Digital Restorations
Improved Aethetics
Better Patient Experience
Digital production provides a more efficient, predictable, and aesthetically pleasing implant treatment for better oral health and quality of life for your patient.
Is your lab holding you back from doing better work in less visits? They likely don’t understand the digital workflows either.
Comprehensive Case Planning
Fully Guided Treatment Planning
The data collected during a CT scan will be aligned with the patient’s intraoral and face scans to ensure optimal surgical outcomes, implant placement, and predictable restorative outcomes.
We precisely plan and manufacture surgical guides for any type of procedure including routine implant placement, bone reduction, sinus lifts, and more.
Our Surgical Guides are used to aid in the predictable placement of implants into bone at the correct angle, depth, and location allowing for ideal restorative options once integrated.
- Multi-layer stack-able solutions
- Precise fit
- Reduced complications
- Predictable functional, long lasting
- Highly esthetic treatment outcomes
Smile Design Guided by Facial Esthetics
All-on-X
All-on-X treatment is more than implant placement — it is complete facial rehabilitation.
True success is achieved when implants, prosthetics, facial support, and function are planned together from the beginning, so each work in harmony.
Facial Esthetics as the Foundation
Every case begins with an analysis of the patient’s:
- Facial proportions
- Lip support
- Smile line
- Midline position
- Incisal display at rest
- Phonetics
- Vertical dimension of occlusion (VDO)
- Facial profile (convex, straight, concave)
The final prosthesis must harmonize with the entire face — not just replace missing teeth.
Digital Smile Design Workflow
All-on-X cases incorporate digital tools such as:
• Facial photography with reference lines • 3D facial scanning (when available) • Digital wax-up or mock-up • Virtual Smile Design • Printed trial prosthesis
Patients can preview their new smile before surgery, enhancing confidence and ensures expectations are aligned.
Smile Design Principles in All-on-X
1. Incisal Edge Position
The incisal edge determines:
- Smile attractiveness
- Lip support
- Speech (F and V sounds)
- Age perception
Correct positioning ensures youthful and natural appearance.
2. Vertical Dimension of Occlusion (VDO)
Proper VDO is critical in full-arch rehabilitation.
Restoring lost vertical dimension can:
- Improve lower facial height
- Reduce deep folds around the mouth
- Improve facial balance
- Enhance function and muscle comfort
Excessive or insufficient VDO may result in discomfort, speech issues, or prosthetic overload.
3. Lip Support & Facial Profile
Full-arch restorations must consider:
- Degree of labial flange support
- Upper lip projection
- Nasolabial angle
- Transition zone visibility
Correct prosthetic contouring restores facial harmony without appearing bulky or artificial.
4. Midline & Occlusal Plane Alignment
Digital planning ensures:
- Proper midline relative to facial landmarks
- Level occlusal plane
- Balanced smile symmetry
These elements significantly influence aesthetic perception.
Prosthetically Driven Implant Placement
Once smile design is finalized, implant positions are planned according to the approved tooth setup.
This ensures:
- Ideal screw access positioning
- Proper emergence profiles
- Adequate restorative space
- Strong framework design
- Balanced occlusal load distribution
Implants serve the prosthesis — not the other way around
The success of an All-on-X case begins long before surgery. Comprehensive diagnostics, including CBCT imaging, intraoral scanning, facial photography, and occlusal analysis, allow for fully prosthetically driven planning. Implant placement is determined by the ideal tooth position — not merely by available bone. This philosophy ensures proper emergence profiles, optimized screw access positioning, adequate restorative space, and long-term structural durability. Multi-unit abutments are carefully selected to correct angulation and establish a passive, parallel path of insertion, which is critical for framework integrity and screw stability.
