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CHROME GuidedSMILE is ideal for clinicians who desire a predictable and simple All-on-X style solution to provide a beautiful smile for every patient. Dr. Brent Boyse is a pioneer in the field of cosmetic dentistry, Oral Surgery, and Dental Implants, co-developing Chrome Guided Smile – a patented process that has revolutionized patient experience by providing beautiful and predictable All-On-4 results with minimal discomfort. From creating stunning smiles to helping others achieve them too, his passion for aesthetic perfection knows no bounds! With over 30 combined years in the dental field, we have become experts in full arch fixed prosthetics because we truly believe they can change lives. Unlike many labs, we specialize in one thing because we know that is how we can provide the best product for our customers. We have perfected the process to make it streamlined and easy every step of the way.
Advantages:
- Fewer appointments
- Less chair time
- Simplified workflow
- Preplanned bone reduction and restorative space
- Guided implant placement for an accurate outcome
CHECKLISTS
HOW TO CAPTURE CHROME PATIENT RECORDS
Accurate and detailed patient records are essential to starting a CHROME GuidedSMILE case properly. This page will detail the necessary records for all patient types. Read this page thoroughly and if you have any questions please give us a call at 480.809.3029.
- Photographs– Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
- IO Scans – Intraoral scans of maxilla, mandible and bite are preffered. If patient has an existing partial on the surgery arch, capture two scans: one with the partial seated, one with the partial removed. If you do not have the ability to scan refer to the following bullet point.
- Dentate surgery arch– Master cast—must capture ALL land areas. Must capture full palate if spare denture is to be ordered. Both arches are required, either poured models or clear impressions. If patient has an existing partial on the surgery arch, capture two impressions: one with the partial seated, one with the partial removed.
- Bite registration– Suggestion: 3 small bites to tripod the bite registration rather than full arch bite
- CBCT – Dual Scan Technique*—place 6 scan markers on the impression tray or place 6 random gutta percha markers in the pink area of the labia flange.
* Dual Scan definition: one scan of the impression tray seated in the mouth IN occlusion. One scan of the impression tray alone sitting on foam or the chin rest of the scanner, not on plastic. Do not scan the patient alone w/o the tray.
- Photographs– Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
- IO Scans – Intraoral scans of maxilla, mandible and bite are preffered. For existing denture scan 360 degrees outside of patient’s mouth. If patient has an existing partial on the surgery arch, capture two scans: one with the partial seated, one with the partial removed. If you do not have the ability to scan refer to the following bullet point.
- Dentate surgery arch– Master cast—must capture ALL land areas. Must capture full palate if spare denture is to be ordered. If patient has an existing partial on the surgery arch, capture two impressions: one with the partial seated, one with the partial removed. Edentulous opposing arch – Impression capturing the teeth of the opposing dentition—a crown and bridge impression of the denture.
- Bite registration– Suggestion: 3 small bites to tripod the bite registration rather than full arch bite
- CBCT – Dual Scan Technique*—place 6 scan markers on the impression tray or place 6 random gutta percha markers in the pink area of the labia flange.
* Dual Scan definition: one scan of the impression tray seated in the mouth IN occlusion. One scan of the impression tray alone sitting on foam or the chin rest of the scanner, not on plastic. Do not scan the patient alone w/o the tray.
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- Photographs– Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
- IO Scans – Intraoral scans of maxilla, mandible and bite are preffered. For existing denture scan 360 degrees outside of patient’s mouth. If you do not have the ability to scan refer to the Dentate opposing arch bullet.
- Edentulous surgery arch – Use existing denture as a dual scan appliance. Denture must fit perfectly to the tissue and exhibit ideal tooth position. NO soft relines. Must use either hard reline if fit is not ideal, or reline with Blue Mousse impression material for both scans. Place 6 scan markers on the denture or place 6 random gutta percha markers in the pink area of the labial flange.
- Dentate opposing arch – Master cast must capture ALL land areas. Must capture full palate if spare denture is to be ordered. Edentulous opposing arch – Impression capturing the teeth of the opposing dentition—a crown and bridge impression of the denture.
- Bite registration – Suggestion: 3 small bites to tripod the bite registration rather than full arch bite.
CBCT – Dual Scan Technique* Dual Scan definition: one scan of the denture seated in the mouth IN occlusion. One scan of the denture alone sitting on foam or the chin rest of the scanner, not on plastic. Do not scan the patient alone w/o the denture.
