• Identifying the patient's current status via the questions below

  • Digital Records Steps

    What to send to the lab:

    1. Maxillary and Mandibular master cast and a bite registration
      • if restoring 1 or 2 implants and vertical space is not in question, opposing and bite are not needed* 
      • if restoring anterior teeth or 3-4 adjacent implants, send study model if available
    2. DICOM (Multi File, RAW, uncompressed - a folder with 80 - 300 files with extension .dcm)

    *when including immediate restorations, opposing and bite are required

  • Digital Records Steps

    What to send to the lab:

    1. Maxillary and Mandibular master cast and a bite registration
      • if restoring 1 or 2 implants and vertical space is not in question, opposing and bite may not be needed*
      • if restoring anterior teeth or 3-4 adjacent implants, send study model if available
    2. Submit a CT Order Form requesting a Scan Appliance

    *when including immediate restorations, opposing and bite are required

    Doctor receives Scan Appliance and captures 2 CT scans

    Steps: Dual Scan Technique

    1. Scan 1 - Scan the Appliance alone sitting on 2 cotton rolls
    2. Scan 2 - Scan the patient with Scan Appliance seated completely with no rock, IN FULL OCCLUSION, not open on a bite stick or cotton rolls.
    3. Upload both sets of DICOM (RAW, uncompressed set of single .dcm files) (place in separate folders labeled PT and APPL inside a master folder with the patient name, zip and upload to through our online portal.

    Notes about Specific 3D Scanners

    • Sirona Galiloes & XG3D owners must purchase the Scan Cylinder from Sirona Part #6299759 and change KV to 70 and MA to 10 for the scan appliance scan. Place the scan appliance inside the scan cylinder on the provided piece of foam and scan.
    • Planmeca owners must change the KV to 70 and MA to 10 for the scan appliance scan.
    • Kodak 9000 owners must change both scan settings. Patient scan set KV to 75 and MA to 10. Scan Appliance Stitched scan KV t0 80 and MA to 2.

  • Digital Records Steps

    What to send to the lab:

    1. Maxillary and Mandibular master cast and a bite registration, study model if available

    2. CT Order Form requesting a Scan Appliance

    Doctor receives Scan Appliance and captures 2 CT scans

    Steps: Dual Scan Technique

    1. Scan 1 - Scan the Appliance alone sitting on 2 cotton rolls
    2. Scan 2 - Scan the patient with Scan Appliance seated completely with no rock, biting on cotton rolls
    3. Upload both sets of DICOM (RAW, uncompressed set of single .dcm files) (place in separate folders labeled PT and APPL inside a master folder with the patient name, zip and upload to through our online portal.

    Notes about Specific 3D Scanners

    • Sirona Galiloes & XG3D owners must purchase the Scan Cylinder from Sirona Part #6299759 and change KV to 70 and MA to 10 for the scan appliance scan. Place the scan appliance inside the scan cylinder on the provided piece of foam and scan.
    • Planmeca owners must change the KV to 70 and MA to 10 for the scan appliance scan.
    • Kodak 9000 owners must change both scan settings. Patient scan set KV to 75 and MA to 10. Scan Appliance Stitched scan KV t0 80 and MA to 2.

  • Digital Records Steps

    Denture must be prepared for scanning.

    • Option 1: Call and order Radiopaque Markers from ROE. Place six in sticky wax on the tongue side randomly.
    • Option 2: Place 6 Gutta Percha points on the tongue side of the denture randomly in the pink area using #5 or similar bur to create a 1mm dimple.

     

    Doctor receives Scan Appliance and captures 2 CT scans

    Steps: Dual Scan Technique

        1. Scan 1 - Scan the Appliance alone sitting on 2 cotton rolls
        2. Scan 2 - Scan the patient with Scan Appliance seated completely with no rock, IN FULL OCCLUSION, not open on a bite stick or cotton rolls.
        3. Upload both sets of DICOM (RAW, uncompressed set of single .dcm files) (place in separate folders labeled PT and APPL inside a master folder with the patient name, zip and upload to through our online portal.

    Notes about Specific 3D Scanners

      • Sirona Galiloes & XG3D owners must purchase the Scan Cylinder from Sirona Part #6299759 and change KV to 70 and MA to 10 for the scan appliance scan. Place the scan appliance inside the scan cylinder on the provided piece of foam and scan.
      • Planmeca owners must change the KV to 70 and MA to 10 for the scan appliance scan.
      • Kodak 9000 owners must change both scan settings. Patient scan set KV to 75 and MA to 10. Scan Appliance Stitched scan KV t0 80 and MA to 2.

