Implant Concierge™ has simplified the workflow for fully edentulous CAD/CAM surgical guides! No more impressions, no shipping master casts and no need to create expensive radiographic scanning appliances!
You may be familiar with older, time consuming and expensive protocols such as creating a duplicate denture with a complex barium sulfate mix or scanning the patient with an expensive radiographic prosthesis and shipping master casts across the country. You no longer have to waste your time and money using these outdated protocols! Instead, allow Implant Concierge™ to fabricate a fully edentulous mucosa borne CAD/CAM surgical guide based off a fast, easy, and affordable protocol called the Dual Scan Protocol.
The Dual Scan protocol, as the name implies, requires TWO CBCT scans. To ensure success, it is imperative that your patient has a well-fitting, hard lined denture. Utilize six – eight ø1.0mm Suremark™ radiographic stickers positioned in a staggered axial pattern, sub-gingival (in the pink) and on both the buccal and lingual side of the denture, as shown here.
These x-ray markers are easy to use, because you can simply peel and stick them directly to the denture, eliminating the need to modify the denture by drilling 1.5mm spheres into the denture nor does it require the need to duplicate the denture with a radiographic substance. Simply use the patient’s current denture!
Time for some CBCT’ing! FIRST, scan the patient’s denture with x-ray markers. Be sure to orientate the denture according to the occlusion (i.e. Maxillary teeth oriented down or Mandibular teeth oriented up) and rest the denture on a foam block so it is not in direct contact with the CBCT platform. Finally, and it goes without saying, be sure the capture the entire denture in the CBCT field of view.
The second CBCT scan will be of the patient wearing the denture with the x-ray markers. Do not remove or adjust the x-ray markers as positioned in CBCT Scan #1! It is highly recommended that the patient wears a 1.0mm – 2.00mm thick bite registration during the CBCT scan to ensure an intimate fit of the denture to the soft tissue and in the desired occlusion. Finally, be sure to capture the entire arch of interest in the CBCT scan.
After both CBCT scans have been acquired, upload both DICOM data sets directly to the Implant Concierge:
- CBCT #1 DICOM: Denture with six – eight radiographic markers fixated
- CBCT #2 DICOM: Patient wearing denture with radiographic markers and bite registration
“The Dual Scan Protocol has been a game changer for dentists and imaging centers alike! No longer are treatment plans postponed due to waiting on labs to create clear acrylic dentures only to make the barium sulfate mixture too hot or gutta percha balls too large! Plus, there is no need to ship master casts. The dual scan protocol is faster, far less expensive and allows us to create an extremely well-fitting and accurate surgical guide – FAST!”
- Bret E. Royal, CEO, Implant Concierge.
While the dual scan protocol is fast, easy and affordable, it is also the most likely CBCT scan protocol to be rejected by Implant Concierge 3D Customer Service agents due to not following these simple protocols. The rejection of CBCT scans result in wasted time for both the dentist, patient and imaging center and results in unnecessary over exposure of the patient due to a second CBCT scan appointment!
To order a box of the 1.0mm SureMark radiographic stickers ($40 for 110 stickers) from Implant Concierge™, email us at firstname.lastname@example.org or call us at 866-977-2228. We will ship you a box straight to your office so you can start utilizing the Dual Scan Protocol for your fully edentulous patients!
The Implant Concierge™ is a free, web-based proprietary software that enables any dentist who places implants to utilize the known advantages of guided surgery immediately without purchasing expensive software, going through time consuming weekend training courses or spending hours after or during work trying to coordinate and plan their next guided implant case.
For more information or to schedule a 15 minute demo, please visit www.implantconcierge.com or call (866)977-2228.