since 1926
dentures

 

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CT Planning How To ROE Dental LabExport DICOM ROE Dental Lab CT PLanningupload dicom roedentallab.comROE Dental Lab Guided Surgery Basics Join Chrome Group

GuidedSMILE ROE Dental Laboratory

 

Introducing GuidedSMILE CHROME - DIGITAL, FULL-ARCH GUIDED RECONSTRUCTION

Preplanned Bone Reduction / Osteotomy Guidance / Abutment Placement / Prosthetics

No binding and bending of plastic - CHROME Fixation Base create utilizing SLM technology

No more blind drilling - CHROME allows visualization of the drill as implants enter the bone

No more lengthy conversions - GuidedSMILE conversion take just minutes to perform

Complete confidence - digital workflow and guide expertise is delivered by ROE

GuidedSMILE was developed for dentists who desire a preplanned, predictable guided All-On-X style surgery. This amazing service delivers anchored bite verification, anchored bone reduction, anchored site drilling, accurate anchored provisionalization, and a method of transferring all surgical and restorative information for the final restorative conversion phase. Most cases simply require a CT scan and traditional records. Call to discuss your case.

The process, the product, the surgery is straightforward!

GuidedSMILE ROE Dental Laboratory


GuidedSMILE CHROME is a 4-Guide System

1 Pin guide - Utilizes teeth or tissue to deliver the Fixation Base (CR/CO SLM)

Dentate Pin Guide is fully seated on the patients existing dentition. Once verified via occlusal windows, the horizontal sites are drilled and anchored. Anchor pins are fully seated, verified, and the Pin Guide is removed.

Dentate

Pin Guide is fully seated on the patients existing dentition. Once verified via the two occlusal windows, the horizontal sites are drilled and anchored. Anchor pins are fully seated, verified and the guide is removed.

GuidedSMILE Pin Guide

Edentulous Edentulous Pin Guide is a digital duplicate of the patients existing denture. This tissue-supported guide is used to deliver the Fixation Base. Pay careful attention to the instructions on flapping - included with each case. This is critical to a successful delivery of CHROME.

GuidedSMILE Pin Guide

2 Fixation Base – A rigid guide that remains anchored throughout the surgery. Used to guide bone reduction, support the osteotomy guide and deliver the nano-ceramic provisional. It is anchored via custom surgical drill and pins. This guide floats around and does not contact the bone – a unique and fundamental design.

GuidedSMILE Bone Reduction Guide

3 Ostetomy Guide - used in conjunction with the Implant Guided Kit

GuidedSMILE Osteotomy Guide

4 Carrier Guide - used to ensure enough bone reduction was completed, then used to simulate tissue gap, angle abutment rotation, and deliver the PMMA temporary.

GuidedSMILE PMMA Guide


5 PMMA Prosthetic Delivery Guided teeth are connected to the Carrier Guide via two male posts. PMMA is then luted to the Temp Cylinders via special pick up / blockout material.

GuidedSMILE PMMA RAPID

6 OPTIONAL - The RAPID is duplicate pick-up used as a up transfer for the final restoration records. RAPID is still available, but has been replaced by the iJIG conversion prosthetic (see CHROME Getting Started to the right) Once the patient is ready for the final, perform a pick-up impression, with tray adhesive on the tissue side, using medium PVS. Send this pick-up to ROE and it will be utilized to transfer all records to the laboratory, and even to design the final.

GuidedSMILE PMMA RAPID

GuidedSMILE Training Videos
These videos are not intended to teach implant placement or guided surgery. They are intended to train GuidedSMILE Chrome use only.

Maxillary Dentate w/ Hex Timing

Maxillary Dentate - Limited Space

Mandibular Dentate w/ RAPID Appliance

 

Double Arch - Edentulous / Dentate


Available Shades for PMMA


Nano Ceramic PMMA
 

 

GuidedSMILE Work-Up Protocol, Documents and Links:


Step 1:

a. Complete our on-line Rx to provide ROE with complete case information: upload DICOM / Photograph (full face, full natural smile) as 'Documents' through this Rx web page: LINK web site portal

b. Send master casts, bite registration (CO and/or CR), and/or digital impressions, study casts – print UPS label here.

c. Send MSGA - Master Surgical Guide Agreement with first case (required to begin)

- Required - GuidedSMILE Work Authorization required for all cases (on line or White Paper)
- Optional - Esthetic & Functl Checklist include please if ROE is significantly changing tooth arrangement, or a new denture set-up is needed.

Step 2: Meet ROE on line for implant and guide planning (allow 5 days after receiving all materials) Link

Step 3: Sign and return the TPA Treatment Plan Report – via fax or scan and email

Step 4: Receive the GSI Surgical Information Form to order parts and review surgery – via email

Step 5: Receive guide (ROE will ship within 10 days of the signed TPA Treatment Plan Report)


Notes on preparring for and capturing the CT Scan.

If your patient is dentate, follow the above steps, and capture a CT scan with the patient opened biting on cotton rolls.

If patient is edentulous, and the existing denture fits well and the tooth arrangement is accepted, convert into a scan appliance (instructions page 6). Perform a dual scan using the protocol in our manual. If edentulous patients needs to establish tooth position and vertical, begin conventional denture steps to create a scan appliance.

We are always available to discuss your case. Call 800 228 6663 and ask for the CT Department and reference GuidedSMILE.

 




Digital Impression:

digital impressions guidedsmile

ROE accepts all digital impressions. Here are your options:

3Shape - must use 3Shape Communicate - ROE's email is trios@roedentallab.com to open a connection

Cadent iTero - must use Cadent's portal, just search for ROE to add connection

E4D - either use the Model Export function in Romexis to export files to the desktop and upload through our portal along with your DICOM, or use DDX (not dependable)

Sirona - either export a DXD file to your desktop and upload through our portal for ROE to convert, or us Cerec Connect to upload to ROE

3M TDS - must us 3M's portal

Carestream 3500, 3600 - export .stl to desktop and upload to our portal, or use DDX (not dependable)