Guided Surgery

Our goal at Dickerman Dental Prosthetics is to assist you in all aspects of your prosthetic fabrications. We use state-of-the-art implant planning software to ensure predictability in every surgical case no matter the complexity. We are always available to help plan your prosthetically driven implant placements and to help enhance the final outcome for your patients. Our guided surgery staff expert, Brandon Dickerman, is a part-time consultant for Straumann® regarding the coDiagnostiX Guided Surgery System and has lectured and conducted training on it across the country.

Benefits of Guided Surgery

Since our technicians are informed from state-of-the-art implant planning software, Dickerman is able to offer the ultimate in guided surgery.

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With its comprehensive implant planning, we are able to ensure a predictable outcome for every surgery.

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Patient Acceptance

We are able to fully communicate with patients and provide them with a complete overview of their surgery and eventual outcome through its advanced visualization features, which increases treatment acceptance.

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Efficient Surgeries

By completely planning out a surgery beforehand, we can help ensure that everything is prepared and ready so that each surgery is carried out as quickly and efficiently as possible.

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We are able to online case share and communicate so that our lab, your practice, and your patient are completely satisfied with the results.

The Keys to Predictable Success

Our use of advanced implant planning software allows us to provide you and your patients the absolute best in guided surgery. Our guided surgery staff expert, Brandon Dickerman, is a part-time consultant for Straumann® regarding the coDiagnostiX Guided Surgery System and has lectured and conducted training on it across the country.

Straumann® coDiagnostiX™

Straumann® coDiagnostiX™

Used by our lab in all of our implant planning, this software allows us to ensure predictable results in every case no matter its complexity.


Nobel Clinican

This user-friendly software helps clinicians in digital treatment planning, diagnostics, and patient communication.

A Collaborative Workflow

DWOS Synergy™ is a software that allows for a continuous and efficient workflow between our technicians using coDiagnostiX™ and practices using Straumann® CARES® Visual. Synergy allows us to create a digital diagnostic waxup that will be used to plan the placement of implants to ensure truly esthetic results. We will be able to fabricate a laboratory processed pre-surgical provisional restorations with the guided surgical stent. If the intention is to begin to shape the soft tissue from the day of surgery but not load the implant, we can fabricate a custom gingival former that terminates at the soft tissue crest.

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Benefits of Synergy Workflow

All of our technicians at Dickerman Dental Prosthetics are dedicated to simplifying surgeries and reducing patient discomfort and dissatisfaction. When you choose our team of experts you will discover the numerous benefits we provide.

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Exceptional Comfort

Your patient will appreciate the quality esthetics of our custom provisionals, but its exceptional fit and function will keep them perfectly comfortable throughout the healing process.

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Decreased Chair Time

Our custom provisionals ensure a perfect fit for your patient, which will decrease the necessary chair time to ensure proper abutment seating.

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The provisional will also serve as a blueprint for the final prosthesis. Your patient will be able to provide feedback that will inform the fabrication of the final prosthesis.

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Superior Healing

When compared to other options, custom healing abutments are more anatomically shaped and biologically advantageous. This provides an easier healing process for the patient.

Dual Scan Technique

The CBCT Scanning technique is used to capture all the data needed to fabricate a guided surgical stent. This method utilizes radiographic markers instead of radiographic guides or casts. Please browse the protocols below or view our downloadable PDF.

Download Step-by-Step Protocol
Step One:

Order Suremark self stick radiographic markers from us.

Step Two:

Make sure denture fits very well as this will translate into the fit of the surgical guide

Step Three:

If the denture does not fit perfectly, take a wash with light body PVS in the denture with no adhesive

Dual Protocol STEP 3 Scan 3 Thumb
Step Four:

Dry denture and place 3 markers on the buccal flange on different planes and 3 markers on the lingual or palatal for a total of 6 markers

Dual Protocol STEP 4 Scan 4 Thumb Dual Protocol STEP 4 Scan 4 Thumb
Step Five:

2 CBCT scans will be conducted prior to removing the wash from the denture base or removing the scanning markers

Scan 1: CBCT of the patient with the denture in the mouth biting into occlusion so it is seated properly

Scan 2: CBCT of the denture only with the markers and the wash still in place (no patient).

Please watch this video to see how to set up a CBCT without a patient.

Video Courtesy of University of Florida
Step Six:

Upload both CBCT scans through our website  File Uploader

Common Mistakes
1. Poor fitting denture and either a reline or wash in the denture was not performed at the time of the scan resulting in a poor fitting surgical guide
2. Markers were removed before both scans were performed
3. Markers were not placed on the denture for the scan in the mouth but only for the denture scan

Sequential Guide

At Dickerman Dental Prosthetics we are well versed in guide fabrication for the edentulous patient including the fabrication of guided bone reduction. We have a workflow in place for fabricating sequential guides starting with a guide for drilling the fixation pin sites prior to reflecting a flap. The second guide is the bone reduction guide that sits directly on the mandibular bone and is supported by the fixation pins. The 3rd and final guide is for drilling the implant osteotomies and is also stabilized on the fixation pins.

Fixation Pin Guide
Bone Reduction Guide
Bone Reduction Performed
Implant Placement Guide

Available Guide Designs

Our expert technicians at Dickerman are able to fabricate any guide design needed so that every patient can benefit from the consistency of guided surgery.

Guide Prep Supported

Guide Prep Supported

Mini Implant Supported Surgical Guide

Mini Implant Supported Surgical Guide

Prep Supported Radiographic Guide

Prep Supported Radiographic Guide

Guide Tissue Supported with Fixation Pins

Guide Tissue Supported with Fixation Pins

Guide Tooth Supported

Guide Tooth Supported

Guided Surgery Rx Form
Additional Information
Start Screen Sharing Session
Diagnostic Waxup Before and After
digital imaging