CHROME Patient Records and Rx

Question 1

Single Dentate Arch with opposing Dentate

Answer

Photographs – Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
Maxillary & mandibular master casts or impressions – must capture all land are-as including full vestibule. Must capture full palate if spare denture is to be ordered.
If patient has an existing partial on the surgery arch, capture two
impressions: one with the partial seated, one with the partial removed.
Bite registration – Centric occlusion bite
CBCT — Scan of patient OPEN biting on cotton rolls or the bite fork with PARTIAL OUT OF THE MOUTH. Place cotton rolls between cheeks and teeth for better image.
* Two scans are sent: 1) scan of maxillary arch 2) scan of mandibular arch. Both scan must be captured out of occlusion

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Question 2

Single Dentate Arch with opposing Edentulous

Answer

Photographs – Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
Dentate surgery arch – Master cast—must capture ALL land areas. Must capture full palate if spare denture is to be ordered Edentulous opposing arch – Impression capturing the teeth of the opposing dentition—a crown and bridge impression of the denture.
Bite registration – Suggestion: 3 small bites to tripod the bite registration rather than full arch bite
CBCT – Dual Scan Technique*—place 6 scan markers on the denture (www.suremark.com) or place 6 random gutta percha markers in the pink area of the labia flange.
* Dual Scan definition: one scan of the denture sveated in the mouth IN occlusion. One scan of the denture alone sitting on foam or the chin rest of the scanner, not on plastic. Do not scan the patient alone w/o the denture.
* Two scans are sent: 1) scan of maxillary arch 2) scan of mandibular arch. Both scan must be captured out of occlusion

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Question 3

Single Edentulous with opposing Dentate

Answer

Photographs – Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
Edentulous surgery arch – Use existing denture as a dual scan appliance. Denture must fit perfectly to the tissue and exhibit ideal tooth position. NO soft relines. Must use either hard reline if fit is not ideal, or reline with Blue Mousse impression material for both scans. Place 6 scan markers on the denture (www.suremark.com) or place 6 random gutta percha markers in the pink area of the labial flange.
Dentate opposing arch – Master cast must capture ALL land areas. Must capture full palate if spare denture is to be ordered.
Bite registration – Suggestion: 3 small bites to tripod the bite registration rather than full arch bite.
CBCT – Dual Scan Technique
* Dual Scan definition: one scan of the denture seated in the mouth IN occlusion. One scan of the denture alone sitting on foam or the chin rest of the scanner,
not on plastic. Do not scan the patient alone w/o the denture.
* Two scans are sent: 1) scan of maxillary arch 2) scan of mandibular arch. Both scan must be captured out of occlusion

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Question 4

Single Edentulous with opposing Edentulous

Answer

Photographs – Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
Edentulous surgery arch – Use existing dentures as dual scan appliances (defined below). If patient does not have existing denture(s), fabricate new dentures to completion. If existing dentures are far from ideal, and teeth are not in the proper position, fabricate new dentures.
Denture rules:
- Dentures must fit perfectly to the tissue and exhibit ideal tooth position.
- NO soft relines. Must complete hard reline(s) if fit is not ideal, or reline with Blue Mousse impression material for the dual scan described below.
- Place 6 scan markers on each denture (www.suremark.com) or place 6 random gutta percha markers in the pink area of the labial flanges.
Edentulous opposing arch – Impression capturing the teeth of the opposing dentition—a crown and bridge impression of the denture.
Bite registration – Suggestion: 3 small bites to tripod the bite registration rather than full arch bite.
CBCT – Dual Scan Technique
Dual Scan definition: one scan of the denture seated in the mouth IN occlusion. One scan of the denture alone sitting on foam or the chin rest of the scanner, not on plastic. Do not scan the patient alone w/o the denture.* Two scans are sent: 1) scan of the surgery arch with 6 markers on the denture, IN OCCLUSION 2) scan of the denture alone with markers in exact same positions.

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Question 5

Double Dentate

Answer

Photographs – Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
Maxillary & mandibular master casts or impressions – Must capture ALL land areas is. Must capture full palate if spare denture is to be ordered.
If patient has an existing partial or the surgery arch(es), capture two impressions: one with the partial seated, one with the partial removed.
Bite registration – Centric occlusion bite
CBCT* – 2 Scans of the patient are sent and must exhibit the patient OPEN biting on cotton rolls or the bite fork. Place cotton rolls between cheeks and teeth for better image.
* Two scans are sent: 1) scan of maxillary arch 2) scan of mandibular arch. Both scan must be captured out of occlusion

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Question 6

Double Edentulous

Answer

Photographs – Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
Prepare Dentures – Use existing dentures as dual scan appliances. If patient does not have existing denture(s), fabricate new dentures to completion. If existing dentures are far from ideal, and teeth a not in the proper position, fabricate new dentures.
Denture rules:
- Dentures must fit perfectly to the tissue and exhibit ideal tooth position.
- NO soft relines. Must complete hard reline(s) if fit is not ideal, or reline with Blue Mousse impression material for the dual scan described below.
- Place 6 scan markers on each denture (www.suremark.com) or place 6 random gutta percha markers in the pink area of the labial flanges.
3 CBCT Scans – Must follow the Dual Scan Technique
1. Scan of the maxillary denture alone resting on foam or similar.
2. Scan of the mandibular denture alone resting on foam or similar.
3. Scan of BOTH dentures, in the mouth, in occlusion, not separated, and ensure the scan includes the patient from the chin up to the nasal cavity.
Bite registration – Suggestion: 3 small bites to tripod the bite registration rather than full arch bite.

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Question 7

Double Arch Dentate with opposing Edentulous

Answer

Photographs – Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below.
We suggest capturing photos before taking impressions to keep the lips and teeth clean.
Prepare Denture – Use existing denture as dual scan appliance. If patient does not have existing denture(s), fabricate new dentures to completion.
If existing dentures are far from ideal, and teeth are not in the proper position, fabricate new dentures.
Denture rules:
- Dentures must fit perfectly to the tissue and exhibit ideal tooth position.
- NO soft relines. Must complete hard reline(s) if fit is not ideal, or reline with Blue Mousse impression material for the dual scan described below.
- Place 6 scan markers on each denture (www.suremark.com) or place 6 random gutta percha markers in the pink area of the labial flanges.
3 CBCT Scans – Must follow the Dual Scan Technique
1. Scan of the maxillary denture alone resting on foam or similar.
2. Scan of the mandibular denture alone resting on foam or similar.
3. Scan of BOTH dentures, in the mouth, in occlusion, not separated, and ensure the scan includes the patient from the chin up to the nasal cavity.
Bite registration – Suggestion: 3 small bites to tripod the bite registration rather than full arch bite.