CBCT Dental Implant Virtual Planning & Guided Surgery Blog!

The Premier Blog to Share Information on Dental CBCT, Virtual Dental Implant Planning & Guided Surgery!

Friday, December 21, 2012

TLZ-SRB - Zirconia Srew-Retained Bridge

The ultimate fixed implant restoration is now available from ROE. No more concerns about acrylic breakage, teeth popping-off or maintenance. When restoring 4 or more implants, partial or full-arch, consider this extremely durable, affordable and state-of-the-art prosthetic.

What does it include?

  • TLZ-SRB bridge
  • titanium interfaces and screws
  • CAD PMMA prototype to verify accuracy & esthetics

Wednesday, November 7, 2012

Digital Scan Caps

Offices equipped with digital impression machines (iTero & Lava COS) can now transfer implant position directly to the laboratory via special scan caps. These coded, aluminum, digital-impression posts are seated and thumb-tightened into implants and scanned. With this information ROE creates a virtual implant model for abutment and restoration design. There are several advantages to this service. First, the soft-tissue architecture is precisely captured and used to create ideal emergence and margin placement. Second, digital impressions are received by our laboratory very quickly allowing us to design abutments and restorations earlier, leading to much quicker turnaround time. And third, digital files are imported into ROE’s iRis (intelligent restorative individualized system) to engineer restorations to your specific parameters. Scan caps can be ordered through ROE in both plastic and radiopaque aluminum.

All-On-4 Quick Steps

The All On 4 Immediate Hybrid Technique is becoming an increasingly popular restoration. ROE has been closely involved in this process from the very beginning and provides complete restorative support from surgical guidance and in-office lab support to the final hybrid design and fabrication. Typically, the final restorative process is a five- or six-appointment sequence, preliminary impressions, final impression, a bite registration and fit verifi cation, tooth try-in, a bar try-in, and seating. We have developed a new streamlined process that eliminates half of these original steps. This technique requires one of two approaches. One option has the dentist perform a pick-up impression of the provisional, and articulate the master casts in the office. The second option requires the doctor to send the picked-up provisional to the lab to be mounted and finished, leaving the patient without the provisional for 2-3 days. Alternatively, arrangements could be made to have the patient bring the records to the laboratory to expedite the process to one day or less. To complete the pick-up, long open-tray screws must be used. Also, if the pick-up impression is compromised during the separation procedure, an alginate study cast must be captured so we can duplicate the set-up. If you are interested in more information on this technique, Joe Ambrose CDT (ext 303) will be happy to discuss it with you, or may simply request the Modified All on 4 Technique sheet.

Thursday, May 3, 2012

Heraeus Kulzer Mondial Teeth

In our last ROE Reports we wrote about the many exciting changes we’ve made to our implant-supported hybrids and overdentures. One update was the adoption of the Mondial tooth line (Heraeus Kulzer). These premium teeth are ideal for implant prosthetics due to proven, clinical success at both the Malo Clinics and ClearChoice®. New NanoPearl® technology makes these teeth much stronger and more resistant  to wear than PMMA teeth. In fact, an independent study conducted by Tufts University found them to be the #1 wear-resistant tooth. Also, according to Heraeus, there is a true chemical bond to acrylic. These key benefits will increase longevity. It is important to note that the switch to these premium teeth for implant cases does not affect our recently introduced All-in-One pricing. Special shade and mold guides are available through ROE.

Thursday, March 29, 2012

All-On-4 Support

When you need support planning and restoring All-On-4 cases, trust ROE. We work with specialists and their referring dentists in Central and Northern Ohio with preplanning, provisional and final restorations, as well as chairside assistance the day of surgery. Below are the implant companies that offer specific All-On-4 type systems. We also perform this procedure using Thommen and Straumann implants.

Nobel Biocare - All-On-4

3i - Diem2

Zimmer - RevitaliZe

 Astra Tech - Uni-for-Fixed

The fee for this service is $2899. Our comprehensive service includes the provisional denture, the definitive hybrid prosthesis, custom trays, models, special soft-tissue model, articulation, standard and processed bite rim, fit verification jig, set-ups, resets, acrylic finish, one full set of premium teeth, one set of economy teeth, protective night guard, iRis titanium CAD/CAM components, final screws for the bar, analogs. Price excludes in-office technician labor, impression transfers, abutments, shipping and tax.

These fees represent maximum costs for the specified design. Actual fees may be less depending upon processes which may not be required or might be performed clinically. Individual fees will be itemized and billed at the time service is rendered. Prices are subject to change without notice.

