GuidedSMILE – The Digital All-On-4 Solution

Offices involved with full-mouth, implant-supported cases should consider GuidedSMILE. Although most All-On-4 type cases are predominantly completed free-hand, there is a growing regard for a CBCT guided solution. GuidedSMILE, a proprietary and complete surgical package, can reduce surgical time to a third of the conventional non-guided approach, while improving accuracy.

The GuidedSMILE package includes bone reduction, osteotomy, and abutment guidance, and pre-converted PMMA provisional, all anchored using the same bone-pin sites. GuidedSMILE follows ROE’s classic CT planning work-up. Utilizing a CBCT scan and master casts, ROE digitally transforms the patient, proposing a new ideal tooth arrangement and implant locations. During a pre-surgical, scheduled web conference, implant locations are finalized, and necessary surgical and restorative components are discussed. The surgery is very straightforward. GuidedSMILE applies a 4-guide process. Guide One sets the pins with which all three subsequent guides are anchored. This unique pin-guide is the key to ensuring the subsequent guides and provisional are accurately seated. Once it is removed, the teeth are extracted and the second guide is anchored for precise bone reduction. Guide Three directs the drills for angulation and depth. Then, abutments and temporary cylinders are placed. Guide Four is the PMMA provisional that is luted to the cylinders and picked up for quick, final adjustment. The unique system allows the last three guides to be seated using the pins only, meaning the guide itself floats above the bone for ease of seating. This is particularly helpful with the bone reduction guide.

In our experience, following many hundreds of All-On-4 cases, both traditional and digital, GuidedSMILE is the best method of delivering accurate prosthetics the same day of surgery. We are excited to share this technique with you. Please call to discuss GuidedSMILE.

Teeth Chatter: Wanted: Implant Case Information

With so many implant companies exhibiting similar and even duplicate interfaces, providing implant specs couldn’t be more important than it is today. We ask that you please include the manufacturer, brand, and platform, and any other pertinent information for each implant submitted to the laboratory. An easy method of communicating this vital information on new placements is to include a copy of the letter that is generally sent from the specialist. Our experienced staff does an excellent job of identifying systems. However, this information will ensure we begin each case with the correct impression posts, a somewhat frequent error. Without detailed implant specifics, cases may be compromised. Thank you in advance for including this information with the work authorization.

FDA 510K Cleared Titanium Custom Abutments

Several years ago we undertook the painstaking steps to implement an FDA style quality management system specifically designed for dental laboratories called DAMAS. With this in place, we were able to strategically partner with a Swiss company to become FDA Cleared as a Class II medical device manufacturer for milling titanium abutments. Our classification and special partnership bring a very high level of compliance, precision, and peace-of-mind.

Custom Abutment Blank / Digital Scan Body

Custom abutments have been a ROE standard for more than a decade. What does 510K Cleared mean for you? Doctors want options when restoring implants, with more versatility than stock parts. 510K Cleared means your abutments have been designed, milled, and inspected according to a strict protocol. Our partner ensures that the interface specs are within the original implant manufacturer’s guidelines, and ROE ensures the patient’s needs are meet with an anatomical abutment design.

510K clearance is unique for dental laboratories. There are a few milling centers in the USA with this status, but very few dental laboratories. With regard to timeliness, cost control, and quality, this solution provides our clients with significant advantages. Of course we do, and will continue to, provide OEM stock parts. Simply indicate your preference on the work authorization. If you have digital impressions and would like to transmit your cases to us digitally, precision $39 scan bodies are available for all popular systems. We also accept exchanges on other system’s scan bodies for a discounted trade-in price of $29 each.

DigiDenture – An Economy Digital Denture that Yields Outstanding Prosthetics

As an Avadent and PALA partner laboratory, with over three years of providing digital dentures, we strongly believe in the development of computer-aided design for full dentures, and feel this is the future standard practice. So far, in lieu of the premium price, the results have been very good. To improve upon this technology, ROE has unveiled a new, amazing product called DigiDenture, which employs conventional records, to deliver a high-quality, efficiently-created denture, with an economy denture price.

DigiDenture, with economy teeth, provides a perfect solution for affordable dentures. It begins with conventional bite blocks, rather than the tedious Gothic Arch tracers of the aforementioned systems. Our system uses traditional bite blocks and master casts. Once the records are scanned and become virtual, ROE creates an amazingly accurate digital set-up and a fully printed, white resin denture for the try-in. Tooth position, bite, and fit are verified or adjusted as needed at the dental office and returned for final processing. The final product includes premium processing with Ivocap and plastic teeth. The savings is realized by the laboratory fabricating the CAD white denture, in place of the labor-intensive, manual set-up process.

