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1. Intro to CHROME

Freehand vs Guided Surgery: A Profitability Comparison

Guided Surgery vs Freehand Surgery

For practices entering full-arch, every case offers excellent financial returns. However, maximizing doctor chair time is the key to true profitability in this specialty.

We partnered with 18 full-arch surgery experts—both freehand and guided—to analyze surgical approaches, restorative methods, appointment requirements, and workflow efficiencies across different treatment protocols.

What we discovered is that guided surgery is:

40% faster workflow to final vs freehand

$1,000+ more profitable per hr vs freehand

Profitability Comparison

Cost Comparison Analysis

Material/Surgical Analysis costs +
No. of Appointments & Time Analysis costs

Price to Patient

Profit
(Price to Patient - Costs)

Profitability By Hour
(Profit / Total hours to complete case)

Freehand Surgery

Hours

14.5

Cost

$12,515

$30,000

$17,485

$1,206

CHROME GuidedSMILE

Hours

8.25

Cost

$10,960

$30,000

$19,040

$2,308

CHROME GuidedSMILE is a 40% faster process and an $1000+ per hour more profitable workflow.

This analysis simply looks simply at time and materials and does not address the additional CHROME GuidedSMILE benefits such as increased osteotomy visibility, enhanced surgical predictability, easy to learn conversion processes (including small hole technology), gathering records for the final on the day-of-surgery, and relatively simplistic process to final, etc.

Data Breakdown - Material/Surgical Analysis

Material/Surgery Analysis

Implants

Abutment (avg)

Titanium Cylinders

Lab Tech Cost

Immediate Conversion Denture &
Abutment Guide

Final Zirconia Prosthesis

CHROME Complete Package

Includes the cost of the conversion, the process for gathering records for the final, and the cost of the zirconia final

Total Cost

Cost per item

$200

$120

$35

Freehand Surgery

Amount

4

4
4

Total

$800

$480

$140

$1,000

$1,000

$3,800

N/A

$6,715

CHROME GuidedSMILE

Amount

4

4
8

Total

$800

$480

$280

0

0

0

$6,100

$7,660

Materially, CHROME GuidedSMILE is more expensive than conducting the surgery freehand. Increased material cost result in greater surgical and restorative efficiencies (see below).

No. of Appointments & Time Analysis

Appointment Analysis

First Consult (CBCT, X-ray, Photos)

Treatment Plan

Present Treatment Plan to Patient

Surgery Day

Post-Surgery Equilibration

Temp Adjusted (Soft Tissue)

Transition Steps to Final Prosthesis

Total Cost

Hourly Rate (per hr)

$400

$400

$400

$400

$400

$400

$400

Freehand Surgery

Hrs Taken

1

2
0.5
3
1
0.5
6.5
14.5 hrs

Total

$400

$800

$200

$1,200

$400

$200

$2,600

$5,800

CHROME GuidedSMILE

Hrs Taken

2

0.5
0.5
2.5
0.5
0.25
2
8.25 hrs

Total

$800

$200

$200

$1,000

$200

$100

$800

$3,300

CHROME GuidedSMILE, surgically and restoratively, 40% faster than the average freehand surgery.

  • Surgically – faster due to preplanning and accurate stackable guide process
  • Restoratively – significantly faster due to its reduced number, and length, of necessary appointments.

Restoratively, in a freehand surgery the appointments you need are:

  1. Appointment to take new impressions
  2. Appointment to try a fit verification jig
  3. Appointment to try a try-in
  4. Appointment for a reset
  5. Appointment to seat for final

With CHROME GuidedSMILE you go directly to

  1. Appointment for either an iJIG or a RAPID.
  2. Appointment for Printed Try-in.
  3. Appointment to seat the final.

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