Lab Rx Order Form

Date

Business Name

Phone

Due date for Nextgen Dentures will automatically default to 3 working days and may be delivered next day. Same day delivery must be requested and submitted by 11 AM.

SUBMISSION INSTRUCTIONS

Your scans can be submitted online through your dent-cad software. Once you have uploaded your case and payment is received using the form below, your case will be fully submitted.

TERMS AND CONDITIONS WARRANTY

It is recommended that a patient has achieved an impression-ready state when scheduling the scan for the Nextgen Dentures or Partial Dentures.

Replacement Nextgen Denture Conditions

Nextgen Dentures or Partials that break within 12 months of delivery date due to mechanical error will be eligible for duplicate replacement at no charge. The new denture will be provided from the scan submitted in initial order. Warranty does not cover a denture or partial ill-fitting due to a patient who has received treatment that alters the mouth or the fit away from the original scan acquired after initial delivery. (Ex. Bone graft, Bone filling, Bone smoothing, Alveoloplasty, extractions after delivery, soft tissue surgery, or other)

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Dental Night Guard

Protect Your Smile While You Sleep

A dental night guard is a custom-made oral appliance designed to protect teeth from the harmful effects of nighttime grinding (bruxism) and clenching. Worn during sleep, it acts as a barrier between the upper and lower teeth, helping to prevent enamel wear, jaw pain, headaches, and other long-term damage.

Key Benefits: ✅ Prevents Tooth Wear and Damage ✅ Reduces Jaw Tension and TMJ Discomfort ✅ Custom-Fit for Maximum Comfort and Stability ✅ Lightweight, Durable, and Easy to Use ✅ Helps Improve Sleep Quality by Reducing Clenching

Whether for protection, pain relief, or peace of mind, a custom dental night guard is a simple solution that delivers lasting results.

Dental Night Guard

$99.00

Quantity