GrammetryTM
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.
| 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
Grammetry vs Photogrammetry
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
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| Surgical: LAB designs & manufactures Restorative: LAB designs & manufactures |
LEVEL 3
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| Surgical: LAB designs. DOCTOR prints Restorative: LAB designs & manufactures |
LEVEL 4
|
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| Surgical: LAB designs. DOCTOR prints Restorative: LAB designs & manufactures |
LEVEL 5
|
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| 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
| 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) | ? | 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 | ...more to come | Hahn | Neodent | Neodent | |
| Zygo | 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
OptiSplint RESTORATIVE Protocol
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
Contents of a Grammetry Case
How to Return Your Case
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 Patient Case Study
Dr. Isaac Tawil Patient
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!
Grammetry Workflow Options
Tads, Screws, Arch Tracers Workflow
Guided CombiGuide
Workflow
Teeth Reference
Workflow
Denture Reference Workflow
Restorative Workflow
1. Tads, Screws, or ArchTracers
2. CombiGuide
3. Tooth Reference
4. Denture Reference
Videos
OptiSplint vs Photogrammetry
Scanning for OptiSplint
What is Grammetry?
Records for Restorative Workflow
The Optimal Way to Capture Grammetry Records
How Does Grammetry Stack Up Against Photogrammetry?
Edentulous Workflows using CombiGuide
Scanning the CombiGuide for Grammetry
The Freehand Surgery – Grammetry Relationship
What is the BEST Surgical Protocol for OptiSplint?
Benefits of Grammetry for Multiple Practice Owners
Which Surgical Protocol is BEST for Grammetry?
Digital Design Services for Grammetry Full Arch Cases
Acquiring Grammetry Records: IOS vs Lab Scanner
Protocol for a Full Arch Lower Prosthesis
Restoring a Full Arch Case with Grammetry
The Scans Needed for a Grammetry Restorative Case
Grammetry Surgical Workflow Using Teeth as Reference
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.
Grammetyry Kit & Additional Grammetry Supplies
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
Grammetry Supplies
3D Printer Calibration Device
OptiSplint Scan Bodies
Reusable 3D Print Calibration consists of:
- 1 stone model with placed analogs
- Stl file for the printable Grammetry bar
Stellar Acrylic Resin
Vortex Screw
Light curable resin suitable for luting the OptiSplint components
Vortex Screw 1.4mm Direct to MUA Screw
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.
Pro-fix™ Precision Fixation System.
Salvin Tenting Screw Kit With Bone Fix Screwdriver