Which patients are good candidates for Bespoke, and what clinical considerations apply?
Bespoke is available across ROE's fixed full-arch platforms, so the clinical prerequisites are largely the prerequisites of the underlying restoration. What changes is the esthetic ambition and the collaborative time commitment.
Patient profile
Bespoke is best suited to the patient who:
- Is a candidate for a fixed, implant-supported full-arch restoration
- Places high value on esthetic outcome and wants a result tailored to their face and age
- Is willing to participate in the design conversation, including supplying photographs or reference smiles
- Understands the timeline is longer than a standard final because of the added hand work and approval checkpoints
- Can meet the hygiene requirements of the gingival texture level they select
ROE positions Bespoke for the percentage of full-arch patients who want the best available result. It is a premium tier, not a default.
Clinical planning considerations
| Consideration | Why it matters | What to do |
|---|---|---|
| Vertical space | Zirconia options need 10 mm minimum; G-CAM needs 15 mm | Measure early; if below 10 mm, contact ROE before submitting |
| Bite class and occlusion | Bite class I, II, or III is captured on the Rx and shapes the design | Record accurately; discuss functional demands in the meeting |
| Parafunction | G-CAM is not indicated for heavy bruxers | Choose a zirconia substrate for bruxers and discuss protection |
| Implant system | Two Rx material options are restricted to Nobel-compatible MUAs | Confirm brand and platform before selecting material |
| Hygiene access | Pronounced gingival texture requires greater hygiene measures | Match texture to the patient's demonstrated home care ability |
Transition design
The gingival transition design determines how the prosthesis meets the ridge, and it carries both esthetic and hygiene consequences. Three options are illustrated on the Bespoke Rx.
| Transition design | Arches available | Typical rationale |
|---|---|---|
| Hygienic with Ridge Contact | Upper and lower | Contact with the ridge with a cleansable transition |
| Highwater / Open Ridge | Upper and lower | Open access beneath the prosthesis for hygiene |
| Maxillary Flange | Upper only | Additional lip support and esthetic coverage |
You may also instruct ROE to copy the try-in design exactly, which is the safest route when a validated try-in has already been approved by the patient.
Verification before final fabrication
Because Bespoke commits substantial hand time to the finished prosthesis, verifying fit and function before the esthetic work begins protects both the schedule and the result.
- The Printed Try-In lets you verify passivity, equilibration, esthetics, tissue adaptation, and speech in a single appointment, and can be sectioned and re-luted chairside if passivity issues appear.
- Passivity Plus, ROE's FDA 510(k)-cleared self-adjusting titanium coping, can be added to any full-arch final case on request, including Bespoke. It is manufactured from Grade 5 titanium and is compatible with most major multi-unit abutment systems, all major record capture methods, and zirconia frameworks. It requires no change to your chairside seating sequence.
Setting patient expectations
Three points are worth covering explicitly at case presentation:
- Timeline. The prosthesis passes through three approval checkpoints and receives significantly more hand time than a standard final. Build that into the treatment schedule.
- Collaboration. The more the patient contributes (photographs, reference smiles, clear preferences), the closer the result lands to what they imagined.
- Maintenance. The gingival texture level they choose changes their daily hygiene obligation. A patient who wants the most lifelike tissue should understand the tradeoff before the Rx is written.
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