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inosys
Full Arch
Digital Workflow

Powered by Integration

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Step 1. Patient Treatment Planning

  • Initial consultation with diagnostic evaluation.
     

  • Clinical photos, panoramic X-ray, intraoral evaluation, and occlusal records.
     

  • Determine esthetic and functional needs.

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Step 2. CBCT Review & Case Planning

  • Acquire CBCT scan to evaluate bone density, volume, and anatomical limitations.
     

  • Overlay CBCT with intraoral scan or model scan for prosthetically driven planning.
     

  • Identify implant positions, angulation, and need for bone grafting or sinus lift.
     

  • Plan using software (e.g., Exoplan, Blue Sky Plan, coDiagnostiX)

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Step 3. Surgical Planning: Guided vs. Freehand

  • Select Inosys Primus Dental Implants based on bone quality and case design.

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Surgical Guide Creation (if guided surgery chosen):

  • Design surgical guide based on planned implant positions.

  • Export STL for printing using dental-grade biocompatible resin.

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Freehand Surgery:

  • Use CBCT and anatomical landmarks for chairside planning.

  • Clinical marking and pilot drilling based on pre-op evaluation.

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Step 4. Surgical Phase

  • Perform full-arch extractions (if necessary) and place Inosys Primus implants ( Typically 4–6 Implants )
     

  • Use Creodent Tandem screws or temp cylinders for immediate loading.
     

  • Ensure multi-unit abutments (MUAs) are torqued properly.

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Step 5. Initial Intraoral Scan (Runyes Scanner)

After Implant placement:
 

  • Scan soft tissue and scan bodies with Runyes intraoral scanner.
     

  • Ensure scan includes occlusion and opposing arch.
     

  • If swelling, delay scan 1–2 days post-op.

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Step 6. Photogrammetry Capture

  • Use Runyes Photogrammetry Camera for precise implant position capture.
     

  • Record scan bodies (Domino system) to digitally map implant locations.
     

  • Combine photogrammetry file with tissue scan for master digital model.

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Step 7. Digital Design Workflow

Import scan files into CAD software (e.g., exocad, 3Shape)

 

Design:
 

  • Full-arch screw-retained provisional or final prosthesis.
     

  • Ensure proper VDO and anteroposterior spread.
     

  • Confirm esthetics and phonetics.

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Step 8. 3D Printing Prosthesis

  • Export STL of designed prosthesis.
     

  • Print using dental-approved resin on HeyGears
    or equivalent 3D printer.

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Post-processing:
 

  • Wash in isopropyl alcohol.

  • Cure with validated protocol (e.g., Formlabs Cure
    or LC-3D Print Box).

  • Stain & glaze as needed for esthetics and
    occlusion marks.

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Step 9. Try-In / Delivery

  • Seat prosthesis using Creodent Tandem Screws.
     

  • Check fit, passive seating, occlusion, midline, VDO
     

Adjust for:
 

  • Torque final screws (typically 15–35 Ncm, depending on system).
     

  • Take final photos and radiographs.

Step 10. Post-Insertion Protocol

  • Educate patient on hygiene and maintenance.
     

  • Schedule follow-ups for screw check, occlusal adjustment, and tissue adaptation.

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