- Photographs– Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
- IO Scans – Intraoral scans of maxilla, mandible and bite are preffered. Take a 360 degree scan of the dentures outside of the patients mouth along with a bite scan.
- Edentulous surgery arch– Use existing dentures as dual scan appliances (defined below). If patient does not have existing denture(s), fabricate new dentures to completion. If existing dentures are far from ideal, and teeth are not in the proper position, fabricate new dentures.
- Denture rules:
- Dentures must fit perfectly to the tissue and exhibit ideal tooth position.
- NO soft relines. Must complete hard reline(s) if fit is not ideal, or reline with Blue Mousse impression material for the dual scan described below.
- Place 6 scan markers on each denture or place 6 random gutta percha markers in the pink area of the labial flanges.
- Edentulous opposing arch– Impression capturing the teeth of the opposing dentition—a crown and bridge impression of the denture.
- Bite registration – Suggestion: 3 small bites to tripod the bite registration rather than full arch bite.
- CBCT – Dual Scan Technique
Dual Scan definition: one scan of the denture seated in the mouth IN occlusion. One scan of the denture alone sitting on foam or the chin rest of the scanner, not on plastic. Do not scan the patient alone w/o the denture.* Two scans are sent: 1) scan of the surgery arch with 6 markers on the denture, IN OCCLUSION 2) scan of the denture alone with markers in exact same positions.
- Photographs– Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
- IO Scans – Intraoral scans of maxilla, mandible and bite are preffered. If patient has an existing partial on the surgery arch(es), capture two scans: one with the partial seated, one with the partial removed.
- Maxillary & mandibular master casts or impressions– Must capture ALL land areas is. Must capture full palate if spare denture is to be ordered.
If patient has an existing partial on the surgery arch(es), capture two impressions: one with the partial seated, one with the partial removed. - Bite registration– Centric occlusion bite
CBCT* – place 6 scan markers on the triple tray impression or place 6 random gutta percha markers in the pink area of the labia flange.
* Dual Scan definition: one scan of the impression tray seated in the mouth IN occlusion. One scan of the impression tray alone sitting on foam or the chin rest of the scanner, not on plastic. Do not scan the patient alone w/o the tray.
- Photographs– Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below. We suggest capturing photos before taking impressions to keep the lips and teeth clean.
- IO Scans – Intraoral scans of maxilla, mandible and bite are preffered. Take a 360 degree scan of the dentures outside of the patients mouth along with a bite scan.
- Prepare Dentures– Use existing dentures as dual scan appliances. If patient does not have existing denture(s), fabricate new dentures to completion. If existing dentures are far from ideal, and teeth a not in the proper position, fabricate new dentures.
- Denture rules:
- Dentures must fit perfectly to the tissue and exhibit ideal tooth position.
- NO soft relines. Must complete hard reline(s) if fit is not ideal, or reline with Blue Mousse impression material for the dual scan described below.
- Place 6 scan markers on each denture or place 6 random gutta percha markers in the pink area of the labial flanges.
- 3 CBCT Scans– Must follow the Dual Scan Technique
- Scan of the maxillary denture alone resting on foam or similar.
- Scan of the mandibular denture alone resting on foam or similar.
- Scan of BOTH dentures, in the mouth, in occlusion, not separated, and ensure the scan includes the patient from the chin up to the nasal cavity.
- Bite registration– Suggestion: 3 small bites to tripod the bite registration rather than full arch bite.
- Photographs– Full face full smile photo, plus profile photo if Class II or III. Retracted photographs front, left side, right side IN occlusion, see below.
We suggest capturing photos before taking impressions to keep the lips and teeth clean. - Prepare Denture –Use existing denture as dual scan appliance. If patient does not have existing denture(s), fabricate new dentures to completion.
If existing dentures are far from ideal, and teeth are not in the proper position, fabricate new dentures. - Denture rules:
- Dentures must fit perfectly to the tissue and exhibit ideal tooth position.
- NO soft relines. Must complete hard reline(s) if fit is not ideal, or reline with Blue Mousse impression material for the dual scan described below.
- Place 6 scan markers on each denture or place 6 random gutta percha markers in the pink area of the labial flanges.
- 3 CBCT Scans– Must follow the Dual Scan Technique
- Scan of the maxillary denture alone resting on foam or similar.
- Scan of the mandibular denture alone resting on foam or similar.
- Scan of BOTH dentures, in the mouth, in occlusion, not separated, and ensure the scan includes the patient from the chin up to the nasal cavity.
- Bite registration– Suggestion: 3 small bites to tripod the bite registration rather than full arch bite.