CLINIC: 1 BRANCH: MALIK ABDULAZIZ DATE: AUGUST 2020

NO ITEM QUANTITY NOTES

1 Debonding burs long flame 3

2 Nola Dry Field System 3 Large white = ( 300-401 )

3 Mask ( Tie-on ) 4

4 Spray bottle 1
Pouch : 70mmx260mm 4
5 90mmx260mm 4

6 Small Latex Gloves 1

7 Mouth Mirror 2 box

8 Retainer Box 20

9 Etch 2

10 Bond ( yellow ) 2

11 Suction Tip 3

12 Dental Bib 1

DOCTOR : SEBA NURSE: NASREEN STORE KEEPER: _______________

CLINIC: 2 BRANCH: MALIK ABDULAZIZ DATE: AUGUST 2020

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NO ITEM QUANTITY NOTES

1 Mask ( earlobe ) 5

2 Disposable gown 1 box

3 Revo ( white ) 10 25mm

4 Bib towel 1

5 Gloves ( small ) ( medium ) 1/1 MASTERGUARD

6 Unicem ( 3M ) 1

7 Multicore ( light ) 1

8 SDR composites 1 box

Tetric N-ceram composites
9 ( A2 , A3 ) 5/ 5 Dont give another brand
Tetric N-ceram flow
10 ( A2 , A3 ) 5/ 5 Dont give another brand

11 Surgical suture 2 Silk

12 Normal saline 5

13 Sodium hypochlorite 1

14 PANA-oil 1

15 Microbrush ( regular size ) 4 or 1 BOX ( blue / pink )

16 K- files ( 15 ) ( 25 ) 10 / 10 25mm

17 3M fiber post (red ) 5 3M ONLY

18 Gutta solvent 1

19 Ketac cement 1

20 Nerve broaches ( blue ) 1 box

Pouches: 70mmx260mm 5
21 90mmx260mm 5
60mmx90mm 5

22 Face shield 2

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 23 Gauze 10
24
TIPS for impressions (BIG )yellow 2 packs
25
Air / water disposable tips 2 packs
26
Tips for flow ( black ) 2 packs

DOCTOR : HAMAWI NURSE: CARISSA STORE KEEPER: _______________

CLINIC: 3 BRANCH: MALIK ABDULAZIZ DATE: AUGUST 2020

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 NO ITEM QUANTITY NOTES

1 Big excavator 5

2 Probe / explorer 10

3 Octaine 100 3

4 Dia-burs (SF-41) 1 box

5 Gauze (2x2 inch) 1 carton

6 Viopex (root canal filling) 5

7 Hemostop 2

8 Hama-surf 3

9 Bib forte 2

10 Short needles ( 30G) 10 boxes

11 Cotton pelletes ( #4 ) 3

12 Disposable gown 10

13 Dia-burs ( TF-12 ) 3

14 Rotary handpiece tube 1

Pouches: 135mmx280mm 5
15 90mmx260mm 5
70mmx260mm 10

16 Normal saline 3

DOCTOR : AASEM NURSE: NAHAR STORE KEEPER: _______________

CLINIC: 4 BRANCH: MALIK ABDULAZIZ DATE: AUGUST, 2020

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NO ITEM QUANTITY NOTES

1 Yellow disposable gown 10 packs

2 Suction tip 4

3 Sodium hypochlorite 1
3M only
4 Fiber post ( RED ) ( YELLOW ) 4/ 3
Fiberpost(RED)(YELLOW)(WHITE) red= 2 box white = 2 box
5 NEW BRAND (if no 3M) 2/6 / 2 yellow = 6 box
20 = 5 box
6 Guttapercha ( 20 ) ( 25.04 ) 5/4 20.04 = 4
45 = 5 box 30 = 3 box
7 Paperpoints ( 45 ) (30) (35) (80) 5/3/3/1 35 = 3 box 80 = 1 box

8 Disposable Syringe ( 5ml ) 1

9 Pana Oil spray 1

(A2 and B2 )=> Dont give SIRONA
10 Tetric N-ceram ( A2 ) ( B2 ) ( B1) 5/6/1 (B1 ) => ANy brand

11 Tetric N-flow 5 dont give FLOWABLE BRAND

12 Face sheild 2 box

Face mask ( Tie-on ) 7
13 Face mask ( Earlobe) 3
Topical anesthesia
14 (yellow or blue) 1 Dont give red
Pouches : 70mmx260mm 5
15 60mmx90mm 3

