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

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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.

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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RealGUIDE

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

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

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

Dual Scan for Doctors - What is it and When to use it?
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Fabricating Custom Guides

Fabricating Custom Surgical Guides for YOUR Implant System
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What Records Should You Send

What Records Should You Send ROE for Your Surgical Guide Needs?
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Part 1 of 3

Today's Guided Surgery from Simple to Full Arch Rehabilitation (Part 1 of 3)
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Part 2 of 3

Today's Guided Surgery from Simple to Full Arch Rehabilitation (Part 2 of 3)
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Part 3 of 3

Today's Guided Surgery from Simple to Full Arch Rehabilitation (Part 3 of 3)
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Additional Information

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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

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