Tooth Supported Surgical Guide

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

Surgical GuidesUsually fabricated for single implant placement or partially edentulous patients. Easily reproducible landmarks (teeth) are used for retention and support.

Tooth supported surgical guides are common and easily adaptable to various clinical situations. One benefit is that consistently reproducible landmarks (namely, teeth) can be used for support, stability and retention. The improved accuracy and precision of implants placed through tooth-borne guides have been evaluated in both benchtop and clinical models. The most common utilization of tooth-borne guides is for single or multiple implants for fixed restorations. Although these guides have been shown to result in predictable restorative outcomes, it is important for the practitioner to be cognizant of available space and additional guided drill length, especially when placing posterior implants.

To simplify the process of providing surgical guidance we developed the “No Scan Appliance Technique”. We simply require master casts, or a digital impression from any device, and a CBCT with the arches separated by cotton rolls. With this information we provide CT guides for all implant systems!

Upload your CBCT in zipped folder along with .STL’s and photos if needed. Write up your cases here: https://roedentallab.com/case-upload/. We manage cases from diagnostic work-up and CT scan appliance fabrication (when needed), to implant placement, and provisional and final restoration.

Tooth Supported Surgical Guide

Tooth Supported Surgical Guide Workflow Steps

Step Tooth Supported
1. Inspect guide for proper implant sites placement as well as proper design and sizing for any instrumentation.
2. Seat guide on the model if a model was manufactured.
3. Ensure fit intraorally to verify full intimate seating before beginning the procedure.
4. Visually inspect the seating windows to ensure the guide is fully seated on the teeth with no rock.
5. Remove guide and flap the tissue if planned, or perform tissue punch procedure.
6. Drill the osteotomies to completion following the provided drill report as well as following the Guided Kit and implant company’s protocol.

  • If Fully Guided Kit is utilized, and allows implant placement through the guide, proceed.
  • If Fully Guided Kit is not utilized, remove guide and place implants.
7. Complete bone and tissue desired procedure to finish of the surgery.

3/4 Days

3 days planning
4 days production

Rx’s

Submit Online

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.

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

Fabricating Custom Surgical Guides

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

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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GuidedTEMP – A surgical guide

GuidedTEMP - A surgical guide that delivers an immediate implant provisional
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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

  • D6190 – radiographic/surgical implant index, by report
  • D6010 – Surgical placement of implant body: endosteal implant
  • D6012 – Surgical placement of interim implant body for transitional prosthesis: endosteal implant
  • 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

External Resources