Bone Supported Surgical Guide
Usually used for edentulous patients, this type of guide gains its support from the load bearing areas or the divergence of the alveolar ridge.
A bone supported surgical guide is generally used for full-arch edentulous implant cases. This type of guide derives its support from load bearing areas and/or the natural divergence of the alveolar ridge seen in both maxillary and mandibular arches in a corono-apical direction. Bone supported guides are difficult to fabricate and accurately place intraorally due to the extent of flap reflection needed for access, as well as inaccuracies that can result from the digital workflow. Although the difficulties associated with bone supported guides are well reported, they may be mitigated with proper planning, accurate imaging and operator experience.
Bone supported guides are available for most cases. Simply upload your CBCT scan and provide the information on our on line Rx. If the case is to involve immediate prosthetic, ROE can support you with immediate dentures, trough guides, or upgrade to full surgical guide and integrated prosthetics using CHROME GuidedSMILE.
Digital Design Services
An increasing number of doctors are purchasing equipment to fabricate dentures, splints, and surgical guides in-office. Simply send ROE your digital or analog records and we will create a ready-to-print file.
Review & approve your cases when you want
This simple-to-use planning software will deliver planned cases case for approval. With the Viewer, you can change the implant and abutment position and size, and idealize the plan to your liking.
Videos
Fabricating Custom Surgical Guides
What Records Should You Send ROE
Guided Bone Reduction and Implant Placement with Bone Channel Guide
Part 1 of 3
Part 2 of 3
Part 3 of 3
Additional Information
Education
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Review our Surgical Guide Offerings
| Tooth Supported | Tissue Supported | Bone Supported | CombiGuide | CHROME GuidedSMILE | |
| Bone Reduction Optional | |||||
| Application | Generally 1+ implants, guiding 1-6 sites | Edentulous cases where guide is based on a dual-scan | Best for edentulous cases where dual-scan is not an option. Optional open channel for bone leveling | Full arch all-metal guide, but limited to bone reduction and implant placement | Fully-guided All-on-X surgery & restoration. |
| No. of Sites | 1-6 | Any Number | Any Number | Any Number | Any Number |
| Materials | Printed surgical resin, with Ti sleeves or sleeveless | Printed surgical resin, with Ti sleeves or sleeveless | Printed surgical resin, with Ti sleeves or sleeveless | Cobalt-CHROME guides with surgical resin | Cobalt-CHROME guides with surgical resin, Lucitone backup denture, PMMA provisional, Zirconia final |
| Days in Lab | 3 days planning 4 days production | 4 days planning 4 days production | 4 days planning 5 days production | 5 days planning 5 days production | 5 days planning 10 days production |
| Guided Kits | All | All | All | All | All |
| Price | $$ | $$ | $$$ | $$$ | $$$$ |
Surgical Guide ADA Codes
- D7286 – Placement of guide for dental implant surgical stent
- D7971 – (CAD/CAM) surgical guide for dental implant placement
- D9944 – Occlusal orthotic device, surgical guide
- D5934 – Mandibular resection prosthesis with guide flange
- D5935 – Mandibular resection prosthesis without guide flange
- D3432 – Guided tissue regeneration, resorbable barrier, per site, in conjunction with periradicular surgery
- D4266 – Guided tissue regeneration, natural teeth – resorbable barrier, per site
- D6106 – Guided tissue regeneration – resorbable barrier, per implant
External Resources
- Advantages and limitations of implant surgery with CAD/CAM surgical guides: A literature review
- Clinical Application Of Various Surgical Guides For Optimal Implant Placement
- Accuracy of three different types of stereolithographic surgical guide in implant placement: an in vitro study
- Stereolithographic Surgical Guide with a Combination of Tooth and Bone Support: Accuracy of Guided Implant Surgery in Distal Extension Situation