Upcoming Educational Webinar

Webinar:  Maximizing Computer Guided Surgery for You and Your Patients
(1 CE, no charge)

Presented by: Joe Ambrose C.D.T., Technical Director at ROE Dental Lab
Sponsored by:  Blue Sky Bio
Date:  April 17th, 2012. 9PM Eastern, 8PM Central, 7PM Mountain, 6PM Pacific

COURSE DESCRIPTIONJoe Ambrose C.D.T., the Technical Director at ROE Dental Lab, will present the process and advantages of the "No Scan Appliance" surgical template protocol for your practice and your patients. Mr. Ambrose will present and discuss the tools the dentist and the lab have at their disposal to help ensure phenomenal results surgically and prosthetically including virtual articulation, surgical kits and drill stops. 
The course objective is to educate dentists about computer guided surgical techniques and procedures that can be advantages to them, their practice and the patient. The course will be presented as an online educational webinar at no cost, provided by Blue Sky Bio, LLC. 1 CE credit will be awarded to attendees within 30 days of course. Treatment plans and surgical images may be presented in the BSP software, slideshow / presentation format or as individual images.  

Thursday, January 19, 2012

Z-Systems’ Zirconia Implants

Z-Systems is a Swiss manufacturer of metal-free dental implants. Its ceramic implant systems, Z-Look3 and Z-Look3 EVO are made of a special ZrO2-TZP-A-Bio HIP Zirconia. A special production process incorporates this unique bio-ceramic to create 100% zirconia implants which satisfies the cosmetic demands of anterior cases.

Z-Systems have been approved by several safety regulatory agencies across the globe, including the U.S. Food and Drug Administration (since 2007), and has over 6 years clinical experience and 20,000 implants in use. The promise of an esthetic, healthy, and safe alternative to metal implants is appealing. Z-Systems USA Inc. can be reached by calling (877) 874 9407.

Implant Supported Denture Process - Improvments

Within the last six months we have made several improvements in the materials and processes used for screw-down, fixed-detachable hybrid dentures and overdenture cases.

First, to ensure that we are processing at optimal levels we completely updated our premium Ivocap processing system: replaced flasks, injectors and the processing bath. Second, all bar cases are now processed on a separate analog model. Screwing the bar down at processing ensures the best result. Third, we redesigned our CAD/CAM bars and are now placing titanium posts within the long axis of all denture teeth for added tooth support. Fourth, the standard teeth we use in implant-borne removable prosthetics have been changed to Heraeus Kulzer, Mondial and Mondial i Denture Teeth. Research has shown that these teeth have a stronger bond to acrylic. In fact, these teeth are used by ClearChoice Centers and at the Malo Clinic, originators of the All-on-4 process. Finally, we now provide a vacuum-formed night-guard to protect the appliance from nocturnal parafunction. We believe these five improvements have added to the long-term success of our restorations and reduced the maintenance for doctor and patient.

All.In.One Fixed-Fee Implant Restorations

We are pleased to report that state-of-the-art CAD technology and our tech-savvy team of CAD/CAM technicians enable us to reduce fees and turnaround time on our premium, patient-specific, iRis custom abutment and bar implant prosthetics. We call our simple and straightforward fee structure All.In.One. It is intended to remove the uncertainty surrounding lab fees. These low fees, and our decades of restorative experience, can help you become more efficient and profitable in the restoration of implants   while providing optimal treatment.
Fees for fixed restorations are per implant and include the following: special soft-tissue model, analog, articulation, iRis custom abutment, CAD abutment seating jig, and fixed restorations, including noble alloy. Price excludes high-noble alloy, shipping, and tax. Removable fees are per arch and include: custom trays, models, special soft-tissue model, articulation, standard and processed bite rim, fit-verification jig, setups, resets, cast metal or Fiber Force strengthening substructure, acrylic  finish, one full set of premium teeth, one set of economy teeth, protective night guard, iRis titanium CAD/CAM bar on an unlimited number of implants, final screws for bar, analogs, and your choice of standard attachments (e.g., locators, hader clips, era, o-rings, bredent). Price excludes in-office technician labor, impression transfer, transmucosal  and multiunit abutments (usually not required) shipping, and tax.

The fees represent maximum costs for the specified designs (call for new Implant Fee schedule). Actual fees may be lower depending upon processes that may not be required or performed clinically. Individual fees will be itemized and billed at the time service is rendered. All.In.One components are produced by ROE’s preferred suppliers. When original manufacturer parts are requested there will be an increased cost.

iRis abutments and bars featured in our All.In.One service are fabricated on the ULTRASONIC 20, a 5-axis, robotic milling machine capable of 42,000 rpm. The 2.3 ton machine is considered the most stable in its class and is capable of milling both titanium and zirconia from single unit to full roundhouse bridges, as well as implant bar frameworks, all within 10 microns.