16 White stones 3

17 Black tip 2 packs

18 Yellow tip (big) ( small ) 2/2 For impressions

Tips for Unicem/ Breeze ( yellow
19 or brown) 2
Unicem only I have more Breeze brand
20 (Don't give if breeze or calibra) 1 Dra use unicem for Tarqive

21 Dental Bib 1

22 Gloves Small Latex ( superguard) 1 Dra have allergy in Masterguard

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 23 Etching 1

24 Bonding ( White ) 1
Revo (white) (yellow) (red) 5/5/5 25mm
25 Revo ( yellow) (red) 3/3 31mm
K-files (# 10) 25mm 10
26 K-files (# 10) 31mm 5

27 AH26 2

28 Temporary cement 2

29 Coltosol 1

30 Scandicaine 2% 5

31 Finger spreader ( red ) 5

32 Metal striproll (6mm) 1

33 Short needles 2

34 Retraction cord ( #1 ) 2

35 Gauze 5

DOCTOR : RAWAA NURSE: NORMALA STORE KEEPER: _______________

CLINIC: 6 BRANCH: MALIK ABDULAZIZ DATE: AUGUST 2020

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 NO ITEM QUANTITY NOTES

1 Bib Towel 1

2 Gloves latex (small) (medium) 1/1

3 Mask ( earlobe ) 5
Pouch : 90mmx260mm 3
4 70mmx260mm 2

5 NiTi 16 (lower) 3

6 NiTi 16x22 (upper) (lower) 3/3

7 Brackets

8 Disposable gown 5 packs

9 Face shield 2 box

10 NiTi 17x25 ( upper) 3

11

12

13

14

15

DOCTOR : FAISAL NURSE: DRA MARAM STORE KEEPER: _______________

CLINIC: 7 BRANCH: MALIK ABDULAZIZ DATE: AUGUST 2020

NO ITEM QUANTITY NOTES

1 Rubber Dam 3

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 2 Anesthesia ( blue ) 2

3 Short needles 3

4 Microbrush ( yellow ) 3

5 Pana oil 1

6 Monobond 1

7 Hemostop 2

8 3M composite ( A2 ) 2

9 Zinc oxide 1

10 Temporary cement 1

11 Normal saline 2

12 Gauze 10

13 Topical anesthetic gel 2

14 K-files (15)(20)(25) 3/3/3

15 Revo (white)(yellow)(red) 3/3/3

16 Guttapercha (20)(25) 3/3

17 Pouch : 70mmx260mm 3

18 Porcelaine etch 2

19 Self adhesive cement (3M) 2

20 K- files (6)(8)(10) 5/5/5 25mm

DOCTOR : SAMIA NURSE: MARAM STORE KEEPER: _______________

CLINIC: 8 BRANCH: MALIK ABDULAZIZ DATE: AUGUST 2020

NO ITEM QUANTITY NOTES

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1 Empress (A1)(A2) (BL L) 2/2/2

2 Fluoride gel 1

3 Pana oil spray 2

4 Microbrush (fine) 4

5 Etch 5

6 Ceramix sphere tec (A1)(A2) 10

7 Flowable (A1)(A2) 10

8 Sodium hypochlorite 3

9 Fiberpost (red) 5

10 AH26 3

11 Barach (Long) 5

12 Monobond 5

13 Striproll (7mm) 2

14 Gloves (medium) 2

15 Light gas refill 2

16 Sensor cover 2
Pouches: 70mmx260mm 20
17 600mmx90mm 20

18 HAMA instru 1

19 Bond 2

20 Dental bib 2 carton

21 Topical anestheti gel 2

22 K-files (8) 15 21mm

23 H-files (8)(15)(20)(30)(35) 10 each 21mm

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 24 Cotton roll 2 box

25 Scissor 2

26 Highspeed Handpiece 2

27 Lowspeed Handpiece 2

28 Scalar (endo) 2

29 Guttapercha (25.04) 10

30 Gauze 2 box

31 Disposable syringe 5ml 2

32 Short needle (4x21mm) 10

33 Traxodent 5

34 EDTA cream 2

35 Guttapercha (15) 5
Broaches (yellow)
36 (short )( long) 5/5

37 Medicaine (red)(blue) 3/3

38 Multicore (light) 2

39 Sanitizer 1

40 Soaking instrument tray 1

41 Big brush 1

42 Ink 1

DOCTOR : EMAD NURSE: NOURA STORE KEEPER: _______________

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