Surgical Data Acquisition

Pre-Extraction Scan

The instructions describe the process of scanning a patient's arch before an extraction procedure. It is important to ensure that a scan marker is present during this scan, as well as the final surgical scan, to ensure accuracy in the file merging process.

There are various options for markers, including a tooth, Stricker screws, FI3LD Orientation Scan Marker®, Yomi bone link, or a bone reduction guide. The choice of marker may differ depending on the specific needs of the patient and the procedure being performed.

Regardless of the marker used, the scanning technique remains the same. The marker serves as a reference point during the scan, allowing for precise and accurate merging of the files.

Surgical Scan

| Suture Caps

Firstly, the suture caps are placed over the MUA/SRA using a straight multi-unit driver. It is important to hand-tighten the caps while ensuring that they are flush with the MUA/SRA surface. 

Once the caps are in place, the next step is to suture around the caps. The suture caps must be exposed and should not be covered by any tissue. 

During this step, managing the tissue around the area is important to ensure that the sutures are placed correctly. FI3LDDS Suture Caps® used in this procedure are specifically designed to facilitate the delivery of the temporary.

| Universal Scan Bodies®

Place the FI3LDDS Universal Scan Bodies® on the suture cap and screw them using a 050-driver applying finger tight pressure. Make sure that the scan bodies are seated flush with the suture cap. 

The FI3LDDS Universal Scan Bodies® are hexed, but for this step can be positioned in any direction.

| STV® Tray

The tray is a patent protected custom-made device that is designed to hold multiple scan bodies, while keeping at bay blood, saliva, blood clots, and any other debris away from the scanning area, while scanning the patient's implants position and the soft tissue under compression.

The first step is to place the tray in the patient's mouth, ensuring that each scan body is positioned correctly and protruding through the channel of the tray. The channel is a narrow groove or opening in the tray that provides a clear path for the scan bodies to extend through without any obstruction or interference.

If any of the scan bodies are obstructed or interfere with the tray, it may be necessary to enlarge the channel to allow for easier access. This can be done by carefully grinding away some material from the tray, while being mindful not to damage the integrity of the tray or compromise its fit.

Once satisfied with the fit of the STV tray, dental putty material is mixed and applied to the tray.

The tray is then repositioned in the patient's mouth, and pressure is applied to ensure that the scan bodies protrude through the putty material and the tray's channel. Any excess putty material is removed and/or pushed back into the channel using a dental instrument to clear the scan body heads.

Make sure that the scan marker of your choice is not covered by the tray or any putty material. 

To aid in the IOS scanning process, lines or geometrical shapes are created on top of the putty material. This is important to provide reference points for the scanner and ensure accurate and detailed images of the scan Bodies.

Before scanning, it is essential to ensure that all scan body heads are clear of any putty material or debris. Any blood or other fluids are removed from the scan bodies using a surgical suction and 2x2 gauze. 

It is important to avoid using air to clean the scan bodies as this can cause subcutaneous emphysema.

| Scanning The Implant Position

To take a clear digital impression in the patient’s mouth, you need to prepare the area properly. This means removing any moisture, blood, or debris to get an accurate scan. 

It's also important to clean and dry the lens on the intraoral scanner wand and remove any overhead lighting from the scanning area.

To make the scanning process easier, disable the Artificial Intelligence function. 

Start by scanning the occlusion surface from left to right or right to left, then lingually, and then facially. Finally, go over each scan body, but don't over-scan, as it can create inaccurate data. do not forget to scan the right and left sides of the tray

The scan bodies were designed for easy scanning, so you don't need to waste time scanning unnecessary landmarks. Only scan the scan bodies, the scan marker as discussed to get the best results and the right and left sides of the STV tray.

It is crucial that you do not forget to scan the scan marker of your choice during the scanning process. The scan marker helps the lab align all the scans correctly, and failing to include it would be detrimental to the success of the case. If the scan marker is not included, it can seriously complicate the fabrication process and delay the timely delivery of the surgical temporary. Therefore, it is important to take the time to ensure that you have scanned the scan marker along with the other scan bodies to avoid any complications in the fabrication process.

The Intra-Oral Scanners listed below have been vetted for the FI3LDDS Workflow®.

  • 3Shape TRIOS 3-5

  • CEREC Prime

  • iTero Element & 5D

  • Medit i700Medit i500

| Scanning The Soft Tissue

After completing the scanning process for the implant positions in the jaw, the next step is to complete the FI3LDDS Workflow® with the compressed soft tissue scan.

To do this, you need to remove the STV Tray® from the patient's mouth by unscrewing each scan body carefully.

Once you have removed the tray, make sure to remove any blood or debris from the STV Tray® under water to ensure accuracy of scanning.

Next, dry the putty to remove any shiny or reflective surfaces before placing a FI3LDDS Bullet® in each scan buddy and screwing them in place with finger-tight pressure. 

Next, scan the putty with your intra-oral scanner capturing the Bullets® and all of the tissue architecture from the tray. Do not forget to scan the sides of the tray which will facilitate the alignment process. Once you are done scanning, verify the accuracy of your scan.

Send all the files, including the implant positions and soft tissue scans to Allure Dental Studio. We highly recommend that you send each file to the lab as you take them. This way the lab will have time to verify that the received scans are accurate.

By following these steps, you can ensure that all necessary scans have been taken accurately, which will enable the dental lab to fabricate the necessary restorations or implants with precision and accuracy.

You do not need to remove the Suture Caps® from the patient's mouth. FI3LDDS Suture Caps® were engineered to facilitate the delivery of the temporary by keeping the tissue away from the MUA/SRA.