What is the Bespoke workflow, and what happens at each approval checkpoint?
Crafting a Bespoke full-arch prosthesis is a collaborative journey. From initial consultation to final delivery, the doctor and technicians work hand in hand. ROE builds multiple checkpoints into the process so you can validate the prosthesis at critical stages rather than seeing it for the first time on delivery day.
The six steps
| Step | What happens | Who acts |
|---|---|---|
| 1. Submit Rx and records | You submit patient records with a digital or paper Bespoke Rx | Doctor |
| 2. Discuss case (optional) | Online meeting with a Bespoke technician to review records and goals | Doctor and technician |
| 3. Case design | The Bespoke technician designs to your precise specifications and asks questions directly | Technician |
| 4. Contour | The prosthesis is milled, then further carved and contoured by hand | Technician |
| 5. Customize | Colors, details, and translucency are layered onto the zirconia; the zirconia is finished and polished | Technician |
| 6. Final approval | You review the finished prosthesis before it is mailed | Doctor |
The approval checkpoints
Three checkpoints sit between the production steps. ROE will not advance past a checkpoint without your approval. Each checkpoint is scoped to what can still be changed cheaply at that stage.
| Checkpoint location | What you approve | Why this stage |
|---|---|---|
| After Case Design | Tooth shape | Shape is set in the digital design; changing it later means re-milling |
| After Contour | Tooth texture and gingival texture | Texture is carved into the physical prosthesis before color is applied |
| After Customize | Tooth shade, gingival hue, and shade intensity | Color work is complete and can still be adjusted before final polish |
A fourth review, final approval, is your sign-off on the completed restoration before it ships.
How to use the checkpoints well- Review promptly. The prosthesis sits idle in the lab until you respond, so slow approvals extend the case, not the production time.
- Review the right thing at the right gate. Raising a shade concern at the shape checkpoint is premature; raising a shape concern at the shade checkpoint is late and will require re-milling.
- Compare against the patient's reference. Keep the original photos or smile guide selection open while you review so you are judging against the stated goal rather than against a general impression.
- Involve the patient where appropriate. For patients who are highly invested in the outcome, sharing checkpoint images is an effective way to build confidence before delivery.
About the optional case discussion meeting
Step 2 is optional but strongly worth taking, especially on a first Bespoke case or any case with unusual esthetic demands. The meeting covers:
- Tooth shape
- Translucency (this is discussed here rather than selected on the Rx)
- Shade, hue, textures, and related characterization
- Any other esthetic or functional considerations
You can request the meeting at any point. ROE's stated intent with Bespoke is to connect the technicians and designers directly with you, and where useful, with your patient.
Additional Resources
For more information concerning the digital dentures:
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