  • Digital Records Steps

    Phase 1: Remove soft liner and complete a hard reline. Ensure denture seats with no rock.

    Phase 2: Denture must be prepared for scanning.

    • Option 1: Call and order Radiopaque Markers from ROE. Place six in sticky wax on the tongue side randomly.
    • Option 2: Place 6 Gutta Percha points on the tongue side of the denture randomly in the pink area using #5 or similar bur to create a 1mm dimple.

     

    Doctor receives Scan Appliance and captures 2 CT scans

    Steps: Dual Scan Technique

        1. Scan 1 - Scan the Appliance alone sitting on 2 cotton rolls
        2. Scan 2 - Scan the patient with Scan Appliance seated completely with no rock, IN FULL OCCLUSION, not open on a bite stick or cotton rolls.
        3. Upload both sets of DICOM (RAW, uncompressed set of single .dcm files) (place in separate folders labeled PT and APPL inside a master folder with the patient name, zip and upload to through our online portal.

    Notes about Specific 3D Scanners

      • Sirona Galiloes & XG3D owners must purchase the Scan Cylinder from Sirona Part #6299759 and change KV to 70 and MA to 10 for the scan appliance scan. Place the scan appliance inside the scan cylinder on the provided piece of foam and scan.
      • Planmeca owners must change the KV to 70 and MA to 10 for the scan appliance scan.
      • Kodak 9000 owners must change both scan settings. Patient scan set KV to 75 and MA to 10. Scan Appliance Stitched scan KV t0 80 and MA to 2.

  • Digital Records Steps

    Phase 1: Work with ROE to fabricate a new denture

    • Option 1 - If a new denture is to be used as the final prosthesis, fabricate denture to completion to also be used as the scan appliance. Go to options below.
    • Option 2 - ROE fabricates a duplicate clear denture ready for scanning

    If using a different laboratory for denture fabrication, complete one of the two options below to transform it into a scan appliance.

    • Option 1: Call and order Radiopaque Markers from ROE. Place six in sticky wax on the tongue side randomly.
    • Option 2: Place 6 Gutta Percha points on the tongue side of the denture randomly in the pink area using #5 or similar bur to create a 1mm dimple.

    Doctor receives Scan Appliance and captures 2 CT scans

    Phase 2: Dual Scan Technique

        1. Scan 1 - Scan the Appliance alone sitting on 2 cotton rolls
        2. Scan 2 - Scan the patient with Scan Appliance seated completely with no rock, IN FULL OCCLUSION, not open on a bite stick or cotton rolls.
        3. Upload both sets of DICOM (RAW, uncompressed set of single .dcm files) (place in separate folders labeled PT and APPL inside a master folder with the patient name, zip and upload to through our online portal.

    Notes about Specific 3D Scanners

      • Sirona Galiloes & XG3D owners must purchase the Scan Cylinder from Sirona Part #6299759 and change KV to 70 and MA to 10 for the scan appliance scan. Place the scan appliance inside the scan cylinder on the provided piece of foam and scan.
      • Planmeca owners must change the KV to 70 and MA to 10 for the scan appliance scan.
      • Kodak 9000 owners must change both scan settings. Patient scan set KV to 75 and MA to 10. Scan Appliance Stitched scan KV t0 80 and MA to 2.

  • Digital Records Steps

    Questions:

    • Are you reducing bone? We suggest our CombiGuide for this type of surgery.
    • Are you fabricating an immediate prosthesis? Send models and the final bite for ROE to fabricate.
    • Does the patient have the labial bone to allow for a hybrid? We can discuss this from mounted casts.
    • Does the patient have the vertical space to support a hybrid? If not try our Pretteau Bridge (TLZ-IB)
    • Does the patient's smile line hide the transition from hybrid plastic to nature tissue? Send photographs with the models so we can help you determine.

    We are very happy to discuss all these questions and more. Call any time.

    When ready to proceed:

    If requesting the surgical guide only (and bone reduction guide)

    1) Send/Upload DICOM only (Multi File, RAW, uncompressed - a folder with 80 - 300 files with extension .dcm)

    If requesting surgical guide and prosthesis:

    1. Maxillary and Mandibular master casts and a bite registration
    2. DICOM (Multi File, RAW, uncompressed - a folder with 80 - 300 files with extension .dcm)
    3. Denture Esthetic Form completed
    4. 4) Photographs (upload with your DICOM)

    ROE can support you with all your implant guiding and restorative needs. We've been aiding doctors since 2004 and have completed many thousands of case.

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