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3. Pre-Surgical Decisions
GuidedSMILE Zygo
What is GuidedSMILE Zygo?
GuidedSMILE Zygo delivers zygomatic implants using stackable CHROME surgical guides adapted to maxillary anatomy. The prosthesis can be loaded directly onto guides when both are anchored simultaneously, or the palate can provide stabilization. This protocol requires surgeons experienced in freehand implant placement and supports Nobel, NeoDent, Norris, Straumann, and Southern implants alongside standard implants. Cases are planned live online with our technicians and specialists. ROE-certified clinical support technicians can assist with the conversion surgery for an additional fee, providing all necessary tools, materials, and expertise.
Records to begin a GuidedSMILE Zygo:
- CBCT include the eye orbits (dentate patient scan out of occlusion; edentulous patient using dual scan technique)
- Full face / full smile photographs for diagnostics, and photos of a retracted smile in occlusion straight on and left right
- Dual scan for edentulous patient, or master casts / PVS impressions for dentate. Dentate cases can include digital impressions – must include the vestibule
Download Your Free CHROME GuidedSMILE
Ultimate Guide Now
What You'll Gain In This 90-Page Guide:
- Mastery of the 6-component & surgical protocol of the CHROME GuidedSMILE system
- Complete understanding of all necessary patient record requirements on a per-patient scenario
- Comprehensive day-of-surgery prosthesis conversation process
Available in digital or print format (free mailing included).

Video Resources
Quad Zygomatic Patient Case
Pterygoid and Nazalus
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