Dental Sharpening/Repair Order Form

 

Dental Sharpening/Repair

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Qty

Dental Instrument Retipping

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Qty

Scalers/Curettes

$1.25

 

Scalers/Curettes

$3.25

 

Explorers

$1.25

 

Explorers

$3.25

 

Excavators

$1.50

 

Excavator, Sur Curette, Cleoid Disc.

$4.00

 

Carvers

$1.50

 

Dental Probes

$7.00

 

Chisels,hatchets,trimmers

$1.25

 

Other Carvers

$5.00

 

Bone/Oschenbein chisels

$3.50

 

Chisels,hatchets,trimmers

$3.25

 

Scissors

$5.50

 

Pluggers,Burnishers, 

$3.25

 

Serrated Scissors

$7.50

 

Plastic Filling, Composite

$4.00

 

Sharpen Dental Elevators

$3.50

 

Perio Files (large)

$10.00

 

Reshaping Elevators

$4.00

 

Perio Files (small)

$8.25

 

Aspirator Tips (repair & buff)

$8.00

 

Gingivectomy Knives

$10.00

 

Bone Files/Rasps

$3.50

 

Large Elevators & Periostials

$12.00

 

Perio Files

$3.00

 

Small Elevators & Root Tip Pics

$10.00

 

Gingivectomy Knives

$3.50

 

Needle Holder Retipping

$30.00

 

Rongeurs

$15.00

 

#4 Handle replacement

$2.50

 

Extraction Forceps

$6.00

 

#6 Handle replacement for above

$3.00

 

Align Needle Holders

$6.00

 

#11 Handle replacement (Elevator)

$5.00

 

Nippers, Tissue & Cuticle

$8.00

 

Handles are replaced if cracked, plastic, or solid.  List tips that are different than handle markings.

Hemostat Forceps

$6.00

 

Current Markings

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Mirror head Replacement

$2.00

 

 

 

 

Sharpen/Repair Orthodontic

 

 

 

Sharpen Distal/Ligature Cutter

$14.00

 

 

 

 

Bird Beak & Debonding Pliers

$8.00

 

 

 

 

Bracket & Band Removers

$8.00

 

 

 

 

Replace Rest on above

$4.00

 

Handpiece Repair

Utility & How Pliers

$6.00

 

High Speed Handpiece Overhaul

$59.99

 

Retip Distal/Ligature Cutters

$30.00

 

Low speed repair

Quote

 

Keep instruments in sterilization bags for proof of sterilization.  Some repairs may require parts which have additional charges.   Package safely and ship using a reliable carrier with insurance.  Include bus. card, contact name/phone number.  All orders returned UPS Ground, unless otherwise specified (1-4 days depending on location).  Prepayment not required for service orders (net 30 days).  Payment can be made via check, money order, cc (Visa, MC, & Discover).

Dr/Co/Name:

 

Contact:

 

 

Address:

 

 

 

 

City:

 

State/Zip

 

 

Phone:

 

 

Fax:

 

 

 

 

 

UPS Groundo    UPS 2nd Dayo   UPS Next Dayo

Ship to: The Sharpening Company

3702 W. Sample St., Suite 1105, South Bend, IN 46619

Toll Free: 877-4TSharp (487-4277)  Tel: 574-232-9348 Fax: 574-288-9363

Dental & Orthodontic Service