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What considerations and troubleshooting should I keep in mind?

Consideration Guidance
Carrier guide will not seat passively This is the intended signal that more bone reduction is needed. Reduce additional bone and re-try the carrier guide until it seats with no resistance before starting osteotomies.
Choosing metal vs. plastic Metal is the standard, most robust option. If a plastic guide is ordered, ROE builds it thicker (about 4.5 to 5 mm) so it holds up in the mouth.
Losing the bite after extractions Capture a pre-surgical reference (palatal tab, pin, or screw) or use an immediate denture reline. Once the teeth are gone, the registration reference is the only way to preserve the original bite.
Scan bodies vs. scan flags Load impression material around the scan bodies, not the flags. Use the scan bodies supplied with your photogrammetry system; some are taller and easier to suture around than others.
Denture seating during the reline Relieve the intaglio so the denture does not touch the scan bodies and the palate fully seats. Otherwise the bite is held open and the registration is inaccurate.
Scanning the relined denture Trim away impression flash, then scan the denture 360 degrees (intaglio, teeth, and everything) so the full denture can be registered to the mouth and opposing.
Same-day vs. next-day seating Same-day delivery is possible but lengthy once you add file turnaround, printing, cleaning, curing, and finishing. Many clinicians send the patient home and seat the next day.
Cantilevers Use added caution with cantilever length, particularly when there are no opposing posterior teeth.

ROE also offers Chairside Support and a scheduled online implant-planning meeting if you want a technician to walk through your specific case before surgery.

 

Resources

    Contact Information

    For immediate chairside support or troubleshooting assistance, contact ROE Dental Laboratory: