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Here's a snapshot of your case pipeline with MySmileQuote's planning & manufacturing team.
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My Cases
Every case you've submitted, with live status from planning through final restoration.
Case Submission
Case info and clinical info are required; every upload step is optional. Your progress is saved automatically.
Digital Workflow
From first consultation to final restoration — here's exactly what happens at every stage of a MySmileQuote full-arch case, and what we need from you at each step.
The Case Lifecycle — Business Operating System
Every case submitted to MySmileQuote moves through this exact structured 13-stage pipeline — from initial records submission to the final definitive restoration. This is the operating system behind every case on this platform.
Confidential — Internal Business Operating System & Case Lifecycle StandardsHow These Stages Map to Your Case Status
| Stages | What You See on Your Dashboard |
|---|---|
| 1 – 2 Submission & Pre-Flight | Received (or Action Required if a file fails validation) |
| 3 – 5 Intake, Design & Internal QC | Pending Planning → Ready for Review |
| 6 Dentist Review & Approval | Ready for Review → Received |
| 7 Manufacturing Queue | Manufacturing |
| 8 – 9 Lab QC & Dispatch | Manufacturing → Shipping |
| 10 – 11 Delivery & Surgery Support | Shipping → Completed |
| 12 Post-Op Follow-Up | Completed |
| 13 Definitive Final Restoration | Completed (Final Restoration Delivered) |
The 13 Stages
Clinical Resources
A searchable knowledge base covering every material, technique, and system used in your cases.
MySmileQuote Clinical Operations Manual
The master reference for every service, workflow, deliverable, turnaround time, quality-control checkpoint, required file, communication touchpoint, restoration option, material, and implant system supported through the Dentist Portal.
Confidential — External Partner Clinical Operations & Laboratory StandardsSection 1 — Master Service Catalog & Deliverables
Every service offered through MySmileQuote, in the order a full-arch case moves through them.
Section 2 — Clinical File Intake & Validation Protocols
Before a case is accepted for planning, all raw clinical records undergo automated and manual inspection.
Passes Checkpoints
Case proceeds directly to Digital Treatment Planning (Section 3).
Fails Checkpoints
An Auto-Reject Ticket is issued requesting the specific missing or non-compliant files.
2.1 CBCT (DICOM) Specifications
| File Format | Multi-frame uncompressed DICOM dataset (.dcm), single folder structure — no zipped inner folders. |
| Field of View (FOV) | Min. 12 cm × 8 cm (single arch, must include full hard palate, nasal floor, inferior mandibular border). Min. 15 cm × 15 cm for bimaxillary cases. |
| Slice Thickness | ≤ 0.5 mm (max. limit 0.625 mm) |
| Voxel Size | 0.15 mm to 0.3 mm isotropic |
| Artifact Rules | Cotton roll separator or non-radiopaque bite block required. Metal-marker appliances follow the Dual-Scan Protocol (2.5). |
2.2 Intraoral Scans (STL/PLY)
| File Format | High-resolution binary STL or color PLY. ASCII STL not accepted. |
| Surface Quality | Free of scan holes, voids, or floating scatter along the planned surgical ridge. |
| Mesh Density | Minimum 100,000 polygons per arch. |
| Maxillary Boundary | Full hard palate, both tuberosities, full mucobuccal fold (min. 5 mm apical to the mucogingival junction). |
| Mandibular Boundary | Full lingual vestibule, both retromolar pads, full mucobuccal fold depth. |
2.3 Bite Registrations
| File Format | Left and right buccal bite scan STLs in maximum intercuspation (MIP). |
| Verification Check | Vertical drift, double-bite artifact, or surface collision > 0.2 mm triggers an automatic rescan request. |
2.4 Clinical Photography — "The Standard Six"
- Full face at rest (lip-to-tooth relationship)
- Full face with a maximum smile
- Profile at rest
- Retracted frontal view in maximum intercuspation (MIP)
- Retracted lateral views (left and right)
- Occlusal mirror views (upper and lower arches)
2.5 Dual-Scan Protocol (Edentulous Patients)
- Scan 1: Patient wears the existing denture/temporary fitted with 6–8 radiopaque gutta-percha markers (1.0–1.5 mm diameter, distributed asymmetric-laterally).
- Scan 2: Denture/appliance scanned alone on a non-radiopaque support block, identical kVp/mA settings.
- Validation: Marker positions between Scan 1 and Scan 2 must match within ≤ 0.05 mm.
Section 3 — Digital Treatment Planning Workflow & Clinical Tolerances
The exact sequence and tolerances CAD designers apply during virtual planning.
3.1 CBCT-to-STL Alignment Validation
Landmark-based matching followed by global surface-to-surface registration. Maximum surface deviation between aligned CBCT dental surfaces and the intraoral scan mesh must be ≤ 0.1 mm — any zone exceeding this is rejected.
3.2 Safety Zones & Anatomical Boundaries
| Anatomical Landmark | Minimum Safety Clearance | Clinical Rationale |
|---|---|---|
| Inferior Alveolar Nerve (IAN) | ≥ 2.0 mm (apical/lateral) | Prevent paresthesia and mechanical injury |
| Mental Foramen Loop | ≥ 2.0 mm mesial to the loop | Avoid injury to the anterior loop of the IAN |
| Maxillary Sinus Floor | ≥ 1.0 mm (without grafting) | Prevent sinus membrane puncture |
| Nasal Cavity Floor | ≥ 1.0 mm | Preserve integrity of the nasal mucosa |
| Adjacent Teeth | ≥ 1.5 mm from the root surface | Prevent root damage and preserve adjacent bone |
3.3 Implant Placement CAD Guidelines
- Buccal Plate Integrity: preserve ≥ 1.5 mm of sound buccal bone plate.
- Inter-Implant Distance: minimum 3.0 mm of bone between adjacent implant platforms.
- Platform Depth: 3.0–4.0 mm apical to the planned emergence profile.
- Inclination Limits: anterior implants as straight as possible; posterior implants up to 30° (max. 45° with angled MUAs) to bypass sinus walls or the mental foramen.
3.4 Prosthetic Space Evaluation
| Restoration Type | Minimum Vertical Space (Implant Platform → Occlusal Plane) |
|---|---|
| Acrylic hybrid over titanium substructure | 12–15 mm |
| Monolithic zirconia over titanium core | 10–12 mm |
If available space is below these values, the plan calculates the additional bone reduction needed and adds it to the G1 Bone Reduction Guide design automatically.
Section 4 — Implant System Compatibility Matrix
The CAD software loads the correct geometries, analogs, guide sleeves, and drill keys based on the system selected in Case Submission.
| Manufacturer | Supported Implant Lines | MUA Angles | Drill Key / Sleeve System |
|---|---|---|---|
| Straumann | BLX, TLX, Bone Level (BLT) | 0° · 17° · 30° | Straumann Guided Surgery Kit / MSQ Sleeves |
| Nobel Biocare | NobelActive, NobelParallel CC, NobelReplace | 0° · 17° · 30° · 45° | Nobel Biocare Guided Kit / Nobel Sleeve |
| BioHorizons | Tapered Internal, Tapered Pro, Tapered Plus | 0° · 17° · 30° | BioHorizons Guided Surgical Kit / MSQ Sleeves |
| Zimmer Biomet | Tapered Screw-Vent (TSV), Trabecular Metal | 0° · 17° · 30° | Zimmer Guided Kit / Zimmer Sleeve |
| Dentsply Sirona | Astra Tech EV, PrimeTaper EV | 0° · 20° · 30° | Astra Tech Guided Surgery EV Kit |
Section 5 — Material Specifications & Manufacturing Standards
All restorations, surgical templates, and metal components use biocompatible, ISO-certified raw materials.
Section 6 — Multi-Step Quality Control (QC) Protocols
Every case passes through four QC gateways. Failure at any gate means immediate rejection and recycling to the previous stage.
Gate 1 File Intake & Compatibility
- Verify CBCT scan protocol and file integrity
- Check intraoral scans for voids, holes, and full-arch coverage
- Validate vertical alignment of left/right bite registration scans
Gate 2 Plan Audit & Safety Compliance
- Confirm bone-to-tooth alignment error is ≤ 0.1 mm
- Audit safety zones (IAN ≥ 2.0 mm, sinus floor ≥ 1.0 mm)
- Verify implant stability parameters and insertion trajectories
Gate 3 CAD Guide Extrusion & Design Checks
- Guide pin angles ≤ 15° from the placement axis
- Guide walls have a minimum thickness of 2.0 mm
- Guide sleeve placements align with master sleeves
Gate 4 Post-Manufacturing Inspection
- Guides fit the Master Model under microscopic view
- Provisional restoration free of non-engaging micro-gaps
- Internal access holes inspected for drill alignment
Section 7 — Service Level Agreements (SLAs) & Turnaround Times
Measured in standard business days from the date of complete clinical file submission.
7.1 Standard SLA Schedule — Total: 6 Business Days
7.2 Express Service Tier — Total: 2 Business Days
Restricted to cases not requiring custom bone grafting or sinus augmentation.
Section 8 — Communications & Notification Dispatch Protocol
Every case stage automatically triggers a dashboard status change and an email to the submitting dentist.
1. Case Received
Trigger: Case submitted via the Case Submission wizard. Action: Dashboard status → Active; email with Case ID and submitted-file checklist.
2. Information Needed (Hold)
Trigger: Fails QC Gate 1. Action: Dashboard status → Action Required; email listing missing files with a re-upload link.
3. Planning Phase
Trigger: Passes QC Gate 1, assigned to a CAD designer. Action: Dashboard status → Planning; email with the designer's name and contact info.
4. Ready for Review
Trigger: Plan passes QC Gate 2. Action: Dashboard status → Ready for Review; email + notification with the 3D plan link and PDF summary.
5. Approved
Trigger: Dentist clicks "Approve Plan." Action: Dashboard status → Manufacturing; design locked and queued; confirmation email sent.
6. Shipping
Trigger: Package passes QC Gate 4. Action: Dashboard status → Shipping; email with carrier tracking number and estimated delivery.
Section 9 — Clinical Material Selection Guide
Restorative material should be selected based on the patient's individual habits and oral conditions.
Bruxism / Heavy Bite Forces
Recommended: Monolithic zirconia with an internal Grade 5 titanium substructure.
Avoid: standard acrylic hybrid denture teeth (higher risk of wear, fracture, and shearing).
Why: zirconia resists heavy biting forces and prevents posterior tooth wear.
Standard Clinical Needs
Recommended: nano-ceramic composite or graphene-reinforced PMMA.
Why: natural aesthetics with flexural resilience similar to bone/dentin, absorbing forces and protecting implants during healing.
Section 10 — Surgical Troubleshooting Protocols
Immediate troubleshooting workflows for surgical teams experiencing technical challenges on surgery day.
Guide Misfit or Inaccuracy
- Clear tissue/debris and check for bony interference; verify fit.
- Confirm all lateral fixation pins are seated tightly with no rocking.
- If misfit or deviation exceeds 0.5 mm, abort guided surgery and switch to freehand placement using diagnostic templates.
- Call Emergency Support immediately: (888) 555-0142.
Implant Instability (Torque < 30 Ncm)
- Measure final insertion torque of each placed implant.
- If < 30 Ncm: do not immediately load — place healing caps/cover screws and suture.
- Transition the patient to a temporary removable denture during osseointegration.
- Update the case file in the portal to reflect the revised healing timeline.
Section 11 — Portal Security & Access Standards
The Dentist Portal is a central registry for sensitive patient health records.
HIPAA Compliance: end-to-end encryption (AES-256) for all file transfers, including CBCT datasets, clinical photography, and patient intake forms.
Dentist / Clinician
Case submission, planning approval, treatment summaries, and patient medical notes.
Staff / Assistant
File uploads, appointment scheduling, and order tracking (cannot approve digital plans).
Administrative / Billing
Invoices, partnership pricing tiers, and billing preferences.
Section 12 — Manual Revisions & Compliance Sign-off
Updates to this manual must be authorized by the Clinical Director and Laboratory Operations Manager.
| Revision | Effective Date | Description of Changes | Authorized Sign-off |
|---|---|---|---|
| V1.0 | July 18, 2026 | Initial release of Master Operations Manual | Clinical Director |
This operational manual is the property of MySmileQuote. It is intended for partner clinics and laboratory operations teams. Unauthorized distribution or copying is strictly prohibited.
Downloads
Clinical guides, checklists, case studies, marketing materials, and forms — all in one place.
Marketing Resources
Assets to help you explain full-arch treatment to patients and promote it in your practice.
Case Walkthrough — Animated Overview
A short animated sequence you can show patients chairside to explain the 5 stages of full-arch treatment — not a stock video, built into this portal.
Sample Case Studies
Patient Education PDFs
Before & After Gallery
Videos
Practice Marketing Assets
Pricing & Services
Every service MySmileQuote provides, with current rates. Rates reflect your practice's current partnership tier.
Support
Get help fast — from planning questions to surgery-day emergencies.
Surgical Troubleshooting Quick Reference
Guide Misfit or Inaccuracy
- Clear tissue/debris and check for bony interference; verify fit.
- Confirm all lateral fixation pins are seated tightly with no rocking.
- If misfit or deviation exceeds 0.5 mm, abort guided surgery and switch to freehand placement.
- Call Emergency Support: (888) 555-0142.
Implant Instability (Torque < 30 Ncm)
- Measure final insertion torque of each placed implant.
- If < 30 Ncm: place healing caps/cover screws and suture — do not load immediately.
- Transition the patient to a temporary removable denture during healing.
- Update the case file in the portal with the revised healing timeline.
Frequently Asked Questions
My Account
Your practice profile and notification preferences.
Profile
Notification Preferences
Security & Access
This portal is HIPAA-aligned: all clinical file transfers, including CBCT datasets and patient photography, are encrypted end-to-end (AES-256). Access is role-based — see the Clinical Operations Manual, Section 11, for the full Dentist / Staff / Administrative role matrix.
