CHROME GuidedSMILE begins with general dentistry records and a cone beam CT scan. Dentate cases simply require master casts, with the full vestibule captured, a bite registration, 4 specific photographs and a CT Scan with the patient out of occlusion. Edentulous cases require the dual scan protocol with a well fitting denture, opposing model, bite and the 4 photographs. Double edentulous only needs upper and lower dual scans of the denture and the photos. Many cases do require an increase in the vertical. If more than 3mm, we ask for a CR bite, or we will fabricate a diagnostic tool called the JC Try-In.
Getting Started with CHROME GuidedSMILE
First time CHROME user?
Welcome to CHROME GuidedSMILE. If you have not yet completed a CHROME case, we recommend reviewing this site’s instructional videos and many pages of information. Then, please contact us to have a conversation with one of our specialists. We can meet with you online and have a dialog about the wonderful benefits of CHROME and discuss a specific case. Our experienced team of technicians, customer service, and chairside experts are here to support you. Call us when you are ready at 800-228-6663.
Patient Consultation – ‘See Your Smile Before Surgery’ Technology with PreVu Smiles
The first step to beginning a CHROME case is educating the patient on the need and benefit of the surgery. One of best tools is our PreVu smile simulation service. There are no smiles like PreVu smiles. They are beautiful, designed from special CHROME tooth libraries, and a highly convincing method for patient decision making. While the patient is in the chair, your team can quickly show the patient what the end result of surgical process will look like. This has proven to be a vital step in educating the patient of the power of CHROME GuidedSMILE.
Stage 1: Gathering the right patients records
Beginning the process with the right patient records is the key to success of a CHROME case. The records all follow general dentistry protocols. Dentate against dentate, dentate against edentulous, edentulous against edentulous all require different records. Patients with collapsed bites, few remaining teeth, mal-occlusion, and other situations are applicable for CHROME, but require different records. We will help you with every case. Simply call to discuss your patient, or email photographs to firstname.lastname@example.org and we’ll have a chat. Knowing the patient record requirements in advance often allows you to see the patient just once to launch CHROME.
Stage 2: Laboratory Case Work-up
Once all the records are received, the ROE CHROME team completes a full analysis, ensuring the case is ready to move forward with planning. During this phase, we will be in contact with any observations or issues impeding case planning. ROE then completes a PreVu smile simulation, when required, a complete digital set-up, and the implant and bone reduction planning. During this phase you will receive an email or phone call to make arrangements to meet on line for the live planning session.
Stage 3: The Live, Online Planning Session
During the work up stage you will receive and email or phone call to set up the live planning session. We host a web meeting to review the pre-planned prosthetic, implant positions, bone reduction, angulation of abutments, and more. This one-on-one session with one of our experienced CHROME technicians is intended to ensure that we are on the same page with your goals, and that CHROME can move forward with production. Once the meeting is complete, schedule the patient’s surgery date. ROE requires just 10 laboratory days from this point. Please do not schedule surgery before the planning session day. Please allow a buffer of 2 or more days between receiving the case to surgery.
Stage 4: Day of Surgery
A CHROME case is received by the office and inspected. The case arrives with ‘pre-surgical instructions’ to be reviewed. The office team ensures the correct implants, abutments and temporary cylinders have been ordered and received. Please order double temp cylinders in order to pick up the RAPID appliance. Normal cold sterilization should be utilized on the day of surgery (heat sterilization should never be used). Overall, CHROME follows many normal guided surgery protocols. Please watch our videos and follow the instructions, and for your first case, invite one of our CHROME chairside specialists to attend the surgery for guidance. There is a fee for this service but it is well worth it. Our goal is to teach you and your staff to not need the lab for full arch conversion.
Stage 5: Convert to Final
CHROME is a wonderful service that sets up simple stages to the final conversion. In fact, if time is taken during surgery to pick up the RAPID appliance, the final conversion can be completed in just two appointments in come cases. Using either the RAPID appliance, or our digital iJIG protocol, 2-3 appointments to achieve the final restoration are the simplest in the industry.