A Prosthetically Driven, Digitally Planned Approach for Predictable Full-Arch Outcomes
Full-Arch Implant Bar Supported Restoration
Full-mouth implant reconstructions demand precise harmony between surgical consideration, biomechanics, and esthetics while managing patient expectations. Complications typically arise not from implant failure, but from prosthetic compromise due to poor planning resulting in insufficient restorative space, improper implant positioning, or occlusal mismanagement in the final prosthesis. Successful outcomes begin with prosthetically driven planning and smile design. Then implants are positioned according to the position of the definitive prosthesis, not just bone availability. These multi-disciplinary treatments are more than implant placement—it requires teamwork and communication between doctor, patient, and laboratory from the outset.
3D DDS can provide a structured, prosthetically driven solution combined with facially guided smile design, and fully guided surgery protocols that transforms complex full-arch cases into repeatable, predictable treatment protocols.
Our laboratory team partners with you at every phase—from initial patient consultation and digital case planning to final prosthesis delivery—ensuring our shared restorative vision translates precisely to the perfect clinical result.
Key Benefits of Implant Supported Bar Restorations
- 3D Smile Design: Our specialized AI software tools allow collaboration with your patient to plan tooth position and smiled design with a virtual “try-in” to ensure natural lip support and incisal display for their restoration.
- Prosthetically Driven Planning: Implants are positioned according to the finalized smile design, ensuring ideal screw access, proper emergence profiles, adequate restorative space, Proper framework design, and balanced occlusal load distribution.
- Fully Guided Surgical Protocols.
- Versatile Prosthetic Solutions: Removable or fixed designs can be planned to suit patient needs, budget, and anatomical limitations.
- Hygienic and Maintainable: Overdentures allow daily cleaning, while fixed bars are engineered for long-term tissue health.
- Occlusal Load Distribution: Evenly disperses forces across implants, reducing biomechanical stress and reducing the chance for screw loosening.
- Enhanced Stability & Retention: Bar-supported overdentures resist rotation and displacement compared to traditional dentures.
- Predictable, Long-Term Outcomes: Durable, high-precision frameworks made from the appropriate materials for each patient situation reduce complications and maintenance.
Fixed Bar Design Options:
- Montreal Bar with Truedent
- Wrap-around Bar with Truedent
- Milled Bar with Cemented Zirconia Crowns
- Milled Bar with Cemented Bridge Superstructure (Zirconia or Trilore)
Clinical Benefits:
- Rigid cross-arch splinting
- Controlled occlusal load distribution
- Improved screw stability
- Precise emergence profile control
- Predictable phonetics and lip support
- Retrievability for maintenance
Removable Bar Design Options:
- Hader
- Dolder
- Milled bar with Attachments (Locator, Rhein83, Bredent)
- Paris Bar with Attachments
- Magnetic Custom Abutments with Integrated Secondary Bar
Clinical Benefits:
- Improved force distribution via implant splinting
- Superior retention and stability
- Enhanced chewing efficiency
- Better phonetic control
- Retrievability and easier maintenance
- Reduced biomechanical overload compared to solitary attachments
Material Selection for Implant Bars
Selecting the appropriate framework material for each patient is critical for balancing strength, aesthetics, and long-term biological success. Restorative dentists now have several high-performance options beyond traditional metals.
Titanium (Ti)
Titanium remains the "gold standard" for its proven long-term track record, biocompatibility, and exceptional mechanical properties. It is extremely strong while remaining light and can be made with thin walls to accommodate cases with minimal vertical space. It is the most versatile and can be used in any implant application.
Benefits:
- Unmatched Strength: Provides a virtually indestructible foundation that resists fracturing or shearing even under extreme occlusal loads.
- Passive Fit: CAD/CAM milling allows for a highly accurate, passive fit, which is crucial for reducing micro-movements at the implant interface.
- Biocompatibility: Highly inert and promotes excellent osseointegration with a very low risk of allergic reaction.
- Lightweight: provides more strength than cobalt chrome and is approximately 45% lighter. This lightweight nature is crucial for patient comfort in full-arch cases and helps prevent the overworking of the temporomandibular joint (TMJ)
- Repairability: Unlike monolithic restorations, a titanium-based hybrid with individual crowns or acrylic can often be repaired by re-cementing or replacing parts rather than remaking the entire arch.
