Accurate and detailed patient records are essential to starting a CHROME GuidedSMILE case properly. This page will detail the necessary records for all patient types. Read this page throughly and if you have any questions please call us – 800-228-6663.

This page contains information on the following record aspects:

  1. Patient Records Checklists
  2. Appliance Fabrication (edentulous and mostly edentulous only)
  3. CHROME Photographs

Open the CHROME Rx to start your first case submission.

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Patients Records Checklist

Click the appropriate patient scenario to see appropriate record requirements.

2. Appliance Fabrication

(edentulous and mostly edentulous only)

Fully Edentulous

You may use the patient’s existing denture if the criteria below can be met. If not, duplicate the denture in clear acrylic and adjust as necessary, or fabricate a new denture, which can be used as a back-up for day of surgery.

  • Teeth are proper size, shape & length
  • Occlusion and vertical dimension are properly established
  • No metal components
  • Sufficient thickness (2.5 – 3mm)
  • Buccal flanges of sufficient length for scan markers / support anchor pins
  • Excellent fit to soft tissue
  • Hard reline only‐no soft reline
  • No radio-opaque components or coating (no barium sulfate)

Mostly Edentulous

Scan appliance – JC Try-In (special flipper)

If the patient is missing many teeth, has metal‐based restorations on most of the teeth, or the bite is being opened more than 3mm, order a Scan Appliance. Scan appliance will have dual scan markers. Also can order SureMarks from ROE (or or can add gutta percha markers to some existing appliances.

  • Send models and a bite to ROE with instructions on implant placement and future restorations
  • Doctor receives scan appliance (or JC Try-In), seats and adjusts if there is a rock or ill fit (must fit with NO rock)
  • Perform dual scan protocol

The Dual Scan Process for fully and mostly edentulous

Order SureMarks (1.0mm or 1.5 or 2.0) from ROE or add gutta percha markers

  • 6 SureMarks or gutta percha markers
  • Place half lingual and half buccal
  • Place on varying horizontal planes
  • Place on flange, below gingival plane of the teeth
  • Use a #6 or #8 round bur to a depth of 1mm. Keep markers spherical in shape, no larger than illustrated
  • Fill flush with gutta percha

Patient CBCT Scan Instructions—Dual Scan Protocol

Scan 1

  • Seat appliance(s) and ensure fit with no rocking—if there is a rock, hard reline or adjust until good seating (NO soft relines ever)
  • Fully Edentulous scan appliance—important to bite IN OCCLUSION with No space between the opposing! No bite material, no cotton rolls.
  • Partially Edentulous scan appliance—important to place bilateral cotton rolls and capture the CT
    • Bite with medium pressure and do not move

Scan 2

  • Scan appliance by itself sitting on any type of foam or scan table that is NOT plastic. Must sit above plastic scan table!

1st scan appliance in the mouth

2nd scan appliance alone

3. CHROME Photographs

Related FAQs