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  7. Full Arch Fixed Workflows: Digital and Analog

Full Arch Fixed Workflows: Digital and Analog

There are a number of practical workflows that are available to doctors wishing to create a full-arch fixed prosthesis from an existing prosthesis. This page details:

  • Three digital full-arch fixed workflows
  • One analog workflow with three different methods of record acquisition

Digital Full-Arch Fixed Workflows

iJIG – Digital Workflow

iJIG full arch implant
One
Record Acquisition (appt. 1)
Remove prosthetic and add standard MUA analogs to the prosthetic and set them in stone to capture the MUA positions. With prosthetic removed, scan the tissue and MUA’s (no scan bodies). Then, scan the prosthetic outside mouth with iJIG Scan Analogs, re-seat, and scan the opposing, and bite – upload to the online portal. Ship the new analog model back to ROE.
Two
Doctor Receives (appt. 2)

iJIG, sectioned ready for luting, equilibrating, relining if needed, bite & opposing.

Three
Return Records to ROE

iJIG passively luted, reline impression, opposing model, bite, photos, Rx with changes.

Four
Doctor Receives (appt. 3)

Final restoration, or second Printed Try-In with changes.

iCAM iMetrics4D – Digital Workflow

Dental Photogrammetry
One
Record Acquisition (appt. 1)

Scans: ICamBodies, ICamRefs (or DESS scan bodies), 360 scan of the prosthetic outside, scan of seated prosthetic with surrounding tissue, scan of the opposing, and scan of the bite. Upload to ROE via the online portal.

Two
Doctor Receives (appt. 2)

Prototype for final to equilibrate.

Three
Return Records to ROE

If the prototype is perfect, call to fabricate the final. If not, return prototype equilibrated and relined if needed, with bite and opposing model.

Four
Doctor Receives (appt. 3)

Final restoration, or second Printed Try-In with changes.

iJIG+ – Digital/Analog Workflow

Printed Try-In
One
Record Acquisition (appt. 1)

Scan prosthetic outside mouth with iJIG Scan Analogs, opposing, bite, tissue w/ MUA’s only – upload to the online portal. PVS impression or model of MUA heads and tissue – ship back to ROE.

Two
Doctor Receives (appt. 2)

Prototype for final to equilibrate.

Three
Return Records to ROE

Equilibrated and relined if needed, with bite and opposing model.

Four
Doctor Receives (appt. 3)

Final restoration, or second Printed Try-In with changes.

Analog Full-Arch Fixed Workflow

One
Record Acquisition (3 options)
CHROME RAPID
RAPID Appliance

Send to ROE the CHROME RAPID surgical pick-up prosthetic with reline impression, equilibrated, with analog bite and opposing.

CHROME Prosthetic
Send to ROE the CHROME surgical prosthetic with reline impression, equilibrated, with analog bite and opposing.
RAPID Appliance
Flask with analogs set in stone

Flask with analogs set in stone, putty matrix of the prosthetic, opposing model, bite, impression or model of tissue, and MUA’s and send to ROE.

Rapid Appliance: Anal
RAPID Appliance:
Analog Technique
Two
Doctor Receives (appt. 2)

Prototype for final to equilibrate.

Three
Return Records to ROE

Equilibrated and relined if needed, with bite and opposing model. Send everything to ROE.

Four
Doctor Receives (appt. 3)

Final restoration, or second Printed Try-In with changes.

Videos

Digital Full Arch Workflow – Going from a Provisional to a Final Smile

Subscribe to ROE’s YouTube channel

Additional Information

Submit Rx Online

Big Case Checklist

Download Rx

Big Case Planning Guide

Print UPS Label

Twin Clasp Technique

Terms

  • Printed Try-In
    Prototype for the final restoration
  • iJIG
    ROE’s proprietary fit verification jig that is a prototype for the final restoration
  • iJIG Scan Analogs
    Special proprietary scan bodies screwed to the prosthetic for scanning
  • 360 Scan of Prosthetic
    Extra-oral scan of an existing prosthetic capturing all surfaces, including iJIG scan analogs if performing iJIG scan
  • iCAM iMetrics4D
    Photogrammetry technology to perfectly share implant and MUA positions to ROE
  • RAPID Appliance CHROME
    Second pick-up prosthetic performed during the CHROME GuidedSMILE surgery for records
  • RAPID Appliance
    Duplicate of an existing prosthetic, made from duplicate flask technique developed by ROE
  • MUA
    Multi-Unit Abutment, the straight or angle abutments with conical heads for supporting full-arch prosthetics