
Planning and designing successful implant guides can be relatively simple if certain steps are followed.
Using guides for placing implants can make the difference between a successful case or a failure.
It can also make a huge difference in whether or not the laboratory will be able to achieve an aesthetically pleasing result or not.
Communication is Key.
- In a detailed RX tell the Lab what your plan is for the final restoration, as well as what is your preferred restorative material.
- Photos, Photos, Photos…Please take photos, these not only help in planning and visualization but they are a great way of keeping records as well as way to educate other patients.
- If it is a Cosmetic case and involves 1 or more teeth in the Esthetic zone, a Digital Smile Simulation, is fantastic way to show the patient what their new teeth or smile will look like.
What the Lab needs to plan a case.
- Accurate Upper and Lower Scans, Impressions or Models of the Patient


- CBCT of the patients Jaw. Medium or Large field Scans are preferred and patients should be scanned in an open bite. (Biting on cotton rolls)

- Photographs of the Patient.

The Process
Once the Lab( DLA) has received all the required Data and Information we then:
- Scan and Digitize the Patients Models (if analog)
Upload the Intra Oral Scans of the Patient (if digital)

- Upload and Clean the CBCT scan

- Merge the CBCT with the Digital STL files of the patient’s models

- Digitally remove any teeth that are being extracted at the time of surgery.


- Design a Digital Set up of the teeth to be restored if required.

- Using implant planning software, plan the implant placement as ideally as possible, from both a restorative aspect as well as from a clinical aspect. (Available bone)

- Once Pre-Planned we then arrange a short online Zoom meeting at your convenience to review the plan and make any changes. As the surgeon you have final say as the plan and design.

- Once the plan is approved and signed off by the doctor we design, Fabricate and ship the Guide.

- With the guide we include a printed copy of all the implant positions taken in various views as well as a detailed Sequenced Drill plan.
For more information or to upload a case please Contact me at larrythelab@gmail.com or through our Website www.dlalab.com