Wednesday, June 15, 2016

ROE has Moved ! 7165 E. Pleasant Valley Rd. Independence, OH 44131

We are thrilled to announce that on our company’s 90th year in business, we have moved to a new, ultra-modern facility. During the past year we’ve been designing, remodeling and significantly updating a well-built telecom building in Independence, Ohio, with an eye on future development and growth.

With a significant increase of space, we were able to design improved work flow, build special rooms for milling and 3D printing, strategically integrate digital technology, increase the amount of natural light and workspace, and provide for future technology. Some highlights include an educational conference center with 80 work stations, three professional treatment area to meet with patients, surgical suite with cone beam CT, state-of-the-art telecom system to stay in touch with our clients, a building UPS battery back-up system for critical equipment, and a back-up generator to ensure that we never have a down day due to mother nature or our local power grid.
Our goal is to provide a first-class atmosphere for our team and our clients, provide a venue for outstanding educational events, and create an infrastructure that allows us to continue to provide high-caliber dental laboratory work for the foreseeable future.

Images Based Upon Restoration

Laboratories have always requested pertinent photographic images from clients. As photography as a whole continues to evolve, so does our opinion on what images are most helpful, and the best method of their capture. For eons, sharing individual images taken with expensive cameras has been the standard. This technique still works great and is superior for photography intended to communicate color, shade and texture.  But with the quality and convenience of smart phones, more doctors are using their devices to efficiently transfer images. In fact, recently we have been suggesting sending short videos, which will provide thousands of extractable, high-quality images. The key to sending videos is to make sure they are short in duration, under a minute, to allow them to be transferred with minimal size compression.

We are often asked, “What pictures are the most helpful to the lab?” Below is a list of the prosthetic requests which we feel most benefit from photographs, as well as what images are the most valuable to us as technicians. These images should be uploaded through our web portal.

Denture Bite Rim – Full Face and Profile Providing these two images at the bite stage, along with midline, incisal, cervical, and high smile line position, goes a long way in getting a great setup. Both images are equally important.

Denture Set-Up – Full Face and Profile Similar to the bite rim images, if a reset is needed, these images and written instructions dial-in the result.

Single Anterior Teeth – Full Face, Retracted Close Up with Shade Tab   When matching a single tooth, a few items are critical. First, the image must be focused on the tooth we are mimicking, with the shade tab body-to-body, and edge-to-edge. This provides the needed color scale to make porcelain selection and staining decisions. Feel free to send the actual tab with your case.

Anterior Restorations / Wax-ups / DSD – Full Face, Profile(s), 12:00, Retracted These images are desired and helpful with fixed, anterior work. We feel it is significant to provide images of both teeth and face. BELOW

Profile Left / Right

Full Smile Full Face

Retracted Smile

The 12 O'clock Smile

Twin Clasp – Provide Contour with Pre-Prep Model

ROE’s Twin Clasp Technique is a wonderful service for the patient who prefers not to give up their partial when fabricating a new crown under one of the clasps. When restoring this abutment tooth with a monolithic, milled crown, the impression protocol is simple.  If the tooth to be prepped is intact, capture a pre-prep impression to provide the contours, then a normal impression of the prepared tooth. With these two impressions, we will design a new crown with similar contours as the previous crown or natural tooth.

Temp Tabs – Quick Temps and Bites

Thermoplastic Temp Tabs are an efficient and stable alternative for making quick and easy matrices for temporaries up to 4 units, and bite registrations. These flexible, polyester wafers offer sustained recording ability, yet remain firm enough to be sensed by opposing dentition. If the desired recording is not achieved, the operator can backtrack by reheating and reusing.

DSD Partner Laboratory – Dr. Christian Coachman

ROE now offers a new service called Digital Smile Design (DSD) which is transforming the protocol for evaluating and testing cosmetic treatment. This is how it works. Provide five specific images (Full Face, Left and Right Profile, Retracted, and 12:00) and detailed design instructions. We will return a PowerPoint or Keynote presentation (please specify which you prefer) showing 2D renderings of the proposed design for your approval. After approval, we convert the 2D line drawings into a 3D design for final approval. Once you are pleased with the design, we print models of the 3D design and make technique-friendly, dual-layered matrices for temporization for an in-office mock-up to encourage treatment acceptance. Detailed information on this great new service and the future of diagnostic smile design is available on our website’s Shade & Smile page.

DSD was developed by Dr. Christian Coachman, an international smile design expert. If you’ve ever attended a course, or watched a DSD video of his digital analysis and patient presentation (, you’ll understand why ROE became a Partner Laboratory. Dentists have the ability to present glamourous before and after composite photographs and videos, incredibly visualized 3D work-ups, CAD/CAM models, and amazing in-office temps. ROE is bringing Dr. Coachman DSD-DAY seminar to our laboratory on Nov 2nd, 2016.

New Clear & Tissue-Colored Clasps

A new brand of premade clear and pink clasps is available. They are rigid, esthetic, designed with ideal parameters for flexible clasping, and are a new favorite of ROE. We love the fact there are no visible transition lines between the acrylic saddles and the clasps, and that the initial clinical feedback has been outstanding. These clasps are available for traditional partial dentures as well as all acrylic flippers. Simply request us to use Tissue Colored or Clear Clasps. More images are posted on our web site.

MiniComfort Daytime Deprogrammer Great Survey Results & New Design

To better understand our customers and market, we solicited and completed MiniComfort trials with 140 of our clients. A prerequisite of the evaluation was that the “patient” must be the doctor, staff member or doctor’s spouse, and have some history of splint therapy. We were energized by the overwhelmingly positive the feedback. Nearly all participants agreed that MiniComfort provides ample tooth protection, that they would recommend the appliance, and that it is nearly undetectable when worn.

MiniComfort is a daytime, compliance-promoting, segmental oral appliances that does not affect speech. According to Dr. John Kline, the inventor of MiniComfort, people can only deprogram muscle activity during waking hours, which is why the MiniComfort so unique and effective.

Further, due to customer feedback and requests, this month we introduced MiniComfort 6.0, a heavier-duty version that offers more protection for the bruxing community.

Create the Ideal Implant Emergence

Today, implant-dentistry is all about the interdental tissue, emergence and esthetics. CBCT surgical guides are on the rise, facilitating ideal position, and custom abutments are the standard of care. Custom healing abutments are also becoming more popular. With all of these tools available, why does abutment design sometime miss the mark? Often, the ideal sulcus is not captured in the impression, and therefore not transferred to the soft tissue model. We would like to suggest a technique as a solution.
When a flared healing collar or custom healing abutment is removed, quickly screw down the impression post, capture an x-ray if needed, and fill the void between the post and the surrounding sulcus with composite. ROE will create a tissue moulage that duplicates the captured sulcus, then digitally create an abutment that meets tissue, or blanches, based upon doctor’s preference. All the work up to this point will not be in vain, and the ideal sulcus form should be achieved. On cases where the tissue contours have been idealized prior to taking the impression, please request “no blanching” on the work authorization.