Full-Arch
All-on-X / Full-Arch Restorations
Supported exclusively by Precision by Derby, our advanced full-arch division creates masterpieces that replace failing dentition with a fixed, implant-supported prosthetic designed for long-term comfort, stability, and esthetics. These cases are life-changing and represent a major investment for patients, and we treat every case with that level of respect and intention.
This workflow supports both immediate-load and staged approaches and is built around three key phases: day of surgery provisional, prototype, and final. Along the way, we focus on function, esthetics, phonetics, and long-term maintainability---not just a single surgery day outcome.
We integrate conventional records with CBCT, intraoral scans, and photogrammetry (MicronMapper/multi-camera capture) when available. Photogrammetry allows highly accurate capture of multi-implant positions and supports faster, more precise full-arch workflows.
The Full Journey
A clear, predictable process guides both your team and your patient with confidence from day one to final delivery.
- Records + Assessment: Intraoral scans, photos, CBCT (when available), and clinical notes establish the baseline. Traditional records can be integrated as needed.
- Planning + Case Review: Implant position, arch form, vertical space, esthetics, and restorative pathway are confirmed with the end restoration in mind.
- Surgical Day Support: Provisional or immediate-load solutions are ready based on planning. Designs can be printed chairside or printed at Derby and delivered quickly.
- Digital Capture & Photogrammetry (When Used): Photogrammetry (MicronMapper or similar systems) is captured on surgery day after implant placement to record precise multi-implant positions.
- Provisional Phase: A durable 3D-printed temporary restores function and confidence while tissues heal and the patient adapts.
- Prototype Phase (Critical Checkpoint): A refined prototype is used to verify occlusion, esthetics, phonetics, midline, and tissue support before final fabrication.
- Final Full-Arch Restoration: Final options include full-contour multi-layer zirconia, zirconia layered over a titanium/metal bar, or PMMA over a titanium/metal bar.
- Maintenance + Protection: Two included bite splints, hygiene guidance, and stored digital files support long-term success, remakes, and upgrades when needed.
Turnaround
Turnaround (Typical)
- Surgical provisional: planned and ready ahead of surgery; designs can be printed in-office or printed at Derby for rapid delivery (often within about an hour when scheduled appropriately)
- Prototype: approx. 10 days after records and provisional feedback
- Final full-arch prosthetic: approx. 10 days from approved prototype
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FAQ
Do I need guided surgery to use this workflow?
Guided surgery works beautifully with this workflow, but it isn't required --- we can support you wherever you are in your digital journey.
Do you support photogrammetry?
Yes. We work with MicronMapper and similar photogrammetry systems to capture implant positions with high accuracy.
Can I print the provisional in my office?
Yes. We can provide designs that you can print and schedule for surgery day, or Derby can print and deliver.
How many prototypes are included?
One prototype is typically sufficient for most cases, with additional refinement options available as needed. One redesign is included at no additional cost.
Are these restorations repairable?
Minor esthetic or surface adjustments can be completed chairside. Full remakes or upgrades are supported with stored design files.
How do you ensure esthetic outcomes?
The Precision by Derby team reviews smile lines, lip support, facial symmetry, and natural tooth texture---not just shade.
Are bite splints included?
Yes. Two bite splints are included with each full-arch case to help protect the restoration.
Do you provide training or guidance for digital workflows?
Yes. We support doctors transitioning from analog or mixed workflows to fully digital and photogrammetry-based approaches with education and case-by-case support.
What’s the difference between Y3, Y4, and Y5?
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