since 1926


one two threeGuidedSMILE

CT Planning How To ROE Dental LabExport DICOM ROE Dental Lab CT PLanningupload dicom roedentallab.comROE Dental Lab Guided Surgery Basics

GuidedSMILE ROE Dental Laboratory



Preplanned Bone Reduction / Osteotomy Guidance / Abutment Placement / Prosthetics

No binding and bending of plastic - CHROME Fixation Base create utilizing SLM technology

No more blind drilling - CHROME allows visualization of the drill as implants enter the bone

No more lengthy conversions - GuidedSMILE conversion take just minutes to perform

Complete confidence - digital workflow and guide expertise is delivered by ROE

GuidedSMILE was developed for dentists who desire a preplanned, predictable guided All-On-X style surgery. This amazing service delivers anchored bite verification, anchored bone reduction, anchored site drilling, accurate anchored provisionalization, and a method of transferring all surgical and restorative information for the final restorative conversion phase. Most cases simply require a CT scan and traditional records. Call to discuss your case.

The process, the product, the surgery is straightforward!

GuidedSMILE ROE Dental Laboratory

GuidedSMILE CHROME is a 4-Guide System

1 Pin guide - Utilizes teeth or tissue to deliver the Fixation Base (CR/CO SLM)


Pin Guide is fully seated on the patient's existing dentition. Once verified via the two occlusal windows, the horizontal sites are drilled and anchored. Anchor pins are fully seated, verified and the guide is removed.

GuidedSMILE Pin Guide

Edentulous Pin Guide is a digital duplicate of the patient's existing denture. This tissue-supported guide is inserted, patient closes, and the anchor sites are drilled, anchored, verified, and the guide is removed.

2 Fixation Base - Use for bone reduction, anchoring the osteotomy guide and prosthetic

Once teeth are removed and tissue is flapped, the Bone Reduction Guide is inserted, anchored, and bone is levelled to the meet the labial and lingual frame of the guide. This guide floats above the bone, and therefore should not be impinged by undercut.

GuidedSMILE Bone Reduction Guide

3 Osteotomy Guide

This guide is rigidly fixed with the pins, yet floats around the bone. Standard protocols are followed to drill sites and place implants.

GuidedSMILE Osteotomy Guide


Superior to conventional denture pick-up systems, this anchored GuidedSMILE nano-ceramic provisional transfers the CO/CR as determined by pre-surgical records. Implant abutment positions, anchor sites, tooth position, smile, and tissue space are all pre-set.

GuidedSMILE PMMA Guide

5 RAPID Appliance - The method of communicating GuidedSMILE to the articulator for the Final

RAPID Appliance is ROE's special pick-up device, a clear duplicate of the PMMA. This allows the doctor to capture a second record to hold until final conversion. Once the patient is ready for the final, perform a pick-up impression, with tray adhesive on the tissue side, using medium PVS. Send this pick-up to ROE and we will


GuidedSMILE Osteotomy Preparation Options

Option 1 - GuidedSMILE-FG - All GuidedSMILE cases are utilize a Fully Guided Kit (as seen above) - ROE works with nearly all systems available today.

GuidedSMILE ROE Dental Laboratory

Option 2 - GuidedSMILE-FH - Free-Hand - includes a location reference on the bone reduction frame to optimize implant location for PMMA pick-up, and a removeable reference inset to provide a maximum range for site preparation. Left image: notice the round divot references indicating implant general location. Right image: boundary insert used to ensure location of implants is within PMMA parameters.

GuidedSMILE ROE Dental Laboratory

GuidedSMILE Training Videos
These videos are not intended to teach implant placement or guided surgery. They are intended to train GuidedSMILE Chrome use only.

