Tissue Supported Surgical Guide

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

Surgical GuidesGaining its main support and retention from the mucosa, the tissue supported guides are commonly fabricated based on existing removable prosthesis.

As the name suggests, a tissue supported surgical guide uses intraoral soft tissues for support and stability. This guide is commonly fabricated based on an existing removable prosthesis. Possible concerns with mucosal support involve the lack of retention during surgery and variation in tissue thickness and quality — which is a common complaint also seen with complete dentures. A tissue supported guide has the potential to undergo movement in varying directions that could increase the inaccuracy of implant placement. This, along with flap reflection, may introduce additional complexity during implant placement.

Tissue supported guides are designed from existing or new full dentures, and always require a dual scan. If the denture is not well-fitting, please perform a hard reline (not soft, and remove the soft if it exists and perform a hard reline). Scan the appliance in the mouth with the patient biting on the guide, not open separated. Scan the appliance again outside the mouth resting on foam or cotton rolls. This is the dual scan. Send us a bite and the opposing model. Upload your CBCT’s in zipped folders marked “patient” and “appliance” and send us full face full smile photos if needed for prosthetic design.

If cases are more complicated than full denture against natural teeth please call.

Tissue supported surgical guide

4/4 Days

4 days planning
4 days production

Denture Design Service

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 for you to print and finish in-house.

Delivery Calculator

Select your location, record type, and when you plan to send the case and we will give you the earliest date you should schedule your patient to come back. We recommend adding an additional day or two as we cannot account for issues with UPS, Fedex, or the Post Office. Click here for the complete Delivery Calculator for all products.

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Videos

The 4 Steps of Performing a Dual Scan for Single Arch and Double Arch Cases

Fabricating Custom Guides

What Records Should You Send

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Review our Surgical Guide offerings

  • Application

    Application
  • No. of Sites

    No. of Sites
  • Materials

    Materials
  • Days in Lab

    Days in Lab
  • Guided Kits

    Guided Kits
  • Price

    Price
Tooth Supported
  • Application

    Generally 1+ implants, guiding 1-6 sites
  • No. of Sites

    1 - 6
  • Materials

    Printed surgical resin, with Ti sleeves or sleeveless
  • Days in Lab

    3 days planning
    4 days production
  • Guided Kits

    All
  • Price

    $$
Tissue Supported
  • Application

    Edentulous cases where guide is based on a dual-scan
  • No. of Sites

    Any number
  • Materials

    Printed surgical resin, with Ti sleeves or sleeveless
  • Days in Lab

    4 days planning
    4 days production
  • Guided Kits

    All
  • Price

    $$
Bone Supported
Bone reduction optional
  • Application

    Best for edentulous cases where dual-scan is not an option. Optional open channel for bone leveling
  • No. of Sites

    Any number
  • Materials

    Printed surgical resin, with Ti sleeves or sleeveless
  • Days in Lab

    4 days planning
    5 days production
  • Guided Kits

    All
  • Price

    $$$
CombiGuide
  • Application

    Full arch all-metal guide, but limited to bone reduction and implant placement
  • No. of Sites

    Any number
  • Materials

    Cobalt-CHROME guides with surgical resin
  • Days in Lab

    5 days planning
    5 days production
  • Guided Kits

    All
  • Price

    $$$
CHROME GuidedSMILE
  • Application

    Fully-guided All-on-X surgery & restoration.
  • No. of Sites

    Any number
  • Materials

    Cobalt-CHROME guides with surgical resin, Lucitone backup denture, PMMA provisional, Zirconia final
  • Days in Lab

    5 days planning
    10 days production
  • Guided Kits

    All
  • Price

    $$$$

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