Grammetry™

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 try-ins
Ease of interaction with your dental lab partner

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.

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 scalability	Inexpensive scalability
Upkeep	Continuous Upkeep	No Upkeep
Availability	On backorder	Available now
Cost	Expensive	1% the cost of photogrammetry

In-Practice Technology	Grammetry Solution Level	Surgical / Restorative Records	Prosthesis Design & Manufacture
LEVEL 2 IOS Scanner	ArchBridge™ or OptiSplint™	Surgical: IOS records Restorative: IOS & OptiSplint	Surgical: LAB designs & manufactures Restorative: LAB designs & manufactures
LEVEL 2 3D Printer IOS Scanner	ArchBridge™ or OptiSplint™ Prosthetic Design Services 3D Printer Calibrator Tool	Surgical: IOS records Restorative: IOS & OptiSplint	Surgical: LAB designs & DOCTOR prints Restorative: LAB designs & manufactures
LEVEL 2 Lab Scanner 3D Printer IOS Scanner	ArchBridge™ or OptiSplint™ Prosthetic Design Services 3D Printer Calibrator Tool Lab Scanner	Surgical & Restorative: Fully digital workflow - IOS and lab scanner records	Surgical: LAB designs & DOCTOR prints Restorative: LAB designs & manufactures
LEVEL 2 Zirconia Mill Lab Scanner 3D Printer IOS Scanner	ArchBridge™ or OptiSplint™ Prosthetic Design Services 3D Printer Calibrator Tool Lab Scanner	Surgical & Restorative: Fully digital workflow - IOS and lab scanner records	Surgical: LAB designs & DOCTOR prints Restorative: DOCTOR designs & DOCTOR mills

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

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	Biohorizon	DESS	DESS	DESS
Navigation	Sirona Primescan	Biomet 3i	iCAM Ref	iCAM Ref	Dan Rosen 1.4, 1.6, 1.72
Static Guides	Straumann Virtuo Vivo	DESS	MIS	MIS	SIN
CHROME	Shining3D Aoralscan 3	Hahn	Neodent	Neodent	Vortex
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 (1.6mm screw)
		NeoDent
		Nobel Biocare
		Noris Medical
		Straumann BLT & BLX