CHROME Guided Smile

Welcome to CHROME GuidedSMILE

CHROME GuidedSMILE was developed for dentists who desire a preplanned, predictable guided All-On-X style surgery. This industry-leading, metal stackable system guides implants, bone reduction, prosthetics, and the simplified final conversion protocol. Learn more about CHROME GuidedSMILE and the elite network of dental laboratories that support it and you.

Benefits of CHROME GuidedSMILE

  • Smaller oral footprint lessening patient discomfort
  • Anchored bite verification
  • Anchored bone reduction
  • Anchored site drilling of implant site
  • Complete visualization and irrigation of implant site
  • Accurate anchored provisionalization
  • Easy method of transferring all surgical and restorative information for the final restorative conversion phase

The Components of CHROME GuidedSMILE

Find a CHROME Location

      Dr. Isaac Tawil

      Getting Started with CHROME GuidedSMILE

      April 30, 2021 | 7:30am – 4:30pm

      CHROME GuidedSMILE is the premier fully guided All-On-X service in the industry. This course will present the systems and protocols to completing CHROME cases and will bring the attendee up-to-speed on the latest technology, surgical steps, C2F Small Hole Technology, simplified conversions, and materials. This course offers a hands-on component for the new extra-oral process, LIVE surgery demonstration, and Q&A with leading CHROME experts.

      Why FP3 when you can go FP1? 

      While all other systems on the market are happy to provide the standard FP3 prosthetic, CHROME GuidedSMILE has been innovating towards a more natural-looking, strong FP1 prosthetic.

      CHROME GuidedSMILE Natural (our FP1 solution) requires less bone reduction and can shorten chair time during surgery. Beautifully created, easily loaded, and esthetically amazing – CHROME GuidedSMILE Natural.

      C2F Small Hole Technology

      C2F is the CHROME philosophy of Small Hole Technology. This means delivering immediate prosthetics, during a CHROME surgery, with very small holes, rather than the typical industry-standard large holes. Small Hole Technology dramatically improves the performance of prosthetics and maintains the principal structure of the manufactured material.

      • Stronger and narrower prosthetics
      • More accurate planning possibilities
      • Preserved ideal occlusion
      • Extra-oral conversion
      • Less surgery time for patient
      • Master cast created at the surgery and used for final
      • Extra-oral equilibration for perfect bites on every case
      c2f - new

      Freehand vs Guided Surgery

      Freehand surgery is a significant skill set that can take a lifetime to perfect. It is artistry in the dental world. Freehand surgery comes with unique challenges and concerns that guided surgery has overcome.

      Smile Simulation

      In traditional free-hand surgery, patients get to see their smile after surgery is complete. Guided surgery allows the doctor to present a digital smile simulation to the patient in advance of any surgery. This has proven to be a very successful tactic in ‘selling’ the case to the patient and convincing them to move forward with surgery.

      Implant Accuracy

      Freehand implants cannot be expected to be accurate to a millimeter. The human aspect involved in placing them will always introduce variability and the potential for error. With guided pre-planned surgery implant position, depth and angle are pre-planned to a fraction of a millimeter by a team of dental lab experts who have successfully planned treatment for thousands of patients.

      Surgical Confidence

      Freehand surgery is cautious by nature. Surgeons have to go slow in order to make in-the-moment surgical decisions. Without careful planning, surgical surprises are not surprising and can make the final stages more complex and more prone to error. Guided surgery removes all of the doubt that freehand surgery can bring as the detailed patient CBCT records allow for complete transparency of issues that could occur. This provides a level of surgical confidence that doctors love.

      Length of Surgery

      Freehand surgery can take several hours due to continuous carefully considered decision-making. As a result, surgery can take many hours. Many CHROME GuidedSMILE doctors have reported that a typical surgery can take anywhere between 2-4 hours (depending on case complexity). This is because all major factors have been analyzed in advance of surgery. Quicker surgeries result in using less anesthesia and result in less pain and discomfort to the patient post-surgery.

      Patient Discomfort

      Free-hand patients experience statistically higher post-operative pain and swelling than guided surgery patients. One of the main factors of this is that freehand surgeries can tend to be more exploratory in nature to ensure no mistakes are made. Due to everything being planned pre-surgery, guided surgery provides the benefit to the patient that the work has been figured out in advance. This results in relatively less invasive surgery and anatomical trauma, reduced need for anesthesia, and shorter surgery times. Healing is faster as a result.

      Surgery Video Case Study

      Watch as we go through a complete CHROME GuidedSMILE Natural patient case study. The patient suffered from a bone defect that would have resulted in significant bone reduction in a traditional FP3 scenario.

      This video reviews:

      • Necessary patient records
      • Smile simulation
      • The live online planning meeting
      • Bone reduction approach
      • Complete surgical process
      • Final patient result

      CHROME GuidedSMILE Natural (FP1) Case: Maxilla Patient

      Metal Guides vs Plastic Guides

      Tooth Delivered

      This delivery system offers verifiable seating accuracy and simplicity.


      CHROME guides remain firmly seated for maximum accuracy.

      Floating Guide Technology

      The system is entirely supported by way of trans-cortical pins and a labial metal bow. No undercut, insertion or fitting issue, which means less lingual flapping than other systems.


      The metal-to-metal CHROME Loc design is mechanically engineered to lock system components in place.

      Full Irrigation

      The CHROME metal floating guide system allows for complete access for irrigation.

      Small Hole Technology

      Small holes mean stronger prosthetics, less conversion work, better esthetics, and far better occlusion.

      c2f - new

      Full Visualization

      The osteotomy guide floats above the ridge, giving the user full visualization of the drills and implants.

      Small Footprint

      There is little-to-no lingual flap. Edentulous guides often need zero flapping, and tooth-supported guides are minimal.


      CHROME offers an uncomplicated approach to full arch surgery. It has been successfully implemented in many thousands of surgeries around the world.


      Dr. Michael Booth
      Dr. Matthew Calkins
      Dr. Varghese John
      Dr. Jacob Keiffer

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