Guide for your first FirstFit case
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By Dr. Nicolás Veneri Rodríguez - Lead Clinical Innovation & Communication Strategist

Index: How to Upload a Case?
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Platform Tutorial
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How to upload a case? General event flow.
Step 1 (Clinic)
You must send the photos, impressions, and prescription through the platform.
Step 1 (Laboratory)
In the laboratory, they design the proposal with Exocad and upload it to the platform.
Step 2 (Clinic)
You access the platform, view the design, and approve or request modifications.
Step 2 (Laboratory)
Fabrication of the Mock-up key if you approved the proposal.
Step 3 (Clinic)
You test the Mock-up on your patient and approve or request modifications.
Step 3 (Laboratory)
Digital cuts are made, and all veneers and guides are fabricated.
Step 4 (Clinic)
Case placement

Tips on Photography
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Essential Equipment: Lighting and Unicolor Background.
You can use a ring light. Ideal temperature 5600ºK.
A unicolor background: a white wall or a white or black roller blind.

Phone Settings for Dental Photography
Activate the grid and level in your phone's camera.
Select the 'most compatible format' (JPEG, JPG).

Transferring Photos to Your Computer
Mobile to PC Transfer
If you transfer your photos via applications like WhatsApp, always use the highest image quality (HD or higher).
Compatible File Format
Ensure that the photos are in a readable and widely compatible format, such as JPG or JPEG.

How to take the photo? Patient's posture.
Patient seated with a straight back: never lying on the dental chair.
The patient's eyes should look directly at the camera.
Position the camera at the height of the middle 1/3.

The Two Most Important Photographs
Extraoral, frontal, with retractors.
Crucial for visualizing the complete dental arch without soft tissue interference.
Extraoral, frontal, without retractors and with a broad smile.
Allows evaluating the patient's aesthetics and the relationship of the teeth with the lips and the face as a whole.

How to take the photo? Patient orientation.
The patient's entire face must be visible (leave 5 cm above the forehead and 5 cm below the chin).
The patient's eyes should look directly at the camera.
The bipupillary line must be parallel to the ground.
The midsagittal line must be perpendicular to the ground.

Other photographs requested by the platform
Bottom 1/3 photographs: front, right side at 45º, left side at 45º.

Have you positioned your head correctly?
INCORRECT
CORRECT

Is the full face visible?
CORRECT
INCORRECT

Are the eyes looking at the camera?
CORRECT
INCORRECT

Tips on Prints/Scans
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Impressions or Scans (both arches + bite registration)
1
Sufficient space above the cervical margin
You must copy a minimum of 3 mm above the cervical margin.
2
Detailed occlusal area
Verify sharp reproduction of the occlusal surface.
3
Gingival margin definition
Margins must be correctly copied.
4
Material integrity
Discard if there are drags or tears.
5
Posterior space
Sufficient molar and/or retromolar space.

Prescription Tips
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Prescription: Key Elements
Clear Instructions
Detail precisely the requested treatment.
Critical Aspects
Indicate key considerations for the designer.
Do Not Leave Blank
This section is fundamental for the process.
Guarantee of Success
The final result depends on effective communication.

What parameters to consider?
Tooth shape
Diastemas
Smile curve
Incisal triangles
Central/lateral jump
Buccal corridors
Canine and premolar cusps
Gingival architecture

Index of MasterTips for preparing and cementing
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1 Minute Summary
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Materials and Their Arrangement
  • FirstFit Guides
  • FirstFit Burs (A and C)
  • Veneers in Positioning Guide
  • Optragate
  • Polishing Discs (medium/fine grit)
  • Hydrofluoric Acid 5%
  • Monobond Plus
  • Variolink Try-in
  • Variolink LC (NOT DUAL!)
  • Orthophosphoric Acid 37%
  • Self-etching Universal Adhesive
  • Liquid Strip
  • Microbrushes
  • Bluephase Lamp + PinPoint Tip
  • Ceri-saw with inactive refills on the sides
  • Curette
  • Brushes
  • Scalpel Handle + Blade #12
  • Articulating Paper

The Guides and Their Numbering
Each guide has printed on it:
  • The case number (4718);
  • A code indicating the order of use and the type of drill to use with that guide (7C).
For example: 7C indicates that it is the 7th guide to be used with drill 'C'.

Before you start
Always check the fit of each and every guide before you start carving:
1) You place the Optragate;
2) You check that each guide fits correctly over the arch.
Tip: use an intraoral mirror to verify the occlusal fit.

Struggling to pass the guides? Are the flaplets breaking?
Beware of these three mistakes:
Passing the turbine WITHOUT pressing the pedal before preparation.
Incorrect turbine inclination
Placing the turbine too horizontally, causing friction between the turbine and guide.

Struggling to pass the guides? Are your wings breaking?
The solution:
You should always enter with the turbine active (PEDAL PRESSED), until you have finished with the box.
Correct the disc's inclination. In this system, you must stop looking at the bur, look at the disc.
Turn the back of the turbine towards you, to prevent the turbine neck from colliding with the guide.


Step 1 - Optragate Placement
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Step 2 - Preparation with the guides
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Step 3 - Try In
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Step 4 - Modified Relative Isolation
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Step 5 - Dental conditioning
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Step 6 - Veneer Seating and Guide Removal
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Step 7 - Final Photopolymerization and Last Steps
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How to 'Reshape'
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Video: Dra. Patricia Elías.