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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

 Freehand Surgery

CHROME GuidedSMILE

Cost Comparison Analysis Hours Cost Hours Cost
Material/Surgical Analysis costs +No. of Appointments & Time Analysis costs 14.5 $12,515 8.25 $10,960
Price to Patient

$30,000

$30,000
Profit
(Price to Patient - Costs)

$17,485

$19,040
Profitability By Hour
(Profit / Total hours to complete case)

$1,206

$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

Freehand Surgery

CHROME GuidedSMILE

Material/Surgery Analysis Cost Per Item Amount Total Amount Total
Implants $200 4 $800 4 $800
Abutment (avg) $120 4 $480 4 $480
Titanium Cylinders $35 4 $140 8 $280
Lab Tech Cost

$1000

$0
Immediate Conversion Denture & Abutment Guide

$495

$0
Final Zirconia Prosthesis

$3800

$0
CHROME Complete Package
Includes the cost of the conversion, the process for gathering records for the final, and the cost of the zirconia final

$N/A

$6100
Total Cost

$6715

$7660

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

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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ROE’s experts are dedicated to elevating your dental practice.
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