The Challenge of Precision in Full-Arch Restorations
For dentists performing All-on-4® procedures, achieving passive fit in full-arch prosthetics is a critical yet challenging endeavour. With a margin of error as slim as 100–150 microns—equivalent to the width of a human hair—traditional methods often introduce cumulative errors during multi-implant workflows. These errors risk complications like prosthetic misfit or bone stress, potentially compromising patient outcomes and satisfaction.
At RWD Dental Image, led by Robert Dulieu—a leading expert in All-on-4® treatments with training from Professor Paulo Malo himself—we’ve revolutionised our approach to full-arch restorations by integrating iCam photogrammetry technology into our digital workflows.
How iCam Photogrammetry Transforms All-on-4® Outcomes
Unparalleled Accuracy for Perfect Passive Fit
iCam’s TRUE photogrammetry system uses four moving cameras and individually calibrated titanium scan bodies (ICamBodies) to capture 3D implant positions with sub-20-micron accuracy. This remarkable precision is achieved through the system’s ability to process 60,800 calculations—compared to just 150–260 in other systems—ensuring implant positions are mapped with minimal error using iCam Photogrammetry’s advanced algorithms.
A 2023 study demonstrated a 99.6% success rate for All-on-4® prosthetics when paired with iCam photogrammetry, highlighting this technology’s transformative impact on treatment outcomes.
Streamlined Digital Workflow
Our iCam photogrammetry-powered workflow eliminates multiple error-prone steps in traditional processes:
- Extraoral Scanning: iCam Photogrammetry captures implant positions in under 20 seconds per arch, eliminating moisture and debris interference
- Mathematical Precision: Advanced algorithms from iCam Photogrammetry ensure implant positions are mapped with unmatched accuracy
- Operator Independence: Consistent results regardless of user expertise, ideal for complex cases like pterygoid implants
As Darren Kelsey of DK Labs notes, “The scan quality is operator-agnostic—whether a novice or expert, results are identical.”
Seamless Integration with Digital All-on-4® Protocols
Our digital workflow combines multiple technologies for truly comprehensive treatment planning:
- Preoperative Planning:
- CBCT scans for bone assessment
- iCam photogrammetry for precise implant positioning
- Intraoral scanning for soft tissue details
- Intraoperative Efficiency:
- Immediate capture of implant positions post-surgery using iCam Photogrammetry
- Same-day try-ins and provisional bridges
- Seamless integration with monitored anesthesia protocols
- Lab Collaboration:
- Digital transfer of complete case data
- Elimination of manual model production
- Digital archives for easy adjustments and maintenance
The Economic and Clinical Benefits of Our Approach
By implementing iCam photogrammetry in our All-on-4® workflow, we deliver significant advantages to both practitioners and patients:
- Cost Reduction: Save approximately 30% on materials (impression trays, analogs) and reduce chair time by 50%
- Patient Satisfaction: Avoid messy impressions and enable immediate function with milled titanium-frame prosthetics
- Predictability: A guaranteed passive fit reduces remakes and enhances implant longevity
- Time Efficiency: Dramatically reduced chair time through rapid digital capture and processing
- Exceptional Aesthetics: Precise digital workflows enable superior cosmetic outcomes
Why Choose RWD Dental Image for Your All-on-4® Cases
As an Australian-owned dental laboratory with over 30 years of experience, RWD Dental Image combines cutting-edge technology with meticulous craftsmanship. Our expertise in All-on-4® restorations and iCam Photogrammetry is unmatched and backed by:
- Direct training from the Malo Clinic, where the All-on-4® technique was developed
- State-of-the-art CAD/CAM technology and in-house milling
- A team led by Robert Dulieu, a recognised expert in implant restorative solutions who has lectured internationally across Australia, New Zealand, Germany, India, and the United States
- Accreditation from the Malo Clinic and leadership as Director of Next Smile Australia
- A commitment to treating every case with the same level of care as if it were for our own family
The RWD Approach to Predictable All-on-4® Outcomes
Our comprehensive approach ensures predictable success through:
Meticulous Pre-operative Planning
- Thorough Examination: Comprehensive assessment of oral health, bone quality, and medical history
- Advanced Imaging: Integration of CBCT, intraoral scans, and iCam photogrammetry data
- Digital Planning: Visualization of implant placement using specialised software
- Patient-Centered Approach: Involving patients in the decision-making process for realistic expectations
Precision-Guided Surgical Procedure
- Digital Surgical Planning: Precise implant placement through digital guidance
- iCam Verification: Immediate post-surgical verification of implant positions
- Primary Stability Assessment: Ensuring adequate stability for successful osseointegration
Comprehensive Post-operative Care
- Strategic Loading Protocol: Carefully timed prosthetic loading for optimal results
- Patient Education: Clear instructions for proper maintenance and hygiene
- Regular Follow-up: Scheduled check-ups to monitor implant health and make adjustments as needed
Experience the RWD Difference
By partnering with RWD Dental Image for your All-on-4® cases, you’ll provide your patients with restorations that fit seamlessly the first time—reducing chair time, minimising remakes, and ensuring patient satisfaction.
Your patients deserve comfortable restorations that function perfectly and look natural. You also deserve a lab partner who treats every case like it’s for family. Experience precision, reliability, and service that puts your practice first.
As Dr. Theo Spyrakis of Bexley Dental & Sydney Implant Studio notes, “Rob and his team at the dental lab have been an invaluable partner in my practice for many years. Their expertise in crown and bridge work, as well as the All-on-4, has consistently met the high standards I set for my patients.”
Contact us today to learn more about how our iCam photogrammetry-enhanced All-on-4® workflow can transform your practice and improve patient outcomes.
