Introducing GuidedSMILE CHROME - DIGITAL, FULL-ARCH GUIDED RECONSTRUCTION
GuidedSMILE was developed for dentists who desire a preplanned, predictable guided All-On-X style surgery. This amazing service delivers anchored bite verification, anchored bone reduction, anchored site drilling, accurate anchored provisionalization, and a method of transferring all surgical and restorative information for the final restorative conversion phase. Most cases simply require a CT scan and traditional records. Call to discuss your case. The process, the product, the surgery is straightforward!
GuidedSMILE CHROME is a 4-Guide System
1 Pin guide - Utilizes teeth or tissue to deliver the Fixation Base (CR/CO SLM)
Dentate
Pin Guide is fully seated on the patient's existing dentition. Once verified via the two occlusal windows, the horizontal sites are drilled and anchored. Anchor pins are fully seated, verified and the guide is removed.
Edentulous Pin Guide is a digital duplicate of the patient's existing denture. This tissue-supported guide is inserted, patient closes, and the anchor sites are drilled, anchored, verified, and the guide is removed.
2 Fixation Base - Use for bone reduction, anchoring the osteotomy guide and prosthetic
Once teeth are removed and tissue is flapped, the Bone Reduction Guide is inserted, anchored, and bone is levelled to the meet the labial and lingual frame of the guide. This guide floats above the bone, and therefore should not be impinged by undercut.
3 Osteotomy Guide
This guide is rigidly fixed with the pins, yet floats around the bone. Standard protocols are followed to drill sites and place implants.
4 PMMA
Superior to conventional denture pick-up systems, this anchored GuidedSMILE nano-ceramic provisional transfers the CO/CR as determined by pre-surgical records. Implant abutment positions, anchor sites, tooth position, smile, and tissue space are all pre-set.
5 RAPID Appliance - The method of communicating GuidedSMILE to the articulator for the Final
RAPID Appliance is ROE's special pick-up device, a clear duplicate of the PMMA. This allows the doctor to capture a second record to hold until final conversion. Once the patient is ready for the final, perform a pick-up impression, with tray adhesive on the tissue side, using medium PVS. Send this pick-up to ROE and we will
GuidedSMILE Osteotomy Preparation Options
Option 1 - GuidedSMILE-FG - All GuidedSMILE cases are utilize a Fully Guided Kit (as seen above) - ROE works with nearly all systems available today.
Option 2 - GuidedSMILE-FH - Free-Hand - includes a location reference on the bone reduction frame to optimize implant location for PMMA pick-up, and a removeable reference inset to provide a maximum range for site preparation. Left image: notice the round divot references indicating implant general location. Right image: boundary insert used to ensure location of implants is within PMMA parameters.
GuidedSMILE Work-Up Protocol
Step 1:
- Required - GuidedSMILE Work Authorization required for all cases (on line or White Paper)
- Optional - Esthetic & Funct'l Checklist include please if ROE is significantly changing tooth arrangement, or a new denture set-up is needed.
Step 2: Meet ROE on line for implant and guide planning (allow 5 days after receiving all materials) Link
Step 3: Sign and return the TPA Treatment Plan Report – via fax or scan and email
Step 4: Receive the GSI Surgical Information Form to order parts and review surgery – via email
Step 5: Receive guide (ROE will ship within 10 days of the signed TPA Treatment Plan Report)
Notes on preparring for and capturing the CT Scan
If your patient is dentate, follow the above steps, and capture a CT scan with the patient opened biting on cotton rolls.
If patient is edentulous, and the existing denture fits well and the tooth arrangement is accepted, convert into a scan appliance (instructions page 6). Perform a dual scan using the protocol in our manual. If edentulous patients needs to establish tooth position and vertical, begin conventional denture steps to create a scan appliance.
We are always available to discuss your case. Call 800 228 6663 and ask for the CT Department and reference GuidedSMILE.
Digital Impression:
ROE accepts all digital impressions. Here are your options:
3Shape - must use 3Shape Communicate - ROE's email is trios@roedentallab.com to open a connection
Cadent iTero - must use Cadent's portal, just search for ROE to add connection
E4D - either use the Model Export function in Romexis to export files to the desktop and upload through our portal along with your DICOM, or use DDX (not dependable)
Sirona - either export a DXD file to your desktop and upload through our portal for ROE to convert, or us Cerec Connect to upload to ROE
3M TDS - must us 3M's portal
Carestream 3500, 3600 - export .stl to desktop and upload to our portal, or use DDX (not dependable)