GrammetryTM

The digital IOS full-arch solution

Imagine going for a ride in your car today and discovering that it can fly!

Seems unrealistic, right? Well, that is what Grammetry does to your IOS. Grammetry takes that already highly-functional tool, your IOS, and offers you a new and innovative utility. To fully understand the impact of Grammetry you should have a well-rounded understanding of photogrammetry.

What is dental photogrammetry?

Dental photogrammetry is the newest and hottest topic within the full-arch dental community due to its high level of implant-capture precision. This micron-level accuracy has allowed ROE to design 1,000+ arches this year (85% same-day), including coping-free, final zirconia restorations. Photogrammetry provides the precise location and angulation of placed MUA’s or implants. Overall, the inherent benefits of photogrammetry include:

  • Implant location accuracy
  • Predictable outcome
  • No need for retries
  • Reduced chair time
  • Elimination of tryins
  • Ease of interaction with your dental lab partner

Grammetry vs Photogrammetry

Grammetry enables clinicians to experience all of the listed benefits of photogrammetry, and none of the unique challenges that photogrammetry presents.

Introducing Grammetry

Introducing Grammetry: Barrier-Breaking, Record-Taking
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Grammetry II: What we’ve learned

Grammetry II: What we’ve learned from the last 2000 cases
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Concerns Photogrammetry Challenges Grammetry Solutions
Applicability Limited application Multiple applications
Learning Curve Steep learning curve 15 min learning curve
Mobility Limited mobility Easy mobility
Scalability Expensive scability Inexpensive scalability
Upkeep Continuous upkeep No upkeep
Availability On backorder Available now
Cost Expensive 1% the cost of photogrammetry

ROE’s Grammetry solution addresses each of these photogrammetry challenges. In its most basic form, Grammetry allows

  • The use of approved IOS scanners for implant capture,
  • Provides a simple capture protocol on the day of surgery,
  • Delivers the ability to fabricate physical models (not available through photogrammetry), and
  • Gives the ability to manage the full workflow from surgery to final zirconia.
  • Is scalable regardless of your number of operatories/locations, the number of surgeries, or preferred surgical protocol (freehand, static-, dynamic-guided, robotics, etc).

This is all possible, affordable, and available today.

Photogrammetry and Grammetry:
A Full Arch Technology Review

Photogrammetry and Grammetry: A Full Arch Technology Review
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Education

There are no upcoming events at this time.

Grammetry – Meeting you where you are

The dental community represents a wide spectrum of digital evolution and technology adoption. The purchase of a high-specific, single-utility, expensive tool is outside the reach of most. ROE has designed Grammetry to meet you where you are from a technology perspective.

In-Practice Technology Grammetry Solution Level Surgical / Restorative Records Prosthesis Design & Manufacture
LEVEL 2

  • Surgical: IOS records
  • Restorative: IOS & OptiSplint
Surgical: LAB designs & manufactures

Restorative: LAB designs & manufactures
LEVEL 3

  • OptiSplint
  • Prosthetic Design Services
  • 3D Printer Callibrator Tool
  • Surgical: IOS records
  • Restorative: IOS & OptiSplint
Surgical: LAB designs. DOCTOR prints

Restorative: LAB designs & manufactures
LEVEL 4

  • Surgical & Restorative: Fully digital workflow - IOS and lab scanner records
Surgical: LAB designs. DOCTOR prints

Restorative: LAB designs & manufactures
LEVEL 5

  • Surgical & Restorative: Fully digital workflow - IOS and lab scanner records
Surgical: LAB designs. DOCTOR prints

Restorative: DOCTOR designs. DOCTOR mills

Grammetry – Breaking Barriers to Entry

Grammetry breaks down the barriers of not only photogrammetry but also other scan-body-based transfer systems. See below how Grammetry addresses the challenges faced by doctors wanting to get into this level of accuracy.

The names of the other companies listed have been abbreviated.

