERENTIAL RETAINER ____________

INVISIBLE RETAINER ___________________
SPRING RETAINER _____________________
SCHWARZ ___________________________
forms, price list, shipping boxes and supplies. SAGITTAL 2 screws 3 screws
3-WAY______________________________
FAN GEAR __________________________
JACKSON ____________________________
BIONATOR to open to close maintain
ORTHOPEDIC CORRECTOR to open to close
TWIN BLOCK® RICK-A-NATOR
R Please Design Appliance(s) L HERBST® banded bonded SS crowns
RPE Hyrax Haas Bonded
PENDULUM PENDEX SNODGRASS
PORTER / W ARCH _______________________
E ARCH______________________________
NITANIUM® PALATAL EXPANDER™__________
DOCTOR DRIVEN SAGITTAL _____________
UNILATERAL SPACE MAINTAINER ____________________
FOOT SPACER / DISTAL SHOE ____________
LINGUAL ARCH 6x6 5x5 4x4
TRANS PALATAL ARCH _________________
HABIT APPLIANCE _____________________
NANCE______________________________
BLUEGRASS __________________________
APPLIANCE(S) NEED QUAD HELIX_________________________
U/L U/L PRESENTATION MODELS (Glossed)
COLOR? SPRINGS? CEPHALOMETRIC ANALYSIS_____________
CLASPS? DUPLICATE TRIPLE PLAY ALIGNER ____________________
RESET TEETH? MODELS?
ANTERIOR BITE POSTERIOR BITE CLEAR SPLINT_______________________
PLANE? PLANES?

Write instructions here

_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Please continue instructions on the back

________________________________________________ _______________________ _______________

Personal Signature of Dentist Dentist’s License No. Today’s Date

© 2010 Ortho Organizers, Inc. All rights reserved. Herbst is a registered trademark of Dentaurum. Ortho Organizers, Nitanium and Palatal Expander
are registered trademarks/trademarks of Ortho Organizers, Inc. Twin Block is a registered trademark of Dr. William Clark.

18 Prescription Form Ortho Organizers

 Product List

Removable Retainers Removable Active Appliances Arrow Clasp

Hawley Retainer Schwarz Appliance Laser Welded Clasp, Hook or Spring
Circumferential Retainer Jackson Appliance Wire Molar Rest
QCM Retainer Sagittal Appliance Additional Expansion Screw
Tru-Tain (Invisible) Retainer 3-Way Expansion Appliance Labial Bow Acrylic
Astics Retainer Nord Crossbite Appliance Colors, Decals, Glitter after one (each)
Triple Play Fan Gear Appliance Acrylic Tongue Spinner
Crozat Appliance Habit Crib Added
Removable Spring Retainers Micron-Piston Screw
Cuspid to Cuspid Clip Removable Functional Appliances Screwdriver for Micro Screw
Spring Hawley Retainer Twin Block Dr. Band/Crown Seated on Model
Reset Teeth (1-4 Teeth, per Arch) Twin Block – Phase 2 Dr. Band/Crown Adjusted/Reseated
Bionator I, II, III Lab Crown w/Adaptation

Fixed Lingual Retainers Orthopedic Corrector I, II, III Lab Band (Blank) w/Adaptation

3 x 3 Bondable w/Loops Rick-A-Nator Laser Welded Archwire Bracket

3 x 3 Bondable w/Loops w/Indirect Tray Rick-A-Nator II Laser Welded Molar Bracket

3 x 3 Bondable w/Pads Splint Flat Bow

3 x 3 Bondable w/Pads w/Indirect Tray Lap, Recurve, Helical and Z Springs

Additional Mesh Pad (each) Fixed Active Appliances Elastic Hook

Herbst – Banded, Bonded, SS Crowns

® Set Tooth (Teeth Extra)

Rapid Palatal Expander – Hryax Anterior Bite Plane

Fixed Appliances
Rapid Palatal Expander – Haas, Bondable Posterior Bite Planes
Unilateral Space Maintainer
Pendulum Lingual Bar or Reinforcement
Foot Spacer
Pendex Adapted Lab Band w/Bracket
Distal Shoe
Snodgrass Straightwire Brackets
6 x 6 Lingual Arch
Distal Jet Appliance Appliance Insurance
6 x 6 Lingual Arch (Horizontal Removable)
Porter w/Arch Applinace Study Models - Contoured Polished Set
Transpalatal Arch Space Maintainer
E Arch Duplicate Model (each)
Transpalatal Arch (Horizontal Removable)
Williams Appliance Acrylic Display Models (each)
Forward Pull Headgear Framework
Nitanium Palatal Expander™ Appliance Consultation /Display Appliances
Habit Appliance – Bead, Tongue, Digit
Doctor Driven Sagittal Cephalometric Tracing
Nance Button Space Maintainer
Custom Add-on
Nance Button (Horizontal Removable)
Tooth Charge
Nitanium Molar Rotator™ Appliance Wilson 3D Appliances
Repair
Bluegrass Appliance 3D Lingual Arch
Remove Stone Brackets
Quad Helix 3D Bi-Metric Arch
Model Prep
Quad Helix (Horizontal Removable Slot) 3D Multi-Action Palatal
Pour Impression
Coil Spring or Sliding Loop Regainer 3D Quad-Helix
Lingual Sheath, Horizontal HK
Jackscrew Regainer 3D Multi Action
Positioner
Horizontal Lingual Sheath 3D Lingual Attachment
Additional Ceph Tracing
Model Analysis
Fixed Expansion Appliances Accessories
Complete Analysis
Fixed Lateral Expansion Custom Artwork
U/L 2-Piece Indirect Bonding Trays
Fixed Sagittal Adams Clasps (Does NOT include Brackets)
“C” Clasps U/L 1-Piece Indirect Bonding Trays
Ball Clasps (Does NOT include Brackets)

Nitanium is a registered trademark of Ortho Organizers, Inc. Molar Rotator and Palatal Expander are trademarks of Ortho Organizers, Inc. Twin Block is a registered trademark of Dr. William
Clark. Herbst is a registered trademark of Dentaurum. Wilson 3D is a registered trademark of Rocky Mountain Orthodontics. © 2010 Ortho Organizers, Inc. All rights reserved.

19 Ortho Organizers
For more information on our products, orthodontic laboratory
services and educational offerings, please contact us:
Customer Service: 888.851.0533
In the U.S.: 800.547.2000
Outside the U.S.: +(1) 760 448 8600
Canada: CERUM 800.661.9567
1822 Aston Avenue
To fax an order: 800.888.7244
Carlsbad, CA 92008
To fax an order outside the U.S.: +(1) 760 448 8607 USA
To email an order: USASales@OrthoOrganizers.com OrthoOrganizers.com
To email an order outside the U.S.: IntlOrders@OrthoOrganizers.com
To email our Lab: Ortho.Lab@OrthoOrganizers.com
© 2010 Ortho Organizers, Inc. All rights reserved. PN 999-100LAB Rev. A