By now you’ve seen anterior BruxZir advertised in the dental journals. Did you ever think fullcontour zirconia would be indicated for anterior restorations? Although the new BruxZir is only ½ the strength, it is much more translucent and is specifically designed for anteriors. 
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We are proud to be one of only two laboratories in the country to offer both PALA and Avadent Digital Dentures. With either of these systems, two and three appointment dentures are now possible.
With PALA, from Hereaus Kulzer, doctors can complete full dentures in 3 appointments. They also have the benefit of a trained Hereaus representative who provides all the necessary materials and over-the shoulder assistance free-of-charge! During the fi rst appointment, all the records are captured using special trays that perform a Gothic Arch tracing. Then, PALA uses algorithms calculated from twenty-six anatomical landmarks to digitally create the ideal tooth position. During the second appointment the patient tries-in a 3-D printed, resin prototype of the final denture. At this point adjustments can be made for a second try-in, or simply taken to finish. We are excited to be a digital partner and have seen very
For many years ROE has fabricated the Conus Overdenture using CAD 4 degree tapered abutments combined with Locators for a rigid, retentive, removable overdenture that is hygienically friendly and durable. Now, Atlantis offers a system called the Conus Concept. This is a ROE-fabricated all-acrylic overdenture (recommended with FiberForce® or metal substrate) that utilizes 4 or more precision-milled, friction-fi t, Atlantis telescopic abutments and copings. These abutments are either stock or custom, depending upon the angle of the implants. When implants are parallel, stock parts are ordered. This product is a patient- and doctor-pleaser. The parts are not subject to wear and therefore require little maintenance. When restoring a case with minimal VDO, Conus can be combined with a milled Avadent denture for added strength.
When ordering PFM’s, we’d like you to consider porcelain-fused-to-chrome cobalt (PCC), a restoration we’ve been raving about for more than a year. PCC copings are precisionmilled, utilizing intuitive software that produces copings far superior to any conventional casting. There is no porosity or miscasting and no margin finishing errors. There are clear transitions on bands, precise die space, and great fit. And, because PCC is a well tested base metal, there is considerable cost savings. We hope you’ll make the switch from your current alloy to PCC. 
TLZ-SR is an incredibly popular restoration for restoring single and multiple unit implant cases. As we mentioned in a previous newsletter, screw-retained has made a big comeback due to the absence of intraoral cementation, the low fee ($299), and the high quality. However, not all TLZSR cases are the same! If we do not have what’s called a Ti base, the stock component attached to the crown, then we must order a stock abutment from the manufacturer and raise the fee an additional $100-$180. When completing the work authorization request that we call to discuss pricing.
and bite and send to ROE to be digitized. In 3 days you will receive a virtual preview, and in 2-3 weeks an amazing new denture. If you are within driving distance of ROE, you can capture the records using the existing denture and ask your patient, or our currier, to deliver the case to ROE for sameday scanning! We call this our 35-minute denture! Call us for more information.
Heraeus also offers a digital denture. Its system is more ideal for patients who do not have an existing denture. With Pala, the doctor selects one of four sized Gothic Arch Tracing devices, captures an impression, adjusts the device to record the vertical dimension, then is functionally manipulated to capture centric. Pala then uses science to map tooth location based upon the arch-form and other anatomical
In our continuous efforts to provide superior restorations in a timely fashion, we invested in a magnificent new software platform; one that is more robust and user-friendly, and that allows our clients enhanced communication. Our new software is called Labtrac. Internally, Labtrac manages case-fl ow based upon the tasks involved, employee skill level, and volume of case load, and even allows our customers to have assigned technicians. With this sophisticated software, we now have the ability to micro-manage every aspect of your case to ensure that you and your patient receive exactly what is expected. With Labtrac’s web-based portal, customers can track the progress of cases, receive emails when cases are received, shipped, or on hold. Doctors can request pick-ups, print Rx’s for case-shipping and records, and upload information such as images, digital impressions, and DICOM
You might ask, what is DAMAS and what does it mean for you, our customer? DAMAS stands for Dental Appliance Manufacturers Audit Scheme (DAMAS). It is an internationally recognized standard for quality that validates the materials and processes utilized to produce prosthetic devices. These standards closely mirror a strict protocol that follows the U.S. Food and Drug Administration’s Quality System/Good Manufacturing Practice (QS/GMP) specifications, which are required of all dental laboratories conducting business in the United States. DAMAS provides a clear-cut method for documenting every facet of laboratory operations, including dental prescriptions/work authorizations; patient contact materials; subcontractor/supplier agreements; material and equipment purchases; employee training; maintenance and calibration of equipment; labeling; customer complaints, and cleanliness. Due to the strict standards of DAMAS, only 30 of 6700 dental laboratory in the United States have achieved the DAMAS status and we are proud to be one of them. It is noteworthy that only 20 of these laboratories are, like ROE, independent.
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When preparing anterior teeth, it is always a good idea to have the patient perform protrusive and lateral disclusion after the initial preparation. It is important to verify that adequate space has been provided for functional movements.
In order to minimize chairtime and maximize the value of our restorations,
we have established an innovative system for communicating and implementing
preferences for interproximal and occlusal contacts. Proximal contacts have
been separated into two categories, ‘fit’ and ‘shape’. Proximal ‘fit’
determines the amount of contact ranging from ‘extra light’ to ‘tight’, and the
‘shape’ ranges from ‘point’ to ‘extra broad’.
