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.
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.
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.
demands of anterior cases.
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.
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. 