Photogrammetry vs Scan Body Transfer Systems

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Barriers Grammetry PC iC IR MM NX
Training Yes online No No No No Yes
Equipment Cost Per case Over $45k+ Over $35K Over $25K Over 40K Over $2K
Support Full support No No Yes No Yes
Run by dental lab Yes No No No No Possibly
Open System Yes Yes Yes No Unsure No
Design Services Yes No No Yes No Yes
Manufacturing Services Yes No No Closed lab network No Closed (no network)
Analog Verified Model Yes No No Unsure No No
Analog Articulation Yes No No Unsure No Unsure
IOS Approved Systems 4+ approved IOS systems No No 1 (their own) Unsure Yes

Grammetry Compatibility

The underlying power of Grammetry is its compatibility with surgical approaches, IOS scanners, prosthetic screws, MUA options. Below is table highlighting Grammetry’s high-level of compatibility.

Surgery Types Approved IOS Scanner Nobel Compatible MUAs Healing Collars Driver Options Prosthetic Screws
All-On-X 3Shape Trios Nobel Compatible Biohorizon Biohorizon Grammetry La Vis
Freehand Medit i500, i600, i700 BioHorizons DESS DESS
Navigation Sirona Primescan Biomet 3i iCAM Ref iCAM Ref
Static Guides Straumann Virtuo Vivo DESS MIS MIS SIN
CHROME Shining3D Aoralscan 3 Hahn Neodent Neodent
Zygo ...more to come Hiossen Nobel Mushroom Nobel Mushroom
Pterygoid Implant Direct Interactive Nobel Plastic White Nobel Plastic White
Robotics Keystone* Nobel TMU Nobel TMU
Megagen
MIS
NeoDent
Nobel Biocare
Noris Medical
Straumann BLT & BLX

*MUST Use OEM Keystone Screw

Uses of the OptiSplint

The OptiSplint is appropriate for both day-of-surgery and the restorative process.

OptiSplint DAY-OF-SURGERY Protocol

The ROE Grammetry Digital Process - The OptiSplint Surgical Protocol
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OptiSplint RESTORATIVE Protocol

The ROE Grammetry Digital Process - OptiSplint Restorative Workflow
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Grammetry Kit

Grammetry Kit comes in a 4, 5, or 6 scan body pack. It includes:

  • OptiSplint scan bodies
  • Screws
  • Prosthetic scan caps
  • 2 metal frames (one large and one small)
  • 2 frame delivery handles
  • 1 pair of frame clippers

Additional items available for this system are the ArchTracers (fiduciary markers, pack of 3). These are one-time-use items that can be autoclaved post-surgery.

Grammetry Kit Videos

Grammetry Kit Contents

Grammetry: OptiSplint Kit Components
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Contents of a Grammetry Case

The Contents of a Grammetry Case
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How to Return Your Case

How to Return Your Grammetry Case
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Patient Case Study

Dr. Clint Metcalf completed 5 arches in 3 days with Grammetry and was kind to share images of one of the arches. Patient received 7 implants following extraction and bone leveling. OptiSplint was scanned extraorally as per the new protocol and the healing collars and screws intraorally. Doctor printed in house and his lab person created a model to verify printer accuracy on the first case. Superb outcome.

Single Arch Dentate Patient
Teeth Reference Workflow

Grammetry Case Study: Single Arch Dentate with Teeth Reference
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Grammetry Patient Case Study
Dr. Isaac Tawil Patient

Grammetry: Patient Case Study with Dr. Isaac Tawil
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OptiSplint library for exocad

Prosthetic components libraries with unique geometries made specifically for 3D Printing from Intraoral Scans.

Submit the form to download the most updated Optisplint library for exocad!

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Grammetry Workflow Options

Tads, Screws, Arch Tracers Workflow
Guided CombiGuide
Workflow
Teeth Reference
Workflow
Denture Reference Workflow
Restorative Workflow
Restorative Records

1. Tads, Screws, or ArchTracers

Grammetry Workflow Options: Screws or Registration Tads
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2. CombiGuide

Grammetry Workflow Options: The CombiGuide
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3. Tooth Reference

Grammetry Workflow Options: Tooth Reference
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4. Denture Reference

Grammetry Workflow Options: Denture Reference
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Videos

OptiSplint vs Photogrammetry

The ROE Grammetry Digital Process - OptiSplint vs Photogrammetry
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Scanning for OptiSplint

The ROE Grammetry Digital Process - Scanning for OptiSplint
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What is Grammetry?

