DDS All-On-T Full Arch Workflow - Temps & Finals (no surgical guide)

1

Collect pre-surgical records
Note: pre-surgery, it is highly recommended to use bone screws in the palate or on the arch for a consistent reference point to align to across all scans in the pre/post surgery records.
- Intraoral scans with existing prosthesis/dentition: Upper, lower & bite
- Face scan or facial photos: Smile, retracted, and resting face views
2

Send all records and instructions to DDL
- All scans and records collected above
- Rx with clear instructions, including:
  - Description of # implants being placed and locations
  - Implant system, size and reference #
  - Information on screws being used
  - Cylinders vs. direct to abutments?
  - Material shade and pink tissue shade (if applicable)
  - Any other special instructions
3

Perform Surgery
4

Do you need a temp design for in-office fabrication, or are you fabricating the temp another way?
Answers
- Yes, I need a temp design ASAP after surgery so I can print or mill it in my office
  
  5
- No, I am converting a denture or other method
  
  8
5

Collect and send post-surgery records
- Tissue scan with HS healing caps
- Scan with All-on-T scan flags on multi-unit abutments. This scan is most accurate when you ONLY scan the hexes, you do not need to scan the entire scan flag (see below)
6

Receive design back from DDL

We will return your design within 2 hours if you are fabricating the temporary arch in-office.
7

Print or fabricate temporary arch in-office
8

Seat temporary arch
9

Allow patient to heal for 3-6 months
10

Collect & Send Records for Final Prosthesis
After sufficient time for healing, collect and send the following:
- Scans of existing: Upper, lower & bite (with existing prosthesis)
- Tissue scan with TruAbutment HS healing caps
- Scan of prosthesis outside of the mouth with Dual Align scan bodies
- Facial photos: Smile, retracted, and resting face view
- Instructions
  - Material choice (monolithic zirconia or zirconia on Ti bar)
  - Final material shade and pink tissue shade (if applicable)
  - Any special instructions or changes needed
(do we need another ioConnect scan if temp arch fit was good?)
11

Receive and Seat Final Prosthesis