Zimmer Angled Abutments - 30 degrees

Zimmer has announced release of their Angled Tapered Abutments. These abutments compensate for off-axis implants for expanded surgical options, such as All-On-4 type situations, to maximize the use of available bone, avoid the alveolar nerve and sinus, and minimize cantilevers for prostheses.

Angulation correction:
15° Angled Tapered Abutment: Corrects up to 30° of divergence
30° Angled Tapered Abutment: Corrects up to 45° of divergence

New Hi-Tech Equipment at ROE

ROE has invested in a new Objet rapid prototyping machine to create many of our restorations, beginning with clear CBCT surgical guides. Clear guides help to confirm definite seating during the procedure and provide a clean look.

BlueSkyPlan - Now Available for Mac OS

If you are a MAC user, you can now download FREE BlueSkyPlan software! For you this means importing DICOM directly into BlueSkyPlan and virtually placing implants for surgical guides. Wait! before you do this, upload your DICOM to us and request a BlueSkyPlan  file for your case that has virtual teeth, virtually articulated models - with opposing dentition for a, and positioned implants! We can walk you through the process. 800 228 6663 ask for CT Support.

Support from the ROE Team

When you need support with exporting DICOM, creating scan appliances for any system, assistance with surgical or restorative treatment planning, please call our knowledgeable team. ROE has facilitated several thousand cases in the 5 several years. We are here to support dentists.

Indications & Protocols for CBCT Based Surgical Guides

We recently wrote a one-page summary of the protocols for scanning patients, which includes guidelines to determine when and where to use a radiographic guide. Using the no-scan appliance technique is a time and cost savings approach that yeilds great results.

http://www.dentalimplantplanning.com/Indications%20&%20Protocols%20for%20CBCT%20Based%20Surgical%20Guides.pdf

Separate Arches During CT Scan

It is imperative that the arches are separated during the CT scan. This goes for scan and no-scan appliance technique. Our radiographic guides include a radiolucent bite registration. However, if a bite reg is not present, use cotton rolls. Nearly all cases that do not have separated arches must be rescanned.

No Scan Appliance Technique - skip the wax-up

In the last few months we have completed hundreds of cases using our No-Scan-Appliance technique. This technique allows you to simply capture a CBCT and send models to our facility. From this we create surgical guides, saving you time, lab fees and appointments. When the models arrive at ROE they are digititized, and rather than completing diagnostic wax-ups, we design virtual teeth using crown and bridge virtual software. Once the teeth are set in ideal positions, the implant position is planned and we host our on line meeting to finalize the case.

Be sure to follow our protocol for case selection. Contra-indications for the no-scan-technique are edentulous patients and metal based restorations in the areas of proposed implant sites.

New CT Order Form

The left bar has a link for our New CT Order Form. This is a .pdf that can be completed on your computer. Complete the form with a digital signature and email it to alan@roedentallab.com. Or, print and fax it to 216-663-2233. This should be included with the impressions/models/bite as well.

No Scan Appliance Technique is NOW AVAILABLE

Happy New Year. We are excited to announce the availability of our NEW No Scan Appliance technique for planning your CT based implant guides. During the last several months we have worked hard with BlueSkyBio developing this appealing service for our clients to help save time and expense. We know you will be very pleased with this simplified service.

The process is quite simple. Capture a CBCT of your patient with the arches separated with cotton rolls. Be sure to remove any metal-based removable appliances prior to scan. Upload the DICOM images to www.dentalimplantplanning.com. Send master casts of both arches, a bite registration, and study model (if available) to ROE.

We will complete a diagnostic work up on your model to idealize tooth location. The work-up will be visualized in the CT plan for ideal implant placement during planning. We will contact you to plan the case on line within 3 days of receiving the DICOM and models.

Indications:

Flapless or flapped surgery

Immediate extraction and implant placement

All implant systems (ie Zimmer, Straumann, 3i, Astra etc)

Surgical Guide Kits: Zimmer Surgical Kit, BlueSkyPlan Kit, Straumann Surgical Kit, 3i Navigator

Contraindications:

Edentulous patients – patients must be scanned with a radiographic guide.

Patients with excessive metal based crown and bridge (metal produces scatter in the DICOM)

The no-scan appliance technique is a breakthrough that offers many benefits to your practice. Surgical guides offer a high degree of accuracy, acceptance may increase due to the lower cost, turn-around is much quicker,  and significantly less coordination between the restorative dentist, surgeon, laboratory and patient.