What is Grammetry
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Records for Restorative Workflow

The Records Required for a Grammetry Restorative Workflow
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The Optimal Way to Capture Grammetry Records

The OPTIMAL Way To Capture Full Arch Grammetry Records
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How Does Grammetry Stack Up Against Photogrammetry?

How Does Grammetry Stack-Up Against Photogrammetry
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Edentulous Workflows using CombiGuide

Edentulous Workflows for Grammetry using the CombiGuide
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Scanning the CombiGuide for Grammetry

The Simplicity of Scanning the CombiGuide for a Grammetry Case
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The Freehand Surgery – Grammetry Relationship

The Freehand Surgery - Grammetry Relationship
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What is the BEST Surgical Protocol for OptiSplint?

What is the BEST Surgical Protocol for OptiSplint
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Benefits of Grammetry for Multiple Practice Owners

How Does Grammetry Benefit Owners of Multiple Dental Practices
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Which Surgical Protocol is BEST for Grammetry?

Which of These FOUR Surgical Protocols Are BEST for Grammetry
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Digital Design Services for Grammetry Full Arch Cases

Digital Design Services for Grammetry Full Arch Cases
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Acquiring Grammetry Records: IOS vs Lab Scanner

Acquiring Records Using Intraoral Scanner vs Lab Scanner
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Protocol for a Full Arch Lower Prosthesis

Grammetry and the CombiGuide Protocol for a Full Arch Lower Prosthesis
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Restoring a Full Arch Case with Grammetry

Restoring a Full Arch Case with Grammetry
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The Scans Needed for a Grammetry Restorative Case

The Scans Needed for a Grammetry Restorative Case
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Grammetry Surgical Workflow Using Teeth as Reference

Grammetry Surgical Workflow: Using Teeth as Reference
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Vortex Screw

Vortex Full Arch Screw

Learn all about the benefits of the Vortex screw in this fantastic webinar. Dr. Danny Domingue reviews new concepts in full arch, and how the correct screw plays a large role in full arch success. He goes over the best practices and different uses of varying screws, address screw designs, FP1 screws, angled screw channels, as well as Ti base vs direct to MUA.

Grammetry Kit & Additional Grammetry Supplies

OptiSplint Kit

Each OptiSplint kit comes in 4, 5, or 6 scan body packs. It will contain:

  • OptiSplint Scan Bodies
  • Screws
  • Prosthetic Scan Caps
  • 2 Frames – one large and one small
  • 2 Frame Delivery Handles
  • 1 pair of metal clippers

Buy an Grammetry kit online here

Grammetry Supplies

3D Printer Calibration Device

OptiSplint Scan Bodies

Calibration-Device-on-Model-Small

Reusable 3D Print Calibration consists of:

  • 1 stone model with placed analogs
  • Stl file for the printable Grammetry bar

Purchase 3D Print Calibration online here.

Buy extra scan bodies:

  • Each additional scan body $95

Purchase OptiSplint scan bodies online here.

Stellar Acrylic Resin

Vortex Screw

Light curable resin suitable for luting the OptiSplint components

Buy white Stellar composite online here.

Vortex Screw

Vortex Screw 1.4mm Direct to MUA Screw

Buy Vortex Screws online here.

Surgical Tenting Screw Kits

Kits are used as ‘breadcrumbs’ to transfer the bite from pre-surgical records/scans to post surgical records/scans. The Screws are the constant. We recommend these to brands for the Grammetry / Photogrammetry office.

Surgical Tenting Screw Kits 

Pro-fix™ Precision Fixation System.

Purchase kits.

Surgical Tenting Screw Kits 

Salvin Tenting Screw Kit With Bone Fix Screwdriver

Purchase kits.