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2. Patient Records

Creating Patient Records

CHROME GuidedSMILE™ patient records are simple but specific.

Incomplete patient records will delay your case.

This page provides all the information needed to successfully capture complete patient records.

For questions about patient record requirements, please call us at (216) 663-2233.

 

Single Arch Patient Records

. Single Arch Dentate Single Dentate Arch Single Edentulous Arch Single Edentulous Arch
Patient Photos Opposing DENTATE arch Opposing EDENTULOUS arch Opposing DENTATE arch Opposing EDENTULOUS arch
Patient Photos ALL Photos req'd ALL Photos req'd ALL Photos req'd ALL Photos req'd
Master Casts / Impressions Capture ALL land areas of both arches • Surgical arch - capture ALL land areas
• Non-surgical arch - capture teeth of opposing dentition 		• Capture ALL land areas
- non-surgical arch only 		• Capture impression of opposing denture, teeth only
Bite Registration Full occlusion or CR bite Full occlusion or CR bite Full occlusion or CR bite Full occlusion or CR bite
CBCT Scans Scan OPEN position, denture out of the mouth Scan OPEN position, denture out of the mouth • Scan denture in the mouth, in occlusion, not separated
• Scan denture alone resting on foam, not plastic 		• Scan denture in the mouth, in occlusion, not separated
• Scan denture alone resting on foam, not plastic
. Download Info Download Info Download Info Download Info

Double Arch Patient Records

. Double Dentate Arches Double Edentulous Arches Dentate & Edentulous Arches
Patient Photos ALL Photos req'd ALL Photos req'd ALL Photos req'd
Master Casts / Impressions Capture ALL land areas N/A Capture ALL land areas - dentate arch only
Bite Registration Full occlusion or CR bite Full occlusion or CR bite Full occlusion or CR bite
CBCT Scans Scan BOTH arches, OPEN position, with any removable prostheses out of the mouth • Scan BOTH dentures in the mouth, in occlusion, not separated
• Scan maxillary denture alone resting on foam, not plastic
• Scan mandibular denture alone resting on foam, not plastic 		• Scan BOTH arches with the denture in the mouth, in occlusion, not separated
• Scan denture alone resting on foam, not plastic
. Download Info Download Info Download Info

Patient Record Checklists

Click the patient case scenario below to download a ready-to-print PDF checklist of the records necessary.

Single Arch

Double Arch

patient-record-checklist

Single Arch Cases

Dentate arch, opposing Dentate

Dentate arch, opposing Edentulous

Edentulous arch, opposing Dentate

Edentulous arch, opposing Edentulous

Double Arch Cases

Double Dentate Arches

Double Edentulous Arches

Dentate Arch Opposing Edentulous

Simple Patient Records (Webinar Series)

Patient Records Part 1

Patient Records Part 2

Patient Records Part 3

Patient Records Part 4

How to Capture the Necessary CHROME GuidedSMILE Patient Records

1. CHROME GuidedSMILE Photographs

Good CHROME photos

  • Full face full smile
  • Full face exaggerated smile
  • Full face profile
  • Center retracted in occlusion
  • Left retracted in occlusion
  • Right retracted in occlusion
Labeled-CHROME-Patient-Photos-1
Labeled-CHROME-Patient-Photos-3
Labeled-CHROME-Patient-Photos-5
Labeled-CHROME-Patient-Photos-Bad-1
Labeled-CHROME-Patient-Photos-2
Labeled-CHROME-Patient-Photos-4
Labeled-CHROME-Patient-Photos-6
Labeled-CHROME-Patient-Photos-Bad-2

2. Master Casts / Impressions

Good master casts/impressions

  • Capture full palate
  • Capture most/all of the surrounding labial & lingual tissues, the vibrating line, the full roll
  • Are free of noticable holes, skips, voids, or bubbles

Helpful Guidelines

  • Most CHROME cases use a backup denture; please capture as much anatomy as you would for an immediate full denture.
  • It can be challenging to reach the entire vestibule with an IO scanner, but please try to capture as much of the palate as possible.
  • If there is distortion, please retake the impression. It is best to catch inaccuracies at the office.

Bad master casts/impressions

We cannot use master casts or impressions that do not meet the desired coverage per patient scenario (see record checklist for details), have distortion, or have noticeable holes, drags, bubbles, and voids.

Labeled-CHROME-Patient-Impressions-Good-Digital-1
Labeled-CHROME-Patient-Impressions-Bad-Digital
Labeled-CHROME-Patient-Impressions-Good-Anatomy
Labeled-CHROME-Patient-Impressions-Bad-Anatomy

3. Bite Registration

Good bite registrations

  • Capture full occlusion or CR bite.
  • Taken with the patient in a closed bite, in natural occlusion.
  • Taken with the patient’s prosthesis in mouth, if applicable.

Helpful Guidelines

  • Use enough material to capture the occlusion, but not too much as to open the bite.
  • Neuromuscular bites are accepted as well; these are often the best, most accurate bites.
  • If the patient is missing posterior stops, ROE recommends bite blocks or a JC Try-In. A JC Try-In appliance will stabilize the bite and help establish occlusion. 

Bad bite registrations

We cannot use bite registrations that:

  • Only capture a narrow centric occlusion.
  • Used too much material, which separated the bite.
  • Were not captured with teeth in natural occlusion.

 

Labeled-CHROME-Patient-Impressions-Good-Bite
Labeled-CHROME-Patient-Impressions-Bad-Bite

Scanning Videos

Dual Scan Technique

Scan a Denture and Bite

Scan a Relined Denture

4. CBCT Scans

Dentate

Good dentate CBCT scans

  • Capture both arches.
  • Taken with the patient in an OPEN position.
  • Taken with the patient’s denture(s) out of the mouth, if applicable.

Helpful Guidelines

  • Have the patient bite on cotton rolls or the bite fork.
  • Place cotton rolls between cheeks and teeth for a better image.
  • If the field of view only allows one arch, send two individual scans of each arch.
  • Export DICOM files (.dcm) from the CBCT into a patient folder- this should contain 200-400 individual .dcm files. Zip the patient folder and upload with Rx.
 

Bad dentate CBCT scans:

We cannot use dentate CBCT scans that:

  • Captured the patient in a closed position.
  • Captured the patient with their denture(s) in the mouth.
Labeled-CHROME-CBCT-Good
Labeled-CHROME-CBCT-Bad

Edentulous

Good dentate CBCT scans

  • Capture both arches.
  • Taken with the patient in an OPEN position.
  • Taken with the patient’s denture(s) out of the mouth, if applicable.

Helpful Guidelines

  • Have the patient bite on cotton rolls or the bite fork.
  • Place cotton rolls between cheeks and teeth for a better image.
  • If the field of view only allows one arch, send two individual scans of each arch.
  • Export DICOM files (.dcm) from the CBCT into a patient folder- this should contain 200-400 individual .dcm files. Zip the patient folder and upload with Rx.
 

Bad dentate CBCT scans:

We cannot use dentate CBCT scans that:

  • Captured the patient in a closed position.
  • Captured the patient with their denture(s) in the mouth.
Labeled-CHROME-Denture-Good
Labeled-CHROME-Denture-Bad
Labeled-CHROME-CBCT-Denture-Good
Labeled-CHROME-CBCT-Denture-Bad

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