Quick Order Form

Please locate the items below that you want to order from Specialty Appliances. Enter a quantity for each product and then click the 'Add to My Order Request' button at the bottom of the page. You will be able to verify your order request and make changes prior to submitting your request to our Customer Service Department.

Quantity Part # Herbst Mechanisms Packaging Price
90180 Traditional Herbst® Lower Rods - Straight 5/pk $64.00
90181 Traditional Herbst® Lower Rods - Straight 10/pk $128.00
90190 Traditional Herbst® Lower Rods - Offset 5/pk $71.00
91220 Traditional Herbst® Lower Rods - Straight each $13.50
90120 Traditional Herbst Mechanism Set 1 set $61.00
90160 Traditional Herbst® Upper Tubes - Right 5/pk $64.00
90170 Traditional Herbst® Upper Tubes - Left 5/pk $64.00
91200 Traditional Herbst® Upper Tubes - Right each $13.50
91210 Traditional Herbst® Upper Tubes - Left each $13.50
90871 Specialty MiniScope® Mechanism Right Size 18 each $40.00
90872 Specialty MiniScope® Mechanism Left Size 18 each $40.00
90877 Specialty MiniScope® Mechanism Right Size 21 each $40.00
90878 Specialty MiniScope® Mechanism Left Size 21 each $40.00
90880 Specialty MiniScope® Mechanism Right Size 24 each $40.00
90881 Specialty MiniScope® Mechanism Left Size 24 each $40.00
90883 Specialty MiniScope® Mechanism Right Size 27 each $40.00
90884 Specialty MiniScope® Mechanism Left Size 27 each $40.00
90886 Specialty 4-Part MiniScope® Mechanism Right Size 16 each $40.00
90887 Specialty 4-Part MiniScope® Mechanism Left Size 16 each $40.00
90870 Specialty MiniScope® Mechanism Set Size 18 1 set $79.00
90876 Specialty MiniScope® Mechanism Set Size 21 1 set $79.00
90879 Specialty MiniScope® Mechanism Set Size 24 1 set $79.00
90882 Specialty MiniScope® Mechanism Set Size 27 1 set $79.00
90885 Specialty 4-Part MiniScope® Mechanism Set Size 16 1 set $79.00
90901 HTH® Mechanism Right Size 16 each $41.00
90902 HTH® Mechanism Left Size 16 each $41.00
90905 HTH® Mechanism Right Size 18 each $41.00
90906 HTH® Mechanism Left Size 18 each $41.00
90908 HTH® Mechanism Right Size 21 each $41.00
90909 HTH® Mechanism Left Size 21 each $41.00
90911 HTH® Mechanism Right Size 24 each $41.00
90912 HTH® Mechanism Left Size 24 each $41.00
90900 HTH® Mechanism Set Size 16 1 set $82.00
90904 HTH® Mechanism Set Size 18 1 set $82.00
90907 HTH® Mechanism Set Size 21 1 set $82.00
90910 HTH® Mechanism Set Size 24 1 set $82.00
90790 Flip-Lock® Arm - Left each $34.00
90791 Flip-Lock® Arm - Left 5/pk $147.00
90795 Flip-Lock® Mechanism Set 1 set $89.00
90800 Flip-Lock® Arm - Right each $34.00
90801 Flip-Lock® Arm - Right 5/pk $147.00
90810 Flip-Lock® Rod - Lower each $34.00
90814 Flip-Lock® Rod - Lower 10/pk $177.00
Quantity Part # Advancement Shims Packaging Price
90241 Traditional Round Shim Kit 1 kit $129.00
90200 Traditional Round Shims 1mm 10/pk $17.50
90210 Traditional Round Shims 2mm 10/pk $17.50
90220 Traditional Round Shims 3mm 10/pk $17.50
90230 Traditional Round Shims 4mm 10/pk $17.50
90240 Traditional Round Shims 5mm 10/pk $17.50
90136 Traditional Crimpable Shim Kit 1 kit $131.00
91054 Traditional Crimpable Shims 2mm 10/pk $20.00
91055 Traditional Crimpable Shims 3mm 10/pk $20.00
91056 Traditional Crimpable Shims 4mm 10/pk $20.00
91057 Traditional Crimpable Shims 1mm 10/pk $20.00
90137 Telescoping Crimpable Shim Kit 1 kit $142.00
91046 Telescoping Crimpable Shims 2mm 10/pk $22.50
