Planned fixation
The fixation workflow establishes the planned position of the system and provides a stable reference for subsequent stages.
GUIDEDSMILE FULL ARCH GUIDED SURGERY
GuidedSMILE CombiGuide Stackable guidance for planned full arch treatment
A coordinated stackable guide system designed to support planned bone reduction, guided implant placement and the restorative stages of full arch treatment.
GuidedSMILE CombiGuide connects the surgical and restorative workflow through a series of precisely designed components built around the approved treatment plan.
TREATMENT TYPE
Full arch implant treatment
GUIDE SYSTEM
Stackable surgical workflow
CLINICAL PURPOSE
Bone reduction and guided placement
WORKFLOW OPTIONS
CombiGuide and CombiGuide Lite
THE CLINICAL PURPOSE
One guided system for the planned surgical sequence
CombiGuide brings the principal stages of full arch guided surgery together within one connected stackable system. Each component has a specific role within the approved surgical and restorative plan.
Controlled bone reduction
The reduction guide communicates the approved bone level and supports the planned restorative space.
Guided implant placement
The osteotomy guide supports the planned drilling sequence and implant positions for the selected implant system.
Restorative verification
The carrier guide supports passive seating assessment and helps connect the surgical plan with the restorative workflow.
THE COMBIGUIDE SYSTEM
Five connected components
CombiGuide uses a series of stackable components designed around the clinical sequence. The fixation base remains the central reference while the required guides are introduced at the appropriate stage.
Pin guide
Supports the planned positioning of the fixation pins and establishes the location of the fixation base.
Fixation base
Provides the stable foundation for the stackable workflow and remains in position as the subsequent components are used.
Bone reduction guide
Communicates the planned level of bone reduction required to create the intended restorative space.
Osteotomy guide
Supports the approved drilling sequence and guided implant placement according to the selected implant system.
Carrier guide
Supports verification of adequate reduction and connects the completed surgical stages with the planned restorative position.
DAY-OF-SURGERY WORKFLOW
From initial positioning to the restorative stage
The planned sequence allows each component to be introduced while maintaining a stable relationship with the approved surgical and restorative plan.
01
Position the pin guide
Seat the pin guide in the approved position and use it to establish the planned fixation pin locations.
02
Secure the fixation base
Position and stabilise the fixation base to create the central reference for the remaining surgical stages.
03
Complete the planned reduction
Attach the bone reduction guide and complete the planned reduction to the approved level.
04
Place the implants
Attach the osteotomy guide and follow the specified guided drilling and implant placement protocol.
05
Verify and continue restoration
Use the carrier guide to assess passive seating and continue into the planned restorative workflow.
COMBIGUIDE AND PHOTOGRAMMETRY
Explore GuidedSMILE Grammetry
A stable reference for the digital restorative workflow
GuidedSMILE CombiGuide can be incorporated into a photogrammetry workflow. The metal fixation base provides a stable, fixed reference that can be scanned before and after extraction and implant placement.
This helps maintain the planned relationship between the surgical position, implant locations and the provisional restorative workflow.
01
Stable scannable reference during the surgical sequence
02
Connection between pre-operative and implant-level records
03
Supports the planned immediate restorative workflow
COMBIGUIDE OPTIONS
Select the workflow for your case
Choose the metal CombiGuide workflow or the resin CombiGuide Lite option according to the clinical requirements and intended restorative pathway.
PLANNING YOUR CASE
Patient records for CombiGuide planning
Accurate and complete records are essential for full arch planning. The information required will depend on the patient, treatment plan and selected CombiGuide workflow.
View Patient Record RequirementsCBCT records
Diagnostic imaging covering the required anatomy and intended surgical area.
Digital surface scans
Accurate upper, lower and bite records appropriate to the planned treatment.
Clinical photography
Extraoral and intraoral photography required to support the restorative plan.
Restorative prescription
Clinical preferences, implant system details and the intended restorative pathway.
FREQUENTLY ASKED QUESTIONS
GuidedSMILE CombiGuide FAQs
What is GuidedSMILE CombiGuide?
GuidedSMILE CombiGuide is a stackable full arch guide system designed to support planned fixation, bone reduction, guided implant placement and the restorative stages of treatment.
What components are included in the CombiGuide system?
The planned system may include a pin guide, fixation base, bone reduction guide, osteotomy guide and carrier guide. The exact components supplied will reflect the approved treatment plan.
What is the purpose of the fixation base?
The fixation base provides the stable foundation for the stackable workflow. It remains in the planned position while the required guide components are introduced during surgery.
Can CombiGuide be used with photogrammetry?
Yes. The metal CombiGuide fixation base can provide a stable scannable reference for the GuidedSMILE photogrammetry workflow before and after implant placement.
What is the difference between CombiGuide and CombiGuide Lite?
CombiGuide uses a metal fixation base and can be incorporated into the photogrammetry workflow. CombiGuide Lite provides a streamlined resin-based option for the planned stackable surgical sequence.
How do I begin a CombiGuide case?
Submit the case through the Quoris3D case submission pathway with the available patient records, implant system details and intended restorative plan. The team will review the information and confirm any additional records required.
START YOUR GUIDEDSMILE CASE
Ready to plan your CombiGuide case?
Submit your patient records or speak to the Quoris3D team about the most suitable full arch guided workflow for your case.
