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Getting started with ROE’s surgical guides

Workflow Steps

 

Step 1 - Understand the records you need for CT planning

Step 2 - Export and send us your DICOM

Step 3 - Upload your case

Step 4 - Sign our Master Surgical Agreement

 

From here, ROE will:

  • Design the surgical guide
  • Conduct an online meeting with you for design approval and sign-off
  • Create and mail to you your surgical guide
 
ROE makes this process simple through more than 15 years of surgical guide experience.

Surgical Guide Decision Tree

Whether you are restoring a single implant-supported crown, a bridge, a hybrid, an overdenture, or a GuidedSMILE or guided All-ON-4 type case, this decision tree will walk you through the steps of collecting records.
 
 
 

IMPORTANT CBCT SCANNING TIPS – MUST READ:

Dentate – Always separate the arches with cotton rolls, bite stick or CT equipment bite fork for the scans. NEVER in occlusion! If the patient has MOSTLY metal-based restorations, send models to ROE for scan appliance fabrication!

 

Mostly Edentulous – If the bite cannot be determined 100%, order bite blocks, a set-up, then a scan appliance.

 

Fully Edentulous – MUST be in occlusion. DO NOT Separate Arches with anything! Must use a scan appliance – can be the patients’ existing denture(s) with markers, if the fit is excellent, the teeth are close to acceptable position, and NO soft relines.

* Please allow ROE to fabricate scan appliances when they are required. Ideal design, thickness, radiopaque marker position, and size are critical for a successful outcome. The exception would be adding radiopaque markers to an existing denture.

 
Scan Appliance Full Arch

The Scan Appliance for the fully edentulous patient is a denture, or a clear duplicate of a denture. It is imperative that the fit is excellent and that the teeth are close to an accepted position.

Place 6 SureMarks (www.suremark.com) randomly on the tongue side of the denture, or Gutta Percha dots using a #5 bur 1mm deep.

Scan the appliance in the mouth, fully seated, IN OCCLUSION. Then scan the appliance ALONE in the CBCT scanner sitting on foam or cotton rolls, not on a plastic scan table.

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ROE’s experts are dedicated to elevating your dental practice.
  • Full-service national dental laboratory
  • Comprehensive Certified Dental Laboratory (CDL) services
  • Case planning support from 20+ Certified Dental Technicians
  • Specialists in both fixed, removable, implant and full-arch dentistry
  • Tailored support for all cases, from routine to complex
  • National Association of Dental Laboratories (NADL) member
  • Only FDA-approved materials used
  • All products made in the USA
  • Thousands of free online education materials