91047 Telescoping Crimpable Shims 1mm 10/pk $22.50
91048 Telescoping Crimpable Shims 3mm 10/pk $22.50
91049 Telescoping Crimpable Shims 4mm 10/pk $22.50
90285 Herbst Shim Crimping Pliers each $92.00
91061 Telescoping Crimpable Shim Guides 2mm 2/pk $8.00
91062 Telescoping Crimpable Shim Guide 3mm 2/pk $8.00
91063 Telescoping Crimpable Shim Guide 4mm 2/pk $8.00
91058 Traditional Crimpable Shim Guides 2mm 2/pk $8.00
91059 Traditional Crimpable Shim Guide 3mm 2/pk $8.00
91060 Traditional Crimpable Shim Guide 4mm 2/pk $8.00
Quantity Part # Herbst Screws & Tools Packaging Price
90090 Traditional Herbst 5.5mm Hex Screws 10/pk $46.00
90070 Traditional Herbst® Hex Screws 10/pk $39.50
91050 Traditional Herbst® Hex Screws each $3.95
90080 Traditional Herbst® Shoulder Screws 10/pk $46.00
90873 Herbst® AppleCore® Screws 10/pk $42.00
90570 Ball-End Hex Wrench each $10.00
90571 Hex Wrench with Handle each $10.00
90130 Herbst® Hex Wrench 10/pk $17.00
90460 Ceka Bond 5mL Bottle $36.00
90903 Telescoping Herbst® Replacement Parts Kit 1 kit $239.00
90140 Traditional Herbst® Replacement Parts Kit 1 kit $131.00
90820 Hex/AppleCore® Screw Comfort Caps 10/pk $16.00
90821 5.5mm Hex Screw Comfort Caps 10/pk $16.00
500-0018 Dr. C. Lynn Davis Crown® Herbst DVD each $12.00
500-0017 Dr. Mike Rogers Banded Herbst® DVD each $12.00
500-0019 Dr. Mike Rogers MiniScope® DVD each $12.00
500-0016 Dr. Terry Dischinger Indirect Bonding DVD each $12.00
Quantity Part # Herbst Pliers Packaging Price
90280 Cantilever Herbst® Pliers each $129.00
90285 Herbst® Shim Crimping Pliers each $92.00
90260 Crown Contouring Plier each $92.00
90250 Dr. Martin Crown Removing Pliers each $92.00
90270 Hilliard Herbst® Hex Removal Pliers each $92.00
90281 Nylon Tip Pliers each $62.00
Quantity Part # Herbst Kits Packaging Price
90127 MiniScope® Herbst®ROC 15 Patient Kit 1 kit $1,999.00
90139 MiniScope® Herbst® 15 Patient Kit 1 kit $1,999.00
90126 Traditional Herbst® ROC 15 Patient Kit 1 kit $1,850.00
90138 Traditional Herbst® 15 Patient Kit 1 kit $1,850.00
91672 Telescoping Crown Component - 4UR 5/pk $90.00
91673 Telescoping Crown Component - 5UR 5/pk $90.00
91674 Telescoping Crown Component - 6UR 5/pk $90.00
91675 Telescoping Crown Component - 7UR 5/pk $90.00
91676 Telescoping Crown Component - 8UR 5/pk $90.00
91677 Telescoping Crown Component - 4LR 5/pk $110.00
91678 Telescoping Crown Component - 5LR 5/pk $110.00
91679 Telescoping Crown Component - 6LR 5/pk $110.00
91680 Telescoping Crown Component - 7LR 5/pk $110.00
91681 Telescoping Crown Component - 8LR 5/pk $110.00
91682 Telescoping Crown Component - 4UL 5/pk $90.00
91683 Telescoping Crown Component - 5UL 5/pk $90.00
91684 Telescoping Crown Component - 6UL 5/pk $90.00
91685 Telescoping Crown Component - 7UL 5/pk $90.00
91686 Telescoping Crown Component - 8UL 5/pk $90.00
91687 Telescoping Crown Component - 4LL 5/pk $110.00
91688 Telescoping Crown Component - 5LL 5/pk $110.00
91689 Telescoping Crown Component - 6LL 5/pk $110.00
91690 Telescoping Crown Component - 7LL 5/pk $110.00
91691 Telescoping Crown Component - 8LL 5/pk $110.00
91720 Telescoping ROC Crown Component - 4UR 5/pk $90.00
91721 Telescoping ROC Crown Component - 5UR 5/pk $90.00
91722 Telescoping ROC Crown Component - 6UR 5/pk $90.00
91723 Telescoping ROC Crown Component - 7UR 5/pk $90.00
91724 Telescoping ROC Crown Component - 8UR 5/pk $90.00
