Tooth Supported Surgical Guide
Usually 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.

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.

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.
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
- 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
External Resources
- Advantages and limitations of implant surgery with CAD/CAM surgical guides: A literature review
- Clinical Application Of Various Surgical Guides For Optimal Implant Placement
- Accuracy of three different types of stereolithographic surgical guide in implant placement: an in vitro study
- Association Between Site-Specific Factors and the Accuracy of Guided Implant Surgery Using Tooth-Supported Surgical Guide
- Dimensional Stability of 3D Printed Tooth-Supported Implant Surgical Guides After Autoclave Sterilization
- Evaluating the accuracy of tooth-supported vs mucosa-supported 3d-printed surgical guide in dental implant placement