Getting started with ROE’s surgical guides
Step 2 – Export and send us your DICOM
Step 3 – Upload your case
Step 4 – Sign our Master Surgical Agreement
From here ROE will:
- Design the surgical guide
- Conduct an online meeting with you for design approval and sign-off
- Create and mail you your surgical guide
ROE make this process simple as a result of over a decade and a half of surgical guide experience.
Now Skip the Online meeting and receive a video
Our planning dentists and implant specialists send video plans with a voice-over explaining the details about your case so that you can review and approve, or reply with changes. Our clients love these videos. The 1/2 price savings, the convenience, and the quality are a step above the competition.
See the example on the right.
Surgical Guide Decision Tree
Whether you are restoring a single implant supported crown, a bridge, hybrid, overdenture, or GuidedSMILE or guided All-ON-4 type case, this decision tree will walk you through the steps of collecting records.
IMPORTANT CBCT SCANNING TIPS – MUST READ:
Dentate – Always separate the arches with cotton rolls, bite stick or CT equipment bite fork for the scans. NEVER in occlusion! If the patient has MOSTLY metal-based restorations, send models to ROE for scan appliance fabrication!
Mostly Edentulous – If the bite cannot be determine 100%, order bite blocks, a set-up, then a scan appliance.
Fully Edentulous – MUST be in occlusion. DO NOT Separate Arches with anything! Must use a scan appliance – can be the patients’ existing denture(s) with markers, if the fit is excellent, the teeth are close to acceptable position, and NO soft relines.
* Please allow ROE to fabricate scan appliances when they are required. Ideal design, thickness, radiopaque marker position and size are critical for a successful outcome. Exception would be adding radiopaque markers to an existing denture.
Scan Appliance Full Arch
The Scan Appliance for the fully edentulous patient is a denture, or a clear duplicate of a denture. It is imperative that the fit is excellent and that the teeth are close to an accepted position. Place 6 SureMarks (www.suremark.com/) randomly on the tongue side of the denture, or Gutta Percha dots using a #5 bur 1mm deep. Scan the appliance in the mouth, fully seated, IN OCCLUSION. Then scan the appliance ALONE in the CBCT scanner sitting on foam or cotton rolls, not on a plastic scan table.