CHROME GuidedSMILE
Carrier Guide
- What are the purposes of it?
- What if the implants are not protruding directly under/through the sites?
- What if Carrier Guide is not seating? Do you force it?
- What do you look for that might be holding it up?
- What if there is not enough torque on the implants?
- Can the prosthetic or RAPID be used early on to check occlusion?
- What if Carrier Guide breaks?
- What if the angle implants, MUA’s and Temp cylinders are not aligning through the holes?
Fixation Base
Osteotomy Guide
- Implants have threads exposed, but spoon is buried in guide, what to do?
- What to test first?
- Spoons from the guided kit are tight how to adjust?
- Spoons are loose, how do you overcome?
- Trajectory of site looks off. How do you test to ensure it is correct?
- At what point do you give up and freehand?
- What if crooked drill locks into the osteotomy guide?
- Wrong implant sizes and parts are ordered? Can this be overcome?
Patient Records
- Dentate against Denture: Single Arch ‐ If CHROME GuidedSMILE is the Edentulous Arch
- Dentate against Denture: Double Arch Edentulous
- Dentate against Denture: Single Arch ‐ If CHROME GuidedSMILE is the Dentate Arch
- Single Arch or Double Arch ‐ Dentate against Dentate
- Opening bite more than 2mm
- Free‐end case with unstable bite
- Existing Metal Partial Denture in CHROME GuidedSMILE Arch
Pin Guide
- What if the pin guide does not fully seat on the teeth, visibly in the Pin Guide windows?
- Has the patient had dental work since initial impressions?
- When is too much adjustment too much?
- What if it does not seat after an adjustment?
- What if the CHROME Loc plunger pin pulled out?
- Edentulous Pin Guide seating? How to adjust?
- Edentulous Pin Guide used to verify vertical
- Double Edentulous protocol?
- Are teeth mobile?
- Are there teeth to be removed?
- Is the appliance contacting the vestibular tissue and will not seat?
- Pin Guide CHROME Loc Loop is broken
- What to look for when inspecting?
- Edentulous flap first? Seat drill and then Flap? What is our protocol?
- All or most of the teeth are mobile?
- What if the Pin Guide loops are broken?
Pins and Drills
GuidedSMILE Prosthetic
- What to do if the temp cylinders are touching the sides of the holes?
- How do you check occlusion if the temp cylinders are too high?
- How about if they are not aligned, divergent? What steps should be taken?
- What if the doctor wanted ports and we did not add them?
- The prosthetic is seated but hitting the posterior or anterior first? Steps to correct? Or adjust the teeth?
- Prosthetic is already thin, and now there has to be a lot adjustment?
- What is the best tool for adjusting the cylinders?
RAPID Appliance
Prosthetic Conversion Kit
- What is included?
- Does the prosthetic have to be dry to use Voco and adhesive?
- When to cut off posterior teeth?
- What is the minimal torque for immediate loading? Do you add the implant torques together?
- What if you have to choose a different site for an implant? How do you adjust the carrier guide and prosthetic?
- Do you have to use the adhesive?
- Is Voco light cure, self-cure, or dual cure?
- What alternatives are good when VOCO is gone or missing?
- Should the inside of the cylinders be adjusted for mechanical retention?
- What if the hole is too deep for the doctor’s tools to tighten and loosen the temp cylinders?
- How many implants is too few to continue?
- Can you load a spinner?