91725 Telescoping ROC Crown Component - 4LR 5/pk $110.00
91726 Telescoping ROC Crown Component - 5LR 5/pk $110.00
91727 Telescoping ROC Crown Component - 6LR 5/pk $110.00
91728 Telescoping ROC Crown Component - 7LR 5/pk $110.00
91729 Telescoping ROC Crown Component - 8LR 5/pk $110.00
91730 Telescoping ROC Crown Component - 4UL 5/pk $90.00
91731 Telescoping ROC Crown Component - 5UL 5/pk $90.00
91732 Telescoping ROC Crown Component - 6UL 5/pk $90.00
91733 Telescoping ROC Crown Component - 7UL 5/pk $90.00
91734 Telescoping ROC Crown Component - 8UL 5/pk $90.00
91735 Telescoping ROC Crown Component - 4LL 5/pk $110.00
91736 Telescoping ROC Crown Component - 5LL 5/pk $110.00
91737 Telescoping ROC Crown Component - 6LL 5/pk $110.00
91738 Telescoping ROC Crown Component - 7LL 5/pk $110.00
91739 Telescoping ROC Crown Component - 8LL 5/pk $110.00
91611 Traditional Crown Component - 4UR 5/pk $90.00
91612 Traditional Crown Component - 5UR 5/pk $90.00
91613 Traditional Crown Component - 6UR 5/pk $90.00
91614 Traditional Crown Component - 7UR 5/pk $90.00
91615 Traditional Crown Component - 8UR 5/pk $90.00
91616 Traditional Crown Component - 4LR 5/pk $110.00
91617 Traditional Crown Component - 5LR 5/pk $110.00
91618 Traditional Crown Component - 6LR 5/pk $110.00
91619 Traditional Crown Component - 7LR 5/pk $110.00
91620 Traditional Crown Component - 8LR 5/pk $110.00
91621 Traditional Crown Component - 4UL 5/pk $90.00
91622 Traditional Crown Component - 5UL 5/pk $90.00
91623 Traditional Crown Component - 6UL 5/pk $90.00
91624 Traditional Crown Component - 7UL 5/pk $90.00
91625 Traditional Crown Component - 8UL 5/pk $90.00
91626 Traditional Crown Component - 4LL 5/pk $110.00
91627 Traditional Crown Component - 5LL 5/pk $110.00
91628 Traditional Crown Component - 6LL 5/pk $110.00
91629 Traditional Crown Component - 7LL 5/pk $110.00
91630 Traditional Crown Component - 8LL 5/pk $110.00
91700 Traditional ROC Crown Component - 4UR 5/pk $90.00
91701 Traditional ROC Crown Component - 5UR 5/pk $90.00
91702 Traditional ROC Crown Component - 6UR 5/pk $90.00
91703 Traditional ROC Crown Component - 7UR 5/pk $90.00
91704 Traditional ROC Crown Component - 8UR 5/pk $90.00
91705 Traditional ROC Crown Component - 4LR 5/pk $110.00
91706 Traditional ROC Crown Component - 5LR 5/pk $110.00
91707 Traditional ROC Crown Component - 6LR 5/pk $110.00
91708 Traditional ROC Crown Component - 7LR 5/pk $110.00
91709 Traditional ROC Crown Component - 8LR 5/pk $110.00
91710 Traditional ROC Crown Component - 4UL 5/pk $90.00
91711 Traditional ROC Crown Component - 5UL 5/pk $90.00
91712 Traditional ROC Crown Component - 6UL 5/pk $90.00
91713 Traditional ROC Crown Component - 7UL 5/pk $90.00
91714 Traditional ROC Crown Component - 8UL 5/pk $90.00
91715 Traditional ROC Crown Component - 4LL 5/pk $110.00
91716 Traditional ROC Crown Component - 5LL 5/pk $110.00
91717 Traditional ROC Crown Component - 6LL 5/pk $110.00
91718 Traditional ROC Crown Component - 7LL 5/pk $110.00
91719 Traditional ROC Crown Component - 8LL 5/pk $110.00
90152 Stainless Steel Crown Kit 1 kit $525.00
90151 ROC Stainless Steel Crown Kit 1 kit $525.00
Quantity Part # Herbst Component Parts Packaging Price
91520 Lower Right Cantilever Arm -Traditional 5/pk $80.00
91521 Lower Left Cantilever Arm -Traditional 5/pk $80.00
91522 Lower Right Cantilever Arm -Telescoping 5/pk $80.00
91523 Lower Left Cantilever Arm -Telescoping 5/pk $80.00
