How do I adjust the prosthesis fit, occlusion, and design at surgery?
| Situation | What to do |
|---|---|
| Prosthetic hits posterior or anterior first | Verify the Carrier Guide is fully seated. If so, shim a few millimeters and backfill (this opens the bite slightly). If very high posteriorly, trim ½ of the pegs to remove resistance, shim halfway to occlusion, then adjust occlusion. |
| Prosthetic is already thin and needs a lot of adjustment | Float the anterior and backfill; on a double arch, trim the thicker of the two. Do not reduce below 8 mm of vertical prosthetic material. Make an analog model with a flask as a back-up, and complete the RAPID pick-up so another prosthetic can be ordered during healing. This should be caught earlier by test-seating the Carrier Guide with the RAPID/prosthetic during bone reduction. |
| Doctor wanted ports but they weren't added | Use a #4 round bur to drill a hole through to the cylinder. |
| When to cut off posterior teeth | Cut ~5 mm distal from the posterior hole. Optionally grind the posterior tooth down to leave a distal flange for a future iJIG to capture the posterior ridge. If picking up the RAPID (advisable), leave the posterior teeth so the ridge can be captured under the molars later. |
| Must choose a different implant site | Index the Carrier Guide where the hole is and adjust the prosthetic, making that hole smaller than the others so strength isn't jeopardized. As a last resort, return to the denture prosthetic and convert All-on-4 style. |
Additional Resources
For more information concerning CHROME GuidedSMILE:
Contact Information
For help with a digital denture solution for your next case, contact ROE Dental Laboratory:
- Phone: (216) 663-2233
- Email: info@roedentallab.com