DDS All-On-T Full Arch Workflow - Surgical Guide, Temps & Finals

    1. 1

      Collect pre-surgical records (SG)

      Note: pre-surgery, it is highly recommended to use bone screws in the palate or on the arch for a consistent reference point to align to across all scans in the pre/post surgery records. 

      • Intraoral scans with existing prosthesis/dentition: Upper, lower & bite 
      • CBCT scan: Full arch with clear visualization of bone and soft tissue.
      • Face scan or facial photos: Smile, retracted, and resting face views
    2. 2

      Send all records and instructions to DDL

      • All scans and records collected above 
      • Rx with clear instructions, including: 
        • Description of # implants being placed and locations
        • Implant system, size and reference # 
        • Information on screws being used
        • Cylinders vs. direct to abutments? 
        • Want a temporary sent with the surgical guide, or planning to convert a denture or print a temporary in-office post-surgery? 
        • Material shade and pink tissue shade (if applicable) 
        • Any other special instructions
    3. 3

      Approve Surgical Guide Planning

      DDL will reach out to you when the implant planning draft is finished and ready for your approval. 
    4. 4

      Receive Surgical Guide, Perform Surgery

      • Perform surgery using Surgical Guide provided by DDL for implant placement
    5. 6

      Collect and send post-surgery records

      • Tissue scan with HS healing caps 
      • Scan with All-on-T scan flags on multi-unit abutments. This scan is most accurate when you ONLY scan the hexes, you do not need to scan the entire scan flag (see below) 


    6. 7

      Receive design back from DDL

      We will return your design within 2 hours if you are printing the temporary arch in-office.
    7. 8

      Print or fabricate temporary arch in-office

    8. 9

      Seat temporary arch

    9. 10

      Allow patient to heal for 3-6 months

    10. 11

      Collect & Send Records for Final Prosthesis

      After sufficient time for healing, collect and send the following: 
      • Scans of existing: Upper, lower & bite (with existing prosthesis) 
      • Tissue scan with HS healing caps


      • Scan of prosthesis outside of the mouth with Dual Align scan bodies 


      • Facial photos: Smile, retracted, and resting face view
      • Instructions 
        • Material choice (monolithic zirconia or zirconia on Ti bar) 
        • Final material shade and pink tissue shade (if applicable) 
        • Any special instructions or changes needed

      (do we need another ioConnect scan if temp arch fit was good?) 
    11. 12

      Receive and Seat Final Prosthesis

    If you still have a question, we’re here to help. Contact us