91695 Upper Right Telescoping Unibodies 5/pk $70.00
91696 Upper Left Telescoping Unibodies 5/pk $70.00
91693 Upper Right Traditional Unibodies 5/pk $70.00
91694 Upper Left Traditional Unibodies 5/pk $70.00
Quantity Part # Pivots, Nuts & Screws Packaging Price
90100 Traditional Herbst® Round Pivots 10/pk $39.50
90105 Triple Flat Center Slot Pivot 10/pk $56.00
90070 Traditional Herbst® Hex Screws 10/pk $39.50
91050 Traditional Herbst® Hex Screws each $3.95
90875 AppleCore® Nuts 10/pk $35.00
90873 Herbst AppleCore® Screws 10/pk $42.00
Quantity Part # Crowns & Bands Packaging Price
90111 Stainless Steel Crowns - 4UR 5/pk $29.50
90112 Stainless Steel Crowns - 5UR 5/pk $29.50
90113 Stainless Steel Crowns - 6UR 5/pk $29.50
90114 Stainless Steel Crowns - 7UR 5/pk $29.50
90115 Stainless Steel Crowns - 8UR 5/pk $29.50
90121 Stainless Steel Crowns - 4LR 5/pk $29.50
90122 Stainless Steel Crowns - 5LR 5/pk $29.50
90123 Stainless Steel Crowns - 6LR 5/pk $29.50
90124 Stainless Steel Crowns - 7LR 5/pk $29.50
90125 Stainless Steel Crowns - 8LR 5/pk $29.50
90131 Stainless Steel Crowns - 4UL 5/pk $29.50
90132 Stainless Steel Crowns - 5UL 5/pk $29.50
90133 Stainless Steel Crowns - 6UL 5/pk $29.50
90134 Stainless Steel Crowns - 7UL 5/pk $29.50
90135 Stainless Steel Crowns - 8UL 5/pk $29.50
90141 Stainless Steel Crowns - 4LL 5/pk $29.50
90142 Stainless Steel Crowns - 5LL 5/pk $29.50
90143 Stainless Steel Crowns - 6LL 5/pk $29.50
90144 Stainless Steel Crowns - 7LL 5/pk $29.50
90145 Stainless Steel Crowns - 8LL 5/pk $29.50
91631 ROC Crowns - 4UR 5/pk $29.50
91632 ROC Crowns - 5UR 5/pk $29.50
91633 ROC Crowns - 6UR 5/pk $29.50
91634 ROC Crowns - 7UR 5/pk $29.50
91635 ROC Crowns - 8UR 5/pk $29.50
91636 ROC Crowns - 4UL 5/pk $29.50
91637 ROC Crowns - 5UL 5/pk $29.50
91638 ROC Crowns - 6UL 5/pk $29.50
91639 ROC Crowns - 7UL 5/pk $29.50
91640 ROC Crowns - 8UL 5/pk $29.50
91641 ROC Crowns - 4LR 5/pk $29.50
91642 ROC Crowns - 5LR 5/pk $29.50
91643 ROC Crowns - 6LR 5/pk $29.50
91644 ROC Crowns - 7LR 5/pk $29.50
91645 ROC Crowns - 8LR 5/pk $29.50
91646 ROC Crowns - 4LL 5/pk $29.50
91647 ROC Crowns - 5LL 5/pk $29.50
91648 ROC Crowns - 6LL 5/pk $29.50
91649 ROC Crowns - 7LL 5/pk $29.50
91650 ROC Crowns - 8LL 5/pk $29.50
Quantity Part # Other Products Packaging Price
90780 Exspider 9mm (Fan) Expansion Screw each $61.00
90760 Mini-Palex Expansion Screw each $24.00
90350 RPE Keys - Plastic 10/pk $21.00
90010 .018 x .025 AW Tubes - Left 10/pk $62.00
90020 .018 x .025 AW Tubes - Right 10/pk $62.00
90030 .022 x .028 AW Tubes - Left 10/pk $62.00
90040 .022 x .028 AW Tubes - Right 10/pk $62.00
90050 .018 x .025 12" Tubing each $24.00
90060 .022 x .028 12" Tubing each $24.00
91800 Extension Archwire Tubes on Bands each $12.00
90045 Universal Archwire Extenders each $8.00
90770 Bondini Glue 1 oz $8.00
90590 CK Crown Scissors each $78.00
90550 Diagonal Wire Cutter each $71.00
90840 Double Sided Diamond Wheel each $38.00
90330 Retainer Case - Small each $1.00
90340 Retainer Case - Large each $1.00
90843 Bracket Card each $4.00
90830 Nitanium Open Coil Spring - .012 x .045 each $20.00
90420 Cope Plastic - .020 25 sheets/pk $28.00
90430 Cope Plastic - .040 25 sheets/pk $29.00
90480 Herbst Kit Box each $7.00







4905 Hammond Industrial Drive, Suite J
Cumming, Georgia 30041

Phone: 678-513-4408     Toll Free: 1-800-522-4636
Fax: 678-513-7345
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