This section is an introduction to the Chrome GuidedSMILE surgical protocol; a patented, fully guided, “prosthetic-down” approach to all-on-x.
What is the iJIG?
- iJIG is a fit verification jig and final prosthetic proposal all-in-one. It allows the doctor to lute passive sections together in the mouth, equilibrate the occlusion, capture the bite, pick-up the tissue, and basically capture and send all the records needed to create a final or prototype restoration. It is an amazing device.
- To create an iJIG, simply order our iJIG Scan Analogs and capture a digital impression and upload – watch the video below for the technique. Read below about iJIG Scan Analog compatibility.
- The steps are simple (see the necessary records needed for the iJIG below). Ensure that you ordered and received iJIG Scan Analogs from Quoris3D – must inform Quoris3D of the implant system. They are specific to this technique and can not be substituted.
- Watch the second video below for how to manage the iJIG seating appointment with the patient.
- iJIG works with almost every popular implant system: Nobel, BioHorizon, NeoDent, Biomet 3i, Straumann, Hiossen, Thommen, Keystone, others
- However, if you are restoring Zimmer, Implant Direct, Camlog, Astra, MIS, Straumann, Paltop, you must order OEM (original equipment manufacture – the implant company) MUA replicas to scan the prosthetic. Simply screw them into the prosthetic and scan according to our protocols.
- Also, this second list of implant companies requires OEM parts to fabricated the iJIG and will increase the cost over 3rd party parts that are used on Nobel-compatible MUA’s. Call us to answer any questions on this.
The Printed Try-in is the perfect prototype when working toward a full arch monolithic, final restoration. This tooth-colored appliance (with a pink gingiva option), gives the patient the test-drive prosthetic needed to confirm the final.
Designed generally from the iJIG, the RAPID Appliance, or sometimes a screw-down tooth set-up, Doctors will receive this appliance and follow the usage instructions below. With this approved prosthetic, Quoris3D will fabricate the final restoration, or by request, for an additional full fee, fabricate another Printed Try-In.
With the full CHROME GuidedSMILE package, one Printed-Try-In prototype is included when ordering the full package. We know you’ll love this product for restoring full arch patients.
- One-Screw Test – Seat the Printed Try-In placing one screw in the distal most implant on one side and ensure a passive, no-rock seat. Repeat on the other side. If there is rocking, remove a cylinder from the Printed Try-In and pick-up, or section the temp and lute, like a verification jig, until all sections are passive and there is no rock. If no rock is detected, go to next step.
- X-Ray is captured to ensure temp cylinders and abutments are engaged and fully seated
- Equilibrate & adjust thoroughly adjust until the bite is exact. Adjust for esthetic and functional satisfaction.
- Bite – if double arch, seat both appliances for the bite
- Include opposing model
- Photograph full smile / full face clearly showing what needs changed esthetically
The JC Try-In is a digitally designed and printed flipper, for lack of a better description, that is used to confirm the patient’s bite.
When JC Try-In is used:
- When a closed bite requires opening for the procedure, usually more than the 3 mm’s recommended limitation of the articulator
- When patients present with few or no centric stops when the vertical needs to be determined and confirmed
- When the bite confirmation is needed, as well as a scan appliances – can be for both
- Master casts, PVS or digital impressions and a bite registration
- Retracted photographs of the patient biting in centric, left, right, and straight on
How to use:
- Seat the JC Try-In(s).
- Adjust as needed for full seating.
- Equilibrate until the bite is perfect.
- Then capture a new bite and return the case to Quoris3D.
- We will re-articulate and move forward with this new position.
The RAPID Appliance is very strategic component of CHROME GuidedSMILE. It is an exact duplicate of the surgical prosthetic. It is picked up the day of surgery, held until the time of final conversion and used to send nearly all records to Quoris3D for the final. A unique and time-saving device.
- The RAPID Appliance serves multiple strategic functions.
- Just like the surgical long-term temp is picked up on the day of surgery, the RAPID is also picked up on a second set of temporary cylinders and is held until it is time to transition into the final prosthesis.
- OPTION ONE – The surgical prosthesis is relined and sent to Quoris3D with the opposing and bite registration. Once the surgical prosthesis is removed, you will seat the RAPID appliance, equilibrate and send the patient home in the RAPID.
- OPTION TWO – Remove the surgical prosthesis and seat the RAPID Appliance. Once seated, equilibrate, reline, and send the RAPID to Quoris3D with the opposing and bite registration.
- From this record, we can produce either a printed prototype for final, or final restoration. There is no simpler method of converting to final.
- The RAPID provides us with everything needed to make the final:
- Initially it is picked up during surgery.
- Once the surgical prosthetic is picked up, another set of temporary cylinders are inserted onto the multi-unit abutments and then the RAPID Appliance is picked up.
Dentists throughout Europe rely on Quoris3D for support with fixed and removable reconstruction restorations. Whether your case is straightforward or needs a unique solution for custom full arch dental implants due to bone limitations for implant position placement we are your resource for prosthetics.
When you need support from the onset, please give us a call and explain the situation and we will help to help set you on the right path. It’s important to note that today not all custom full arch dental implant prosthetic cases start with implant-level impressions.
Today’s complex, custom full arch dental implant product cases often require special components and planning prior to master impressions to ensure proper design for screw access, appropriate tooth position, aesthetics and functionality.