since 1926



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SURGICAL GUIDE DECISION TREE - Begin by choosing the patient's current condition above

Whether you are restoring a single implant supported crown, a bridge, hybrid, overdenture, or GuidedSMILE or guided All-ON-4 type case, this decision tree will walk you through the steps of collecting records.


DENTATE - Alway separate the arches with cotton rolls, bite stick or CT equipment bite fork for the scans. NEVER in occlusion! If the patient has MOSTLY metal-based restorations, send models to ROE for scan appliance fabrication!

MOSTLY EDENTULOUS - If the bite cannot be detemine 100%, order bite blocks, a set-up, then a scan appliance.

FULLY EDENTULOUS - MUST be in occlusion. DO NOT Separate Arches with anything! Must use a scan appliance - can be the patients' existing denture(s) with markers, if the fit is excellent, the teeth are close to acceptable position, and NO soft relines.

* Please allow ROE to fabricate scan appliances when they are required. Ideal design, thickness, radiopaque marker position and size are critical for a successfull outcome. Exception would be adding radiopaque markers to an existing denture.