CombiGuide™ Surgical Guide
ROE’s CombiGuide provides guidance for the bone reduction followed by a clip-in drill guide. CombiGuide comes with a full drill report for all major implant systems.
CombiGuide for All-On-4 facilitates a much quicker surgery and rapid conversion process. For surgery, the doctor will receive a bone model, two-piece bone reduction/osteotomy guide (image to the right), transfer and seating bites, and an immediate flange-free provisional that is seated via the bites, rather than jaw manipulation. We will also provide an immediate conventional denture as a backup, when initial torque is not achieved.
When you need bone reduction and implant placement, we offer CombiGuide. This tooth delivered chrome cobalt base and chrome osteotomy guide is pin supported to the bone and floats around the bone. It is used for bone leveling and placing implants. It is the perfect guide for All-On-4 type surgery where a denture is converted on the same day or down the road. These cases generally require upper and lower models/.stl scans, CBCT scans and optional photographs, when a denture is ordered. If cases become more complicated than the above, please contact our Guided Surgery Department to discuss treatment options.
Videos
CombiGuide & Photogrammetry
Surgery using the CombiGuide
About Guided Bone Reduction
Grammetry: Edentulous Workflow using CombiGuide
Grammetry: Day-of-Surgery Record Capture
Grammetry Workflow Option: The CombiGuide
Grammetry: Protocol for a Full Arch Lower Prosthesis
Additional Information
Education
There are no upcoming events at this time.
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