- Home
- Products
- Surgical Guides
- CombiGuide™ Surgical Guide
CombiGuide™
The CombiGuide system addresses the critical challenge often missed in freehand full-arch cases: adequate planned bone reduction and precise implant placement for optimal prosthetic outcomes.
This comprehensive stackable system includes five components — (1) pin guide, (2) fixation base, (3) bone reduction guide, (4) osteotomy guide, and (5) carrier guide—that work together to deliver predictable vertical space management and controlled implant positioning.
The system is fixated to bone after tissue reflection, eliminating guesswork by providing physical guidance for bone reduction down to the fixation base level, while the integrated osteotomy guide with rotation indexing ensures precise implant angulation and positioning. The carrier guide confirms adequate bone reduction through passive seating verification, guaranteeing proper vertical space for long-term prosthetic success.
By combining guided bone reduction with controlled implant placement, CombiGuide delivers the predictable foundation necessary for successful full-arch restorations.


CombiGuide + Photogrammetry
The CombiGuide system serves as the ideal fixed fiducial marker for photogrammetry cases, with the metal fixation base functioning as "the constant" that preserves spatial relationships throughout the entire surgical and digital workflow.
This innovative approach allows for accurate digital scanning at multiple critical stages—first capturing the fixation base with existing teeth to preserve the original bite registration, then scanning the same fixation base after extractions and implant placement to maintain precise spatial reference.
Unlike traditional photogrammetry methods that rely on palatal tabs or other temporary references, the CombiGuide's fixation base provides a stable, highly scannable platform that remains in place throughout surgery, eliminating the complexity of bite registration during the procedure while ensuring micron-level accuracy.
The metal construction creates an easily digitized surface that scanners capture with exceptional clarity, even in the challenging surgical environment, while the carrier guide provides seamless digital transition from healing collars to the fixation base.
This constant reference system allows for preservation of the pre-surgical bite relationship while enabling immediate prosthetic design and delivery, making CombiGuide the superior choice for photogrammetry workflows where precision, stability, and predictable outcomes are essential.
This ebook is your ultimate guide to Smile Design
Over the past 5 years ROE has designed and created over 90,000 digital dentures. As one of the largest digital denture labs in the country, ROE has written the book on digital Dentures!
Sign up now

Video Resources
CombiGuide & Photogrammetry
About Guided Bone Reduction
Grammetry: Edentulous Workflow using CombiGuide
Grammetry: Day-of-Surgery Record Capture
What is the CombiGuide workflow for Grammetry?
Grammetry: Protocol for a Full Arch Lower Prosthesis
Surgical Guide Offerings - Product Comparison
Price | Days in Lab | Guided Kits | No. of Sites | Application | |
---|---|---|---|---|---|
Tooth Supported | $$ | 3 days planning 4 days production |
All | 1-6 | Printed surgical resin, with Ti sleeves or sleeveless |
Tissue Supported | $$ | 4 days planning 4 days production |
All | Any Number | Edentulous cases where guide is based on a dual-scan |
Bone Supported | $$$ | 4 days planning 5 days production |
All | Any Number | Best for edentulous cases where dual-scan is not an option. Optional open channel for bone leveling |
CombiGuide | $$$ | 5 days planning 5 days production |
All | Any Number | Full arch all-metal guide, but limited to bone reduction and implant placement |
CHROME GuidedSMILE | $$$$ | 5 days planning 10 days production |
All | Any Number | Fully-guided All-on-X surgery & restoration. |
External Resources
How can we help you today?
Can't find what you're looking for? No problem. Let us help.
ROE’s experts are dedicated to elevating your dental practice.
- Full-service national dental laboratory
- Comprehensive Certified Dental Laboratory (CDL) services
- Case planning support from 20+ Certified Dental Technicians
- Specialists in both fixed, removable, implant and full-arch dentistry
- Tailored support for all cases, from routine to complex
- National Association of Dental Laboratories (NADL) member
- Only FDA-approved materials used
- All products made in the USA
- Thousands of free online education materials