Introducing CHROME GuidedSMILE –

Preplanned Bone Reduction / Osteotomy Guidance Abutment Placement / Prosthetics

No binding and bending of plastic – The CHROME Fixation Base is created utilizing Metal Printing technology.

No more blind drilling – CHROME allows you to easily visualize the drill paths as well as the implant position as they enter the bone.

No more lengthy conversions – GuidedSMILE conversion is really simple and takes just minutes to perform. One of our Technicians can assist you chairside and we can teach someone in your office how to do them.

Complete confidence – Our Lab (DLA) will be by your side throughout the entire process, from initial Treatment planning all the way to the final insertion of the prosthetic.

GuidedSMILE was developed for dentists who desire a preplanned, predictable guided All-On-4 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.

All we need to get started is a CT scan and traditional records.

Call to discuss your case.  

The process, the product, the surgery is straightforward!

With CHROME, the fixation base remains anchored throughout the surgery

CONTACT US TODAY 1-866-303-0605

CHROME GuidedSMILE 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 the seating has been verified via the two occlusal windows, the horizontal sites are drilled and anchored. Anchor pins are fully seated, checked for stability, verified and the guide is removed.

Surgery and Pictures courtesy of Dr Steve Chang DDS, Ms, MSc, DICOI

Edentulous Pin Guide is a digital duplicate of the patient’s existing denture. This tissue-supported guide is used to deliver the Fixation Base. Pay careful attention to the instructions on flapping – included with each case. This is critical to a successful delivery of CHROME.

2. Fixation Pre-Reduction – This is a rigid guide that remains anchored throughout the surgery.

Once the Fixation base has been secured the pin guide is removed and extractions and/or Bone reduction can begin. The Fixation base remains in place during the entire surgery and all the other guides are secured to the fixation base.

Surgery and Pictures courtesy of Dr Steve Chang DDS, Ms, MSc, DICOI

3. Carrier Guide – Post Bone Reduction.

This is used to measure bone reduction, support the osteotomy guide and deliver the nano-ceramic provisional. It is anchored via custom Ti pins.

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.

Surgery and Pictures courtesy of Dr Steve Chang DDS, Ms, MSc, DICOI

4. Osteotomy Guide

Once the required preplanned amount of bone reduction has been achieved, the Chrome osteotomy guide is attached and locked into the Fixation Base. Using traditional drill protocols the osteotomies can be completed and the implants placed through the guide.

Surgery and Pictures courtesy of Dr Steve Chang DDS, Ms, MSc, DICOI

5. Provisional Prosthetic and Rapid Appliance

After all the implants have been placed and stability verified, the Multi Unit Abutments are placed, Temporary Cylinders attached, the Provisional Prosthetic placed in the Preplanned indexed postion and luted to the abutments.

The method of communicating GuidedSMILE to the articulator for the Final. RAPID is still available, but has been replaced by the iJIG conversion prosthetic (Refer to IJIG on our website here)

RAPID Appliance is DLA’s optional 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 DLA and it will be utilized to transfer all records to the laboratory, and even to design the final.

Surgery and Pictures courtesy of Dr Steve Chang DDS, Ms, MSc, DICOI

These above steps are only a brief summary and outline of what is required. We at Chrome GuidedSMILE Canada want your experience using this protocol to be not only succesful but enjoyable as well. We highly highly recommend, having one of our surgically experienced Technicians (RDT) assist you chairside during your first few surgeries. Your success is our success.

CONTACT US TODAY 1-866-303-0605

GuidedSMILE Training Videos 

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

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Chrome Guides Explained

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Pin Guide

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Fixation Base

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Osteotomy Guide

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Carrier Guide

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Nano Ceramic Provisional

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RAPID Appliance

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RAPID Appliance

GuidedSMILE Work-Up Protocol, Documents and Links:

Step 1: a. Complete our on-line Rx to provide DLA with complete case information: upload DICOM / Photograph (full face, full natural smile)

b. Send master casts, bite registration (CO and/or CR), and/or digital impressions, study casts – print UPS label here but call us for shipping details.

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

– Optional – Esthetic & Funct’l Checklist include please if DLA is significantly changing tooth arrangement, or a new denture set-up is needed.

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

Step 3: Receive the GSI Surgical Information Form to order parts and review surgery – via email

Step 4: Receive guide (DLA will ship within 10 days of the signed TPA Treatment Plan Report or bring to your office site)

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 (905)-763-0055 and ask for GuidedSMILE department.

DLA accepts all digital impressions. Here are your options:

3Shape – must use 3Shape Communicate – DLA’s email is to open a connection

Cadent iTero – must use Cadent’s portal, just search for DLA 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 DLA to convert, or us Cerec Connect to upload to DLA

3M TDS – must us 3M’s portal

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

All-On-4 Surgical Guide

Our team of Implant Surgical Planners and Surgical Guide designers have literally thousands of hours experience  in planning and designing Implant cases. 

DENTAL LABORATORY ASSOCIATES are THE LAB for anything to do with All-On-4 style surgeries here in Canada.

All-On-4 Guided Surgery

When doing these Complex Full Mouth Rehabilitation Implant cases, it is extremely important that you work with an experienced team, that will be by your side to help you and your team from beginning to end. We will help you plan the surgery, assist you chairside and be there for every step of the restorative process as well. Remember if you Fail to Plan then you must Plan to Fail.

All-On-4 Restorative Steps

When patients come into your office with failing dentition they don’t say, Doctor, I want implants, they say Doctor I want teeth, or I want a new smile!

Implant placement is only part of the whole process, Often the Restorative Steps can be not only complicated but also confusing. Our Laboratory will remove all the stress and guesswork from this process and make sure that you and your patient are 100% satisfied.


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CONTACT US TODAY 1-866-303-0605