Implant Case Intake Protocol

Questions our staff asks on every single implant case.

No implant case enters production at AIM without passing through this checklist. Every question has a direct consequence if it goes unanswered.

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questions answered

Enter Doctor/Practice, Patient/Case #, and all required (*) questions in Sections 1 & 2 to enable submission.

Missing information = production hold. Cases missing Sections 1 or 2 cannot enter production. If you’re unsure about any specification, call AIM at (718) 854-3900 before submitting.

Q1 What is the implant brand and product line?*

e.g. Nobel Biocare NobelActive · Straumann Bone Level · Zimmer Screw-Vent · Hiossen ET · Other

Q2 What is the implant platform diameter?*

This determines which components are compatible — confirm from the surgery report or implant sticker

Q3 What is the implant connection type?*

If unknown, attach the surgical placement report — incorrect connection type = unusable restoration

Q4 Is a lab analog included with the case?

If no analog is provided, AIM will supply one — confirm the correct system first

Q5 Is an impression coping / scan body included?

For digital cases: specify which scan body library was used — unidentified scan bodies block design workflow

Q1 Is the restoration screw-retained or cement-retained?*

Determines abutment design, access hole planning, and material selection — no default assumed

Q2 What is the case type?*

Full-arch cases require additional planning — include number of implants and arch specification

Q3 What is the final restoration material?*

Material selection affects design, milling time, and sintering — confirm before case enters queue

Q4 What is the shade prescription?*

Include shade photo if possible — cases without shade specification cannot be finalized

Q1 Is a custom abutment required?

Custom recommended for all esthetic cases and cases with angulation issues — stock abutments are a compromise

Q2 If custom — abutment material?

Titanium for posterior / high-load; zirconia for anterior esthetics where metal-free tissue response is critical

Q3 What is the desired margin depth?

Specify per surface if different — affects cementation access and tissue health

Q4 Ti-base / Aimzir hybrid or one-piece custom abutment?

Ti-base hybrids allow abutment-level bonding of zirconia crown — offers retrievability with esthetic results

Q5 Is there a specific abutment height required?

Critical for short-crown cases — limited inter-occlusal space may require a different restoration approach

Q1 What is the occlusal scheme?

Affects material selection and contact design — layered porcelain not recommended for group function cases

Q2 Is the patient a bruxer or parafunctional case?

Bruxism → monolithic zirconia required; layered porcelain will fracture — AIM will flag if material conflicts with this answer

Q3 What is the opposing dentition?

Influences occlusal material and contact design — natural teeth vs. implant vs. full denture each require different consideration

Q4 Is this a provisional or final restoration?

PMMA provisionals for tissue conditioning can be fabricated on abutments before final case proceeds

Q1 Which intraoral scanner was used?

Affects file format requirements and scan body library matching

Q2 Is the scan body identified in the file?

AIM must match the scan body to the correct implant library — unidentified scan bodies block design workflow entirely

Q3 Is the full-arch antagonist scan included?

Required for accurate occlusal design — missing antagonist = AIM must request re-scan or work from mounted models

Q4 Is a design approval step desired before fabrication?

AIM can send a digital design preview for complex cases — adds 1 business day to turnaround

Q1 Is this a rush case?

Rush cases must be received by 12:00 PM · 24-hour rush available to metro NYC practices only

Q2 Is there a specific delivery date required?

Patient appointment scheduled — let us know so the case can be prioritized in the production queue

Q3 Which components should be returned with the case?

Select all that apply

Q4 Is a try-in stage planned before final delivery?

AIM can prepare to try-in stage and hold for doctor confirmation — note which stage: framework, abutment, or bisque bake

What goes wrong when information is missing

Wrong platform → restoration cannot seat

A crown fabricated on the wrong analog will not connect to the patient's implant. The entire case must be remade from scratch.

Wrong connection type → screw doesn't engage

A conical connection abutment on an external hex implant is physically incompatible. No adjustment is possible — it’s a complete remake.

Unidentified scan body → digital file unusable

Without knowing which scan body was used, the digital file cannot be imported into the correct library and design cannot begin.

No retention preference → wrong design path

Screw-retained and cement-retained restorations have completely different abutment designs. Fabricating one when the other is needed means starting over.

No shade → delivery delay

An implant crown without a shade prescription cannot be finalized — it leaves the lab on hold until the information is received.

Unknown bruxism → material failure

Layered porcelain on a bruxer's implant crown is a predictable failure. Without knowing parafunction status, we cannot make the right recommendation.

Every question in our protocol exists because a case once failed without that answer. If you have an unusual case, call us at (718) 854-3900 before submitting.

Ready to submit your implant case?

Download the Implant Rx form, schedule a pickup, or call us to walk through a complex case before submission.