1. Edentulous Segment Photographs
Required Views:
Centric occlusion showing the restored tooth or teeth and the embrasures and gingival architecture, including free gingival margins, papillae, and surrounding attached tissue and mucosa. Make a close-up facial view showing no more than three full teeth in one photo. A span of four or more teeth will require at least two photographs.
A right lateral working movement that shows the restored tooth or teeth.
A left lateral working movement that shows the restored tooth or teeth
A protrusive working movement that shows the restored tooth or teeth.
Please do not submit photographs that are not required.

2. Candidate number: {_____} Case Type: Edentulous Segment
Centric Occlusion
Date Photo was taken: {__/__/____}
Patient Initials: ______

3. Candidate number: {______} Case Type: Edentulous Segment
Right Lateral Working
Date Photo was taken: {__/__/____}
Patient Initials: ______

4. Candidate number: {______} Case Type: Edentulous Segment
Left Lateral Working
Date Photo was taken: {__/__/____}
Patient Initials: ______

5. Candidate number: {______} Case Type: Edentulous Segment
Protrusive
Date Photo was taken: {__/__/____}
Patient Initials: ______