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Tooth Supported Surgical Guide

 

At ROE, tooth-supported surgical guides represent our most frequently requested and clinically versatile option, designed primarily for single implant placement or partially edentulous patients where reliable anatomical landmarks ensure optimal outcomes.

These guides utilize easily reproducible landmarks—your patient's existing teeth—for superior support, stability, and retention, delivering the improved accuracy and precision that both benchtop and clinical studies have consistently demonstrated.

We commonly fabricate tooth-supported guides for single or multiple implants in fixed restoration cases, where their adaptability to various clinical situations makes them an ideal choice for predictable restorative outcomes. 
Tooth-Supported Surgical Guide Hero
Tooth-Supported Surgical Guide Overview

The ROE Approach to
Tooth-Supported Guides

 

To streamline your workflow, we've developed our "No Scan Appliance Technique" that requires only master casts or digital impressions from any device, plus a CBCT with arches separated by cotton rolls, eliminating complex scanning protocols while maintaining exceptional precision.

Our team manages your cases from diagnostic work-up and CT scan appliance fabrication through implant placement and final restoration.

We always recommend careful consideration of available space and guided drill length requirements, particularly when placing posterior implants.

Anatomical constraints in these areas may require special attention to ensure optimal surgical access and implant positioning.

Clinical Guidance for Optimal Case Selection

The primary advantage we see with tissue-supported guides is the reduced risk of damage to vital anatomy through precise surgical planning. ROE can fabricate these guides in multi-level or "stackable" options to accommodate your specific surgical protocol needs. When your patients present with good-quality mucosa, these guides offer an excellent solution for reducing the number of surgical steps required for implant placement.

Important Clinical Considerations

We want you to understand that tissue-supported guides represent the least accurate option in our surgical guide portfolio. The pressure exerted during surgery, combined with the natural resilience of the mucosa, may cause guide movement that can affect placement precision. We work closely with you to optimize design and fit, but this inherent limitation should be considered when selecting the appropriate guide type for your specific case requirements.

Tooth Supported Surgical Guide Workflow Steps

Workflow
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.

Video Resources

Fabricating Custom Surgical Guides

What Records Should You Send ROE

GuidedTEMP – A surgical guide

Today's Guided Surgery - 1 of 3

Today's Guided Surgery - 2 of 3

Today's Guided Surgery - 3 of 3

Surgical Guide Offerings - Product Comparison

Price Days in Lab Guided Kits No. of Sites Application
Tooth Supported $$ 3 days planning
4 days production 		All 1-6 Printed surgical resin, with Ti sleeves or sleeveless
Tissue Supported $$ 4 days planning
4 days production 		All Any Number

Edentulous cases where guide is based on a dual-scan
Bone Supported $$$ 4 days planning
5 days production 		All Any Number

Best for edentulous cases where dual-scan is not an option. Optional open channel for bone leveling
CombiGuide $$$ 5 days planning
5 days production 		All Any Number

Full arch all-metal guide, but limited to bone reduction and implant placement
CHROME GuidedSMILE $$$$ 5 days planning
10 days production 		All Any Number Fully-guided All-on-X surgery & restoration.

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ROE’s experts are dedicated to elevating your dental practice.
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