How to Send us a Case

We provide all the materials and information you need to send us your case. All cases must include a completed prescription form.

Basic Fabrication Requirements
To provide you with the highest standards of quality and service, we ask that you follow the basic appliance fabrication requirements listed below. Please feel free to call Laboratory Customer Service at 800-828-7626 (U.S. & Canada) or 716-871-1161(Worldwide) (Monday-Friday 8:00 a.m. to 5:00 p.m. Eastern Standard Time), or to e-mail us for further technical assistance.

Elastodontics

Fixed Appliances

Functional Appliances

Positioners

Removable Appliances

Sleep Apnea

Splints

Elastodontics:
Upper mounted stone model and lower stone model. If brackets will remain in place, impressions must be taken without archwire in place. Please place elastics around bracket neck before impressing to minimize undercuts. Centric occlusion or centric relation bite as desired.

Fixed Appliances:
Well-defined plaster or stone work model with bands in place. Pedo-partial and Habit appliances require opposing model. Note: It is the responsibility of the clinician to prepare teeth that require banding before forwarding the models to the laboratory.

Functional Appliances:
All Functional appliances require upper and lower stone work models.

Frankel, I, II, and V: Construction bite with the mandible advanced 2-4mm and a 3mm vertical opening in the posterior segment.

Frankel III: Construction bite with edge-to-edge incisal relationship, vertical opening-incisal clearance.

Frankel IV: Construction bite with centric relation; 1mm opening in the bicuspid area.

Standard Activator: Construction bite with edge-to-edge relationship, 8-10mm posterior vertical opening.

Expansion Activator: Construction bite with edge-to-edge relationship, 7-12mm posterior vertical opening.

Bionator I "to open": Construction bite with edge-to-edge relationship, 3mm anterior vertical opening.

Bionator II "to close": Construction bite with edge-to-edge relationship, 3mm posterior vertical opening.

Bionator "to maintain": Advance mandible as desired, vertical opening 2mm interincisally and 2mm at molars.

Twin Block: Construction bite with 5-7mm advancement, 3-5mm vertical opening in pre-molar/bicuspid area.

Acrylic Splint Herbst®*: Construction bite with initial mandibular advancement 3-4mm, 2-3mm anterior vertical opening.

Cantilever Herbst®*: Initial mandibular advancement 3-4mm, no vertical opening necessary.

Positioners:
Upper mounted stone model and lower stone model.

Bite Registration:

• Class I/Class II Functional-single centric relation bite 1mm from first contact.
• Class II Intraoral Advancement-wax reference in advance position (use molars as reference).

Removable Appliances:
Plaster or stone upper and/or lower work model(s). Thickness of the base should be 7mm in the deepest portion of the palatal area. Opposing model and bite registration should be included with any case when bite plates or occlusal coverage are requested or where occlusal interference may be a concern.

Sagittal: Construction bite should represent a centric relation; 2-3mm posterior vertical opening.

Sleep Apnea:
Upper and lower stone models. Midlines should be in the same relation as it is in centric.

Bite Recommendations:
Klearway: Open incisally and advance mandible approximately 65% or 2/3 the distance from centric occlusion to full protrusive.

Herbst®*: Open bite 4-5mm incisally and advance mandible to desired protrusive position.

NAPA: Open bite 4-5mm incisally and mandibular advancement approximately 1/2 to 3/4 the distance from centric occlusion to full protrusive.

Elastomeric: Open 4-5mm incisally and mandibular advancement approximately 1/2 to 2/3 the distance from centric occlusion to full protrusive.

Splints:
Upper and lower stone models, facebow mounted models are preferred and will assure a more accurate appliance. Construction bite should represent vertical opening desired, minimum 2mm.

Prescription forms must accompany all cases. For your convenience, you can download a prescription form by clicking on the link below. If you prefer, we will mail or fax them to you. Just click on the Supply Request Form or call us at 800-828-7626 or 716-871-1161 (Monday-Friday 8:00 a.m. to 5:00 p.m.), and ask for a Laboratory Customer Service representative.

Supply Request Form

IMPORTANT: Retain a copy of your completed prescription

Aligner Appliance Rx	(Actual size: 8-1/2" x 14" paper)
Athletic Mouthguard/Bleaching Tray Rx
Diagnostic Study Model Rx
Elastodontic/Positioner Rx	(Actual size: 8-1/2" x 14" paper)
Functional/Active Plate Rx	(Actual size: 8-1/2" x 14" paper)
Herbst®* Appliance and Acrylic Rx	(Actual size: 8-1/2" x 14" paper)
Metal Appliance Rx
Perio Protect™ Tray Rx
Removable Appliance Rx	(Actual size: 8-1/2" x 14" paper)
Snoring/Sleep Apnea Rx	(Actual size: 8-1/2" x 14" paper)
Splint Rx	(Actual size: 8-1/2" x 14" paper)
Twin Block Rx
In order to view these forms you will need Acrobat Reader installed on your computer which is available as a Free Download here.

U.S. Customers:
Great Lakes provides postage paid U.S. Priority mailing supplies for forwarding your cases to our laboratory. All cases are returned via UPS (United Parcel Service) unless otherwise requested.

U.P.S. 2-Day "On Call" service is also available for traceable forwarding of cases to the laboratory. An additional fee per box will be added and your case will automatically be returned U.P.S. 2-Day Air at no further expense. The fees charged are substantially less than actual costs and compared to other commercial laboratories.

Canadian Customers:
When forwarding cases to the laboratory, send them prepaid or billed directly to your office at:

Great Lakes Orthodontics, Ltd. c/o K & N Customs 1243 Garrison Road Unit #4 Fort Erie, Ontario L2A 1P2

We will return all cases via UPS World Wide Express

Overseas Customers:
Cases can be forwarded to the laboratory freight billed directly to your office or pre paid via the courier of your choice. If you select U.P.S. Worldwide Express, our standard courier, you may choose the freight collect option on the way bill. We receive discounts due to Great Lakes' high volume usage with U.P.S. These discounts for incoming or outgoing freight are passed on to you.

All freight charges, tax, and duty will be applied to your account approximately two weeks after the shipment date.

Free Shipping Supplies
We provide shipping supplies (boxes, packing materials, mailing labels) for forwarding your cases to our laboratory. Just click on the Supply Request Form link below to e-mail your request, or call us at 800-828-7626 or 716-871-1161 (Monday-Friday 8:00 a.m. to 5:00 p.m.). You may also fax your request to 716-871-0550.

Supply Request Form

U.S. customers:
Postage-paid mailing label

Canadian customers:
Address Label for shipping via courier of your choice

In order to view these forms you will need Acrobat Reader installed on your computer which is available as a Free Download here.