TriLor® (Techno-Polymer)
TriLor is a fiber-reinforced techno-polymer resin matrix with multi-directional fiberglass designed as a metal free option specifically for All-on-X frameworks. Its primary clinical advantage lies in its bone-like elasticity, which allows the material to flex under load and absorb occlusal forces. This helps in reducing the direct stress transferred to the implants and surrounding bone. The other advantage is it will chemically bond to other resins like acrylic and has a similar modulus of elasticity so they will flex in harmony.
Benefits:
- Hypoallergenic: They are the ideal choice for patients with metal sensitivities.
- o Biomimetic Flex: It has an elastic modulus similar to human bone. This allows it to flex and absorb shock, transferring less stress to the implants.
- o Bonds with Resins: Chemically bonds to other resins like acrylic and has a similar flexibility.
- o Lightweight: It is up to five times lighter than traditional metal frameworks, significantly improving patient comfort and providing a more natural feel.
- o Metal-Free: An excellent alternative for patients with metal sensitivities or those desiring a more natural "feel" during mastication.
PEEK (Polyetheretherketone)
PEEK is a high-performance semi-crystalline polymer that has migrated from orthopedic spine and hip implants into restorative dentistry. Its physical properties closely mimic human bone, providing a unique cushioning effect that reduces stress on the implant-bone interface. Beyond large-scale frameworks, it is frequently used to fabricate custom healing abutments and provisional components, allowing for easier intraoral adjustment and the creation of ideal gingival emergence profiles during the healing phase. Additionally, its radiolucency and and allows for clear diagnostic imaging via CT scanning or on an xray.
Benefits:
- Stress Shielding Prevention: Its elastic modulus closely matches cortical bone, which helps distribute occlusal forces more evenly and encourages healthy bone remodeling.
- Shock Absorption: Absorbs masticatory forces that would otherwise be directly transmitted to the bone-implant interface.
- Non-metallic: Make it an excellent choice for patients with metal sensitivities, as it eliminates metallic taste
- Radiolucency: Unlike metal, PEEK is radiolucent, allowing for clear X-ray and CT imaging to monitor bone health without artifacts.
- Patient Comfort: It is taste-neutral, lightweight, and lacks the thermal conductivity of metals, preventing sensitivity to hot or cold foods.
Materials Comparison
| Primary Advantage | Unmatched strength | High flexural strength | Superior shock absorption |
| Main Drawback | Potential for metal show | Requires veneering | Technique‑sensitive bonding |
| Flexibility | Low | High (bone‑like) | High (bone‑like) |
| Biocompatibility | Gold standard; inert | Biocompatible | Bio‑inert; low inflammation |
| Bone Response | Promotes osseointegration | Reduces stress shielding | Mimics bone elasticity |
| Imaging | Radiopaque; heavy artifacts | Radiolucent | Radiolucent |
| Weight | Light | Ultra‑lightweight | Ultra‑light |
| Best Clinical Use | Heavy bruxers; long spans | Metal‑free permanent hybrid | Immediate load |
Additional Treatments
Multi-layer Stack-able Surgical Guides
Complex full arch treatment for edentulous patients in the digital workflow requires a more sophisticated fully guided treatment plan that will be fixated directly to the bone prior to the surgical procedures. These guides are multi-layer, stack-able solutions that make even complex treatments like bone reduction predictable and routine.
The guides are fixated to the bone after flapping the tissue for the guided bone reduction. After reduction is completed, the next layer of the guide is attached for the implant placement. After all implants are placed, the next layer of the guide is placed over to attach the provisional restoration to the implants.
These complex treatments are precisely planned before any surgery. This reduces surgery time and complications for the patient using a highly accurate digital workflow making these to ensure predictable, functional, long lasting, and highly esthetic treatment outcomes.
Implant Overdenture
Locator attachments are an effective treatment for patients looking for more denture stability and security in 3-5 visits, including the implant placement.
Our fully digital workflow has several advantages including treatment accuracy in less visits and a simplified clinical process by potentially eliminating a chair-side pickup of the attachments.