Maxillary Dentate w/ Hex Timing

Maxillary Dentate - Limited Space

Mandibular Dentate w/ RAPID Appliance


Double Arch - Edentulous / Dentate

Available Shades for PMMA

Nano Ceramic PMMA


GuidedSMILE Work-Up Protocol, Documents and Links:

Step 1:

a. Complete our on-line Rx to provide ROE with complete case information: upload DICOM / Photograph (full face, full natural smile) as 'Documents' through this Rx web page: LINK web site portal

b. Send master casts, bite registration (CO and/or CR), and/or digital impressions, study casts – print UPS label here.

c. Send MSGA - Master Surgical Guide Agreement with first case (required to begin)

- Required - GuidedSMILE Work Authorization required for all cases (on line or White Paper)
- Optional - Esthetic & Funct'l Checklist include please if ROE is significantly changing tooth arrangement, or a new denture set-up is needed.

Step 2: Meet ROE on line for implant and guide planning (allow 5 days after receiving all materials) Link

Step 3: Sign and return the TPA Treatment Plan Report – via fax or scan and email

Step 4: Receive the GSI Surgical Information Form to order parts and review surgery – via email

Step 5: Receive guide (ROE will ship within 10 days of the signed TPA Treatment Plan Report)

Notes on preparring for and capturing the CT Scan.

If your patient is dentate, follow the above steps, and capture a CT scan with the patient opened biting on cotton rolls.

If patient is edentulous, and the existing denture fits well and the tooth arrangement is accepted, convert into a scan appliance (instructions page 6). Perform a dual scan using the protocol in our manual. If edentulous patients needs to establish tooth position and vertical, begin conventional denture steps to create a scan appliance.

We are always available to discuss your case. Call 800 228 6663 and ask for the CT Department and reference GuidedSMILE.


Digital Impression:

digital impressions guidedsmile

ROE accepts all digital impressions. Here are your options:

3Shape - must use 3Shape Communicate - ROE's email is to open a connection

Cadent iTero - must use Cadent's portal, just search for ROE to add connection

E4D - either use the Model Export function in Romexis to export files to the desktop and upload through our portal along with your DICOM, or use DDX (not dependable)

Sirona - either export a DXD file to your desktop and upload through our portal for ROE to convert, or us Cerec Connect to upload to ROE

3M TDS - must us 3M's portal

Carestream 3500, 3600 - export .stl to desktop and upload to our portal, or use DDX (not dependable)



After years of frustration with the “All-on-X” procedure, I was about to give up on ever making this profitable for our office and a good choice for our patients.   Now we finally have a predictable surgical and restorative protocol that makes perfect sense and is providing a win for our patients and for our practice.  GuidedSmile is the future of the  fixed hybrid denture.  I am excited to be part of the group of dental professionals bringing this to the market.

Dr. Christian Yaste

Roe Dental-Lab has helped  me to take my practice to a new level. Even though I’m a very skilled and experienced surgeon and restorative doctor, their technicians and their technology have helped me to provide better quality and service to my patients. 
Their service is unsurpassed by any lab that I have ever used, and  I have over 30 years of experience. I have used several labs and I find them to be the most helpful in most useful dental lab that I have ever used. I consider myself in conjunction with Roe Dental-Lab a total solution provider.

Andrew Kelly DDS

We have worked with many different labs in efforts to find a full-service lab to meet our office needs.  We have been working with ROE Dental Lab now for a few months and have been extremely pleased with their customer service.  They have worked really hard to get issues resolved quickly and always strive to deliver the best product for our patients.  We appreciate that in our lab! 

Dr. Tye Thompson

I have been doing guided surgical implant placement for full arch denture conversion with immediate load for many, many years. I like ROE Dental's Guided Smile as it really simplifies the implant placement and conversion process for my restorative dentist and myself. It has truly reduced the total time our patient is in our office and increased patient satisfaction.

Dr. B. S. OMFS
Bart  Silverman



I really appreciate all that you and Joe (and the rest of the team) do for us.

The case went without a single hitch. The new metal tooth-supported element to place the pinned element is excellent.
Nothing else on the market gives this level of rigid fixation, security and surgical access.


(more below)