If you are wondering how the patient will react to trying-in a white denture, put your worries at ease. After completing thousands of white resin try-ins, Kulzer Dental found patients focus more on the fit, tooth position, comfort, and suction of the prosthetic rather than the color. Tooth cards, containing the actual teeth selected, are provided for this appointment to share with the patient.

If you provide dentures for patients who are limited by government or insurance remuneration, we highly encourage you to try this product - an outstanding denture at a great price. 

Next-Gen TLZ Zirconia Superior Hygiene & Wearability

Today, the vast majority of posterior crowns fabricated in the United States by major laboratories are composed of fully-milled zirconia. This staggering shift in materials is trumped only by the fact that research shows there is a much better method of finishing zirconia surfaces. Since early 2014, when we hosted Rella Christensen RDH, PhD, to discuss wearability studies on monolithic zirconia, there has been revealing evidence that highly-polished zirconia is far superior to a glazed surface. Polished zirconia is so smooth that one is challenged to even pick up a crown without gloves. And, unlike glaze, this glassy, hygienic surface prevents plaque, rendering it much more biologically friendly.

Studies have shown polished zirconia surfaces are also kinder to opposing dentition than abrasive, glazed surfaces. And, once the glaze is worn, exposed rough zirconia is even more unkind to opposing teeth. Polished crowns, according to TRAC Research, retain their polished state as natural wear occurs. Polished also exhibits improved translucency and esthetics, as the transmission of light is unobscured.

Today, all ROE monolithic TLZ crowns are polished. We are excited to be leading the way with this improved modality. We know you will notice the difference on your next TLZ case.

LMT Laboratory of the Month - ROE Dental

http://roedentallab.com/downloads/2016%2010%20LMT%20ROE%20Featured.pdf

Nicely Priced 3Shape Launches TRIOS® 3 Mono

3Shape Launches TRIOS® 3 Mono Intraoral Scanner - In the 20,000's range

World’s first upgradable entry-level intraoral scanner

3Shape launched last week TRIOS 3 Mono – a new entry-level version of its award-winning TRIOS 3 intraoral scanner.

TRIOS 3 Mono delivers the same documented-accuracy, insane speed and ease of use of all TRIOS intraoral scanners but takes digital impressions without color. It will sell at an extremely competitive price point at nearly 40% less than TRIOS 3 color models.

TRIOS Mono delivers many of the same award-winning features of TRIOS 3 color models, including:

• TRIOS documented-accuracy, insane speed and ease of use
• The widest range of indications and delivers texture and stone model scans plus HD photos
• Doctors can offer same-day dentistry using optional 3Shape practice lab

Upgrade to color model at any time

As a special bonus, the TRIOS 3 Mono is upgradable to a TRIOS 3 color model at any time. The cost of the upgrade is the price difference between the two scanners and service fee. When upgrading to a TRIOS color model, the upgrade includes RealColor™ scanning, digital shade measurement and an integrated intraoral camera.

3Shape President and CEO, Flemming Thorup said about the new TRIOS, “Doctors are definitely looking to go digital with their dentistry. There are just too many documented advantages to ignore. To make the jump easier, we created an intraoral scanner they can start and keep growing with, one that does not compromise speed and accuracy or use powder.

Adding, “The TRIOS Mono delivers the award-winning performance of our TRIOS 3 intraoral scanner, but at a terrific price and importantly, like all 3Shape products is future proof, and with the opportunity to upgrade to a color model at any time.”

See the TRIOS 3 Mono movie: https://youtu.be/HT0RdNPXgRs

As a reminder, some TRIOS models may not be available in your country. Check with your reseller for more information.

OPEN HOUSE ANNOUNCEMENT

Hello friends and clients of ROE Dental Laboratory!

We are thrilled to announce our laboratory’s move, the new facility, and an Open House event! We’d love for you to join us! Take a tour, or stay for 7 hours to attend our many CE courses throughout the day of August 19^th. Celebrate a new era of ROE with whole team, which includes you!

We are planning several continuing education courses in a symposium style of 50 minutes each. Guests also have the opportunity to get scanned by the latest 3Shape digital impression scanner to receive their own patented MiniComfort splint (1 doctor & 1 staff). We will have contests for some great prizes, stations set up for doctors and staff to observe new products being manufactured, food and time to meet with your technical consultant.

Many more details to follow, and a place to register for our courses.

Save The Date – We Hope to see You!

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 (youtube.com), 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.

MiniComfort - Daytime, Nighttime, Anytime - What Flexibility!

MiniComfort, a self seating splint that is comfortable, increases compliance, protects teeth, deprograms, and will barely effect speech. No other splint offers these benefits. Price is $99 for 2, and reorder does not require new impressions.