This article outlines refabrication standards for crowns and bridges, partials, dentures, and implants. It outlines when a rescan is needed or when additional information should be included in the order.
Crown and Bridge
Rescans highly recommended
- Interproximal Contacts - New prep scan
- Fit - New prep scan
- Margins - New prep scan w/ proper fluid control
- Occlusal Contact - New full set of scans
Photos recommended. No rescan
- Aesthetics (shade, midline, shape/contours, etc)
- For shade, take a photo with the shade guide tab next to the tooth
Implants
Rescans highly recommended
- Interproximal Contacts - New scans of the emergence profile and the scan body should be sent with an X-ray of the scan body in place to confirm the scan body is fully seated.
- Fit - New scans of the scan body and an X-ray of the scan body in place to confirm the scan body is fully seated.
- Cement-retained or Screwmentable crown or bridge is not fitting, but the abutments fit, and the contacts have been adjusted - Scan the seated abutment.
Photos recommended. No rescan
- Aesthetics (shade, midline, shape/contours, etc)
- For shade, take a photo with the shade guide tab next to the tooth
- Screw Fitting- Add driver photos and brand to refabrication order
Dentures
Rescans highly recommended
- Fit- Take a 360 scan of the new denture with a light body wash impression.
- Occlusion - After the denture has been adjusted to get the bite as close as possible, take a scan of the denture seated, the opposing and the bite. Submit photos: front-facing and right/left profile.
- Cannot adjust bite- New scan of the denture seated, the opposing and the bite. Submit photos: front-facing and right/left profile.
- Broken denture due to occlusion- New scan of the denture seated, the opposing and the bite. Submit photos: front-facing and right/left profile.
Photos recommended. No rescan
- Aesthetics (alignment and position of teeth) - Submit photos: front-facing and right/left profile.
- Shade- Add photos with shade tabs for reference.
- Broken denture- Submit photos: front-facing and right/left profile.
Partial Dentures
Rescans highly recommended
- Fit- New upper, lower and bite scans and a photo of the partial inserted to observe fit issues.
Poor-fitting partial: Scan arch without the partial seated.
Well-fitting opposing partial: Scan with the partial seated.
Both arches have a poor-fitting partial: Rescan upper, lower, and bite with no partials seated.
- Occlusion- New scan of the arch affected without the partial seated, and new scans with the partial seated, opposing, and bite scans with the partial seated.
Photos recommended. No rescan
- Aesthetics (shade, midline, shape/contours, etc)- Photos of the appliance inside the mouth and outside the mouth.
- Shade- Add photos with shade tabs for reference.
- Broken- Submit photos: front-facing and right/left profile, if unable to seat, attach photos of the partial outside of the mouth.
- Clasps Issues- Submit photos: front-facing and right/left profile, if unable to seat, attach photos of the partial outside of the mouth.