1. Photographs Required Views- Single tooth and Edentulous Segment Cases  Centric Occlusion  Right Lateral Working  Left Lateral Working  Protrusive Working All photographs must comply with applicable patient privacy laws Do not submit any photographs that are not required.

2. Photographs Required Views- Edentulous Cases  Frontal  Protrusive  Occlusal View of the Arch that was Restored  Lateral View in Centric Occlusion, left For cases that include a removable prosthesis, three additional photographs are required:  An occlusal view of the superstructure without the removable prosthesis in place.  A frontal view of the superstructure without the removable prosthesis in place.  A view of the intaglio (tissue side) surface of the removable prothesis. All photographs must comply with applicable patient privacy laws Do not submit any photographs that are not required.  Lateral View in Centric Occlusion, right  Lateral View of left working  Lateral View of right working

3. Candidate number: { } Case Type: { } Single Tooth - Centric Occlusion View Date Photo was taken: {01/01/2000} Patient Initials: ______

4. Candidate number: { } Case Type: { } Single Tooth - Right Lateral Working View Date Photo was taken: {01/01/2000} Patient Initials: ______

5. Candidate number: { } Case Type: { } Single Tooth - Left Lateral Working View Date Photo was taken: {01/01/2000} Patient Initials: ______

6. Candidate number: { } Case Type: { } Single Tooth - Protrusive Working View Date Photo was taken: {01/01/2000} Patient Initials: ______

7. Candidate number: { } Case Type: { } Edentulous - Frontal Date Photo was taken: {01/01/2000} Patient Initials: ______

8. Candidate number: { } Case Type: { } Edentulous – Protrusive Date Photo was taken: {01/01/2000} Patient Initials: ______

9. Candidate number: { } Case Type: { } Edentulous – Occlusal View of the arch Date Photo was taken: {01/01/2000} Patient Initials: ______

10. Candidate number: { } Case Type: { } Edentulous – Lateral View in centric occlusion left Date Photo was taken: {01/01/2000} Patient Initials: ______

11. Candidate number: { } Case Type: { } Edentulous – Lateral View in centric occlusion right Date Photo was taken: {01/01/2000} Patient Initials: ______

12. Candidate number: { } Case Type: { } Edentulous – Lateral View of left working Date Photo was taken: {01/01/2000} Patient Initials: ______

13. Candidate number: { } Case Type: { } Edentulous – Lateral View of right working Date Photo was taken: {01/01/2000} Patient Initials: ______