Crown Forms ™ Iso-Form Temporary Crowns-3M ESPE MOLAR CROWNS 1st UPPER RIGHT U-60 (777-7617) U-62 (777-3654) U-64 (777-5256) U-66 (777-1535) U-68 (777-5598) QTY Complete Kit Molar #MC-64 (777-0318)...........................64 per Set 28.99 27.99 1st UPPER LEFT U-61 (777-4283) U-63 (777-1649) U-65 (777-6755) U-67 (777-4893) U-69 (777-7846) 1st LOWER RIGHT QTY L-60 (777-0855) L-62 (777-8686) L-64 (777-4515) L-66 (777-4004) L-68 (777-8810) QTY 1st LOWER LEFT L-61 (777-2725) L-63 (777-7690) L-65 (777-4393) L-67 (777-2764) L-69 (777-8086) Complete Kit Bicuspid #BC-64 (777-6120)...................64 per Set BICUSPID CROWNS 1st UPPER RIGHT U-40 (777-1013) U-42 (777-0294) U-44 (777-2986) U-46 (777-0344) U-48 (777-3493) QTY 1st UPPER LEFT U-41 (777-3229) U-43 (777-0937) U-45 (777-9518) U-47 (777-1096) U-49 (777-1135) 1st LOWER RIGHT QTY L-40 (777-7939) L-42 (777-0003) L-44 (777-0028) L-46 (777-0002) L-48 (777-0019) QTY (777-5060) Molar QTY U-70 (777-5013) U-72 (777-9066) U-74 (777-8379) U-76 (777-1398) U-78 (777-4205) 2nd UPPER LEFT QTY U-71 (777-5981) U-73 (777-8902) U-75 (777-6712) U-77 (777-4456) U-79 (777-3405) 2nd LOWER RIGHT 2nd LOWER LEFT QTY QTY L-71 (777-8419) L-73 (777-1803) L-75 (777-8321) L-77 (777-0808) L-79 (777-8208) L-70 (777-5778) L-72 (777-6839) L-74 (777-5747) L-76 (777-6527) L-78 (777-2575) 333.99 1st LOWER LEFT L-41 (777-0001) L-43 (777-0009) L-45 (777-0089) L-47 (777-0006) L-49 (777-0060) Stretch Blocks ..................................................Ea. Specify: Bicuspid 2nd UPPER RIGHT QTY 333.99 CROWN & BRIDGE Replacement Crowns.........5 per Box 10 Boxes @ 2nd UPPER RIGHT QTY QTY U-50 (777-3618) U-52 (777-4890) U-54 (777-7817) U-56 (777-5684) U-58 (777-5886) 2nd UPPER LEFT QTY U-51 (777-1534) U-53 (777-5589) U-55 (777-4920) U-57 (777-8120) U-59 (777-8764) 2nd LOWER RIGHT QTY L-50 (777-0191) L-52 (777-1938) L-54 (777-9691) L-56 (777-2853) L-58 (777-8991) 2nd LOWER LEFT QTY L-51 (777-0608) L-53 (777-6177) L-55 (777-0895) L-57 (777-9094) L-59 (777-8663) 36.99 (777-5847) Stainless Steel Crowns-3M ESPE Replacement Crowns ............5 per Box 10 Boxes @ SIZE PRIMARY MOLAR CROWNS UPPER LEFT UPPER RIGHT QTY 1st 1st 1st 1st 1st 1st 2nd 2nd 2nd 2nd 2nd 2nd 41.99 40.99 D-UL-2 (777-0793) D-UL-3 (777-2527) D-UL-4 (777-8055) D-UL-5 (777-5679) D-UL-6 (777-8104) D-UL-7 (777-5835) E-UL-2 (777-1210) E-UL-3 (777-3857) E-UL-4 (777-2296) E-UL-5 (777-7319) E-UL-6 (777-3333) E-UL-7 (777-0625) LOWER LEFT QTY D-UR-2 (777-5159) D-UR-3 (777-6446) D-UR-4 (777-0550) D-UR-5 (777-1753) D-UR-6 (777-5588) D-UR-7 (777-7814) E-UR-2 (777-6009) E-UR-3 (777-9156) E-UR-4 (777-9189) E-UR-5 (777-9294) E-UR-6 (777-9629) E-UR-7 (777-0697) Fax: 800.732.7023 24 Hours LOWER RIGHT QTY D-LL-2 (777-8601) D-LL-3 (777-7419) D-LL-4 (777-3651) D-LL-5 (777-1639) D-LL-6 (777-5224) D-LL-7 (777-6653) E-LL-2 (777-1992) E-LL-3 (777-6350) E-LL-4 (777-0244) E-LL-5 (777-0777) E-LL-6 (777-2476) E-LL-7 (777-7892) QTY D-LR-2 (777-4911) D-LR-3 (777-5656) D-LR-4 (777-8030) D-LR-5 (777-5599) D-LR-6 (777-7849) D-LR-7 (777-5022) E-LR-2 (777-2221) E-LR-3 (777-7080) E-LR-4 (777-2571) E-LR-5 (777-8195) E-LR-6 (777-6125) E-LR-7 (777-9526) Complete Kits Primary Molar #ND-96 (777-6167) .......................96 per Set Permanent Molar #PO-96 (777-0369) .......................96 per Set 664.99 Replacement Crowns .....5 per Box 10 Boxes @ 41.99 40.99 664.99 PERMANENT MOLAR CROWNS UPPER LEFT UPPER RIGHT QTY 6-UL-2 (777-8039) 6-UL-3 (777-5628) 6-UL-4 (777-7941) 6-UL-5 (777-5315) 6-UL-6 (777-6943) 6-UL-7 (777-2134) LOWER LEFT QTY 6-UR-2 (777-1176) 6-UR-3 (777-3748) 6-UR-4 (777-1948) 6-UR-5 (777-6209) 6-UR-6 (777-9793) 6-UR-7 (777-1220) LOWER RIGHT QTY 6-LL-2 (777-6802) 6-LL-3 (777-1685) 6-LL-4 (777-5371) 6-LL-5 (777-7122) 6-LL-6 (777-2705) 6-LL-7 (777-8622) QTY 6-LR-2 (777-3889) 6-LR-3 (777-2398) 6-LR-4 (777-7644) 6-LR-5 (777-4369) 6-LR-6 (777-3928) 6-LR-7 (777-2522) Crown Forms continued on next page. 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