How do you use the RAPID with the Existing Prosthetic?

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The next one is a RAPID, RAPID in existing prosthetic. So the RAPID appliance is kind of a different thing. It’s either from the surgical or we do an, we do a RAPID kinda like a delayed method, or a patient walks in with a prosthetic that needs to be redone. You can see these images here. Look how far the midline is off. Patient has a gummy smile on the lower one. It’s an FP1 on the upper. It works best. It fits an MUA level, implant level of work. But MUA level is what we generally work with. Patient comes in with really just about any situation that you come across. And I took all these pictures, you know, full disclosure, most, almost all these from the internet, but just to give an idea of what, what comes in the office and what you can do with it.

And why did we develop the RAPID appliance technique? Because the traditional methods are tedious, to say the least. You have an appointment for a stock tray, impression comes back for a custom tray. Impression. Second appointment. The third appointment is a fit verification jig and maybe a screw down bite block, probably with us, a screw down bite block. Maybe not tryin on the bottom left, right? So now we got, now we’re at four appointments. On the fifth appointment, we’re, if you’re doing a traditional bar with overdenture, we don’t do many of those anymore, but traditionally that’s what it would’ve been. So, fifth appointment, six appointments, probably a reset, which could be even with some of these more digital processes. And then seventh appointment a final seating. So three and a half to four months, depending on the patient’s schedule.

And what a hassle. I mean, I’ve seen spreadsheets on the math of these, of the, of the cost of chairtime, materials, doctor’s time. It’s incredible. It’s barely profitable at seven appointments. So instead do something else. We’re, we’re suggesting do something else. That’s quite simple and this is one of the processes, but think about this, think almost all of our processes we’re gonna show today the patient is provided a final restoration prototype on the second appointment, right? With all these protocols the implant model, bite fit, aesthetics, tooth position, all are confirmed on that second appointment. The team saves lots of time, appointments, expenses, you can do other things on that schedule. And then of course, the patient gets to test drive the prosthetic. So to make a RAPID appliance the materials are very simple. Some type of flask, it can even be a denture cup. Doesn’t have to be an official flask, something that’ll hold stone. You’ll need some stone, did not add that here. You’ll need multi-unit abutment analogs, some lab putty, an opposing model of bite, and then an impression of the tissue and the MUAs. And I’ll explain it all.

So I went through the whole process of recording what you do. So let’s, let’s just say patient comes in, it’s a lower, I think I kind of added upper and lower images into this full RAPID slide deck here for the most effective pictures. Patient comes in with a six unit lower prosthetic and needs a new one. It’s fractured, the teeth are worn down, whatever the reason is. Of course, this one looks nice for our, for our demonstration here. But what you’ll do is you’ll order either from us from the lab or from your, from your rep order the multi-unit abutment analogs. Screw them into the prosthetic. Then once you have the prosthetic in hand with the analogs, take your flask, fill it with stone, right, till it’s maybe three quarters full.

Set the multi-unit abutments in stone. And you can see, don’t let the prosthetic touch stone. We’re not trying to capture the intaglio of the prosthetic ’cause it’s probably a gap anyway, so you’re not gonna, it won’t, it won’t tell us anything. So let it set. And then once it’s set, what we wanna do is take some lab putty. This is, I believe this is Kittenbach material – an accelerant and a putty. And just kneed them together till they’re one color. And then flask over the prosthetic. Put a little dimple in the middle that helps to make sure you capture the intaglio, the lingual, sorry not the intaglio. Capture the lingual once it’s set. About 20 minutes. Take the flask off of the model. Whichever one comes easier. Usually the flask comes out easier. You can leave it in the, you can leave it in the denture cup too and ship it to us.

Take the flask off. Now we have a negative of the prosthetic, but look what we really have. We have implant position, we have tooth position. We have a means of mounting the case, because you’re gonna send a bite in an opposing. We have everything we need to make a prototype. The only thing we don’t have is the tissue, right? So what you’ll do is you’ll just, while the prosthetic is out, you’ll take a polyvinyl or an alginate impression of the tissue and the multi-unit abutments, just like that. No scan bodies, no analog, nothing, no impression posts, nothing, just that because we will digitally bring that into the case. And what we’ll do with this is we will bring this into the software. Little, little hole there. This was actually from an intraoral scan. This is where I wanted to show really how it looks in software.

So we will take the prototype and we will articulate it at the opposing the digital. And then we will make a proposal for the final, which is the dark green here. We will email this to the doctor and you’ll approve it. Is that overjet okay? Is the overbite okay? And you’ll sign off on it. And from that point, we make the middle one, right? We make a printed tryin it’s monochromatic. Again, we can add pink. It’s a lower patient can wear at home if you want them to. Otherwise you’re just gonna do a clinical test and then simply physically send it back to us with the model work. And we’ll order you a procera bridge just like that. And you’re gonna critique these and say, wait a minute. These cases aren’t the same. They’re not. And I , I kind of warned that at the beginning. You know, to get the work, to get the full workflow is always kind of tricky with pictures. But the idea is that you make a simple flask, a RAPID appliance flask, we make you a prototype, and then we make you a final. And it’s very efficient. It’s only three appointments. Very accurate.

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