Getting started with ROE’s surgical guides

160K+ surgical guides designed & 500K+ implants planned   =   18 years of experience.  Talk to us about your case.

Step 1Understand the records you need for CT planning

Step 2Export and send us your DICOM

Step 3Upload your case

Step 4 – Sign our Master Surgical Agreement

From here ROE will:

  • Design the surgical guide
  • Conduct an online meeting with you for design approval and sign-off
  • Create and mail you your surgical guide

ROE make this process simple as a result of over a decade and a half of surgical guide experience.

Surgical Guide Decision Tree

Whether you are restoring a single implant supported crown, a bridge, hybrid, overdenture, or GuidedSMILE or guided All-ON-4 type case, this decision tree will walk you through the steps of collecting records.


Dentate – Always separate the arches with cotton rolls, bite stick or CT equipment bite fork for the scans. NEVER in occlusion! If the patient has MOSTLY metal-based restorations, send models to ROE for scan appliance fabrication!

Mostly Edentulous – If the bite cannot be determine 100%, order bite blocks, a set-up, then a scan appliance.

Fully Edentulous – MUST be in occlusion. DO NOT Separate Arches with anything! Must use a scan appliance – can be the patients’ existing denture(s) with markers, if the fit is excellent, the teeth are close to acceptable position, and NO soft relines.

* Please allow ROE to fabricate scan appliances when they are required. Ideal design, thickness, radiopaque marker position and size are critical for a successful outcome. Exception would be adding radiopaque markers to an existing denture.

Scan Appliance Full Arch

The Scan Appliance for the fully edentulous patient is a denture, or a clear duplicate of a denture. It is imperative that the fit is excellent and that the teeth are close to an accepted position. Place 6 SureMarks ( randomly on the tongue side of the denture, or Gutta Percha dots using a #5 bur 1mm deep. Scan the appliance in the mouth, fully seated, IN OCCLUSION. Then scan the appliance ALONE in the CBCT scanner sitting on foam or cotton rolls, not on a plastic scan table.