Occlusal contact preferences focus on the amount of ‘resistance’ to the
antagonist. The system is uncomplicated, from a communication perspective, and has
been implemented in both our fabrication process and final quality-control
evaluation. If you are interested in discussing your preferences and reducing
chairtime, your Technical Consultant will provide information on our system and
discuss how your feedback will refine our fixed restorations. 
We always request that photographs be included with anterior
restorations. While pictures are also beneficial for shade and texture, they
are invaluable for contour, length and esthetics. It is important to know that
for contouring purposes, our favorite image is a natural smile. This image
shows us critical soft tissue considerations, such as neutral zone and lip
position. Too often this image is not included with the case. Thanks for your
help!
When restoring an All-On-4 case, rely on ROE for chair-side
assistance. One of our three Clinical All-On-4 Specialists will visit your
office on the day of implant placement and convert an existing denture into a
hybrid. If requested, they will also advise on abutment and parts selection as
well as impression and pick-up techniques. ROE has completed hundreds of
chair-side conversions and we would like to share our expertise with you.
We are proud to introduce the latest member of ROE Dental
Laboratory, Tera Dearstine, RDH. Tera brings 15+ years of clinical experience
to our sales and technical support team. We are excited to have her join our
team and know she will go above and beyond to support the practices of the
dentists we have the pleasure of serving.
After the design stage, restorations are fabricated directly
from the selected alloy, without investing or casting. The benefits to the
dentist include low, flat fee, (except 55 Au) reduced fabrication time, dense
porosity free castings, digital design file storage, unsurpassed alloy purity,
and lot number traceability. Below is a brief summary of how three of our
restorations are currently being produced.
Several months ago we upgraded our zirconia custom abutments. We
began infiltrating a dentin shade throughout the abutment and adding a pink hue
below the finishline, so that the abutment is less visible on patients with
thin biotype or tissue recession. 
If you would like to observe something impressive, stop by the
laboratory to see our new milling machine. Weighing nearly a ton, our new
5-axis mill is something to behold. We could go on for pages about its
13-station tool changer with automatic length and tool-break sensor, or its
8-disk automation system for one hundred hours of uninterrupted milling, and
all that might sound great. But, what is ultimately important to our customer
is that, with the D5 onsite, we can consistanly deliver accuracy and fast
turnaround time.
Given the ability to mill extremely precise substructures with our Datron D5, ROE is introducing cobalt chrome (Co/Cr) as an excellent alloy for PFM restorations. There are many reasons to make the switch to Co/Cr. It has been a trusted alloy in dentistry since the 1940’s in tens of millions of restorations. The alloy has been the standard-of-care for PFM’s in Europe for many years. Co/Cr is a very strong alloy that is biocompatible and free from nickel and beryllium. All Co/Cr PFM restorations are produced with our new D5 high-tech milling machine. These CAD/CAM-designed, porosity-free copings are extremely precise. The days of waxing, investing, casting, divesting, and finishing are gone. Due to the elimination of so many variable-filled steps, greater predictability and accuracy are inevitable with milled PFM restorations. Once the copings are created, ceramists use traditional layering techniques to produce esthetic restorations.
ROE now offers the perfect combination of low-cost,
high-strength, and esthetics. Resin-filled zirconia is being introduced to
dentistry as the next-generation, monolithic restoration. Ultra-Z is 20% nano-resin and 80% zirconia,
yeilding high flexural strength. Ultra-Z also offers compressive strength of
480 MPa, which is the strongest of the esthetic ceramics on the market. Its
unique material blend offers a high modulus of elasticity, which promises to
prevent fracturing under stress. The resin filler also delivers a translucent
effect that is not found in other monolithic materials of this strength. |
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If you restore either of these systems, you’ll be glad to hear
that they are now compatible with ROE’s line of custom iRIS abutments. Thommen
is available in both titanium and zirconia, and Straumann’s SynOcta can be
produced with titanium. Also, both are compatible with our very popular TLZ-SR
screw-retained, monolithic crown or bridge. Furthermore, if you posses a
digital impression machine, such as 3Shape, iTero, Lava TDS, Cerec, E4D Nevo,
or CS3500, we can offer scan-bodies for intra-oral scanning. This increased
accuracy reduces both laboratory and chairside time, while reducing cost.
ROE is now an Avadent partner. Avadent is a
digital denture company that boasts the ability to produce a complete denture
in 2 appointments. The ability to mill a denture base and teeth from a dense,
porosity-free, zero-shrink puck of acrylic, and the sophistication of their
tooth-manipulation software is very impressive.
The technique is somewhat sensitive. To achieve optimal results
we suggest discussing the design with us in advance of the preparation
appointment. How you prepare the tooth and canal differs depending upon the
attachment selection and which technique is chosen to create the impression and
indirect, telescopic attachment. It is usually best to minimize the height of
the attachment, allowing space for the prosthesis. In fact, when vertical
dimension is limited it may be advantageous to use a direct-technique,
eliminating the cast coping and bonding the attachment directly to the tooth
structure and canal. With proper planning, this type of case design can be a
great service to your patients. 
ROE has always provided a complimentary conventional survey and
design service. The design is penciled on the study cast and returned for
rest-seat preparation and final impression. Now, because of our high-tech
approach, clients can send study casts and request a digital survey and design,
which includes virtual teeth. This virtual work-up is emailed as a viewable 3D
model that can be rotated to any view. The web-based preview can be shared with
patients who may be particular about the design. The service even allows you to
email a full-smile photograph of your patient to be used in the work-up. The
patient photograph allows us to provide a 2D image of the final result,
allowing the patient to be aware of clasping in the esthetic zone. This service
is available for $25.
