1. On a dry, well-fitting denture, place 6 x-ray markers:
- Place 3 markers on the facial/buccal surface and an additional 3 markers on the lingual surface
- Place the markers on varying axial planes
- Example: if you place a marker on the buccal area of #28-29, then place your next marker on the lingual of #27-26, the next marker on the facial of #24-25 area and so on
*Do not place the markers on the intaglio surface of the denture*
2. Pre-Scan Patient Instructions:
- Use a bite registration for separation, secure fit, and to eliminate rocking
- Confirm fit by asking the patient “Is the denture fitting correctly?”
- Breathe through your nose, close your eyes, and place the tongue at the back of the mouth
3. First Scan: Capture CBCT of ONLY the mandible denture with the x-ray markers
- Position the appliance on a foam block
- Orientate teeth occlusal UP
CBCT General Settings: 6cm – 8cm, 0.3 – 0.4 Voxel
4. Second Scan: Capture CBCT of the patient WEARING mandible denture with x-ray markers
Vital Anatomy to be captured:
- Superior: Capture 1-3 mm of maxilla dentition
- Inferior: Capture mandible with slight clearance below chin
CBCT General Settings: Mand 6cm – 8cm, 0.3 – 0.4 Voxel
5. When scanning a patient following Dual Scan Protocol:
- Review the scan carefully to ensure there is no “Black Air Space” between the denture the soft tissue of the patient
Rejected Scan 
Accepted Scan
6. Export and Upload CBCT Scans to Implant Concierge
- Export the CBCT scans individually, in a multi-file DICOM format to the desktop
- Right-click on each folder, go to “Send To”, and select “Compressed (Zipped) Folder”
- Upload both zipped/compressed folders to Implant Concierge
