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

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Metal Guides vs Plastic Guides

Why are metal guides better than plastic?

  • Can deliver FP3 to FP1 prosthetics with minimal bone reduction
  • Tooth supported offering verifiable seating accuracy and simplicity.
  • Floating Guide Technology means that the guides never touch bone.
  • Allows full access for irrigation no matter the irrigation approach taken.
  • Full visualization of the drills and implant site.
  • Rigid guide – it does not flex or break under any pressure.
  • Mechanical design ensures tight connections between the stackable elements.
  • Small Hole Technology means stronger prosthetics, less conversion, better esthetics, and better occlusion.
  • Uncomplicated approach to oral surgery.
  • Small oral footprint helps reduce flapping requirements, requires less surgery, and may reduce patient healing times.

10 reasons why metal guides are better than plastic guides

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

Peer-Reviewed CHROME Articles

Full-Arch Implant Surgical and Restorative Considerations: Utilizing a Full Template Guidance Technique

Written by Drs. Scott D. Ganz and Isaac Tawil
Dentistry Today, September 2019

Continued Innovation for Full-Arch Immediate Loading: Small Access Hole Technology

Written by Drs. Scott D. Ganz and Isaac Tawil
Dentistry Today, May 2021

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.

CHROME Natural

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


Dr. Michael Booth
Dr. Matthew Calkins

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