Full-arch / All-on-X
All-on-X and full-arch design service
I design full-arch and All-on-X prosthetics and surgical guides for surgeons and labs to outsource: screw-retained provisionals built for immediate loading, plus the final zirconia. Every case is restoratively driven, planned and reviewed by Nico personally in exocad and Blue Sky Plan, and returned milling-ready in 24–48h. Send CBCT DICOM and intraoral STL; you pay after you approve.
The digital workflow
How a full-arch case is designed
Prosthetic-first, from finished smile down to fixture. Five steps, every one reviewed on screen before anything is milled.
Set the final teeth first (prosthetic-driven)
The whole plan starts from the finished smile. I position the final tooth setup — midline, incisal edge, occlusal plane, lip support — and everything below serves it.
Position the implants and multi-unit abutments
Implants and multi-unit abutments are placed into bone that supports that setup — angulation and depth chosen so screw access lands where it should, not wherever the bone was easiest.
Design the screw-retained provisional for immediate load
A screw-retained provisional built for same-day loading: rigid connection, cleansable intaglio, controlled cantilever, ready to mill or print before the patient leaves the chair.
Verify emergence, cantilever and access
Every unit is checked for emergence profile, cantilever length, access-hole exit and hygiene clearance. Problems are solved on screen, not discovered at try-in.
Design the final zirconia → milling-ready files
Once the provisional proves the plan, I design the definitive monolithic or layered zirconia and export milling-ready files for your workflow.
What you outsource
Provisional and final, one designer
A named clinician-designer handles the whole arch — not a rotating CAD farm. The provisional and the definitive share the same prosthetic reference, so nothing drifts between stages.
Immediate-load provisional
Screw-retained, rigid, cleansable. Designed for same-day delivery with controlled cantilever and access exits placed where the restoration wants them.
Definitive zirconia
Monolithic or layered full-arch zirconia designed in exocad, exported as milling-ready files for your mill and finishing workflow.
Surgical guide
Fully-guided surgical guides designed in Blue Sky Plan from the same plan, so the implants land exactly where the prosthetic needs them.
Any implant system
Works with your multi-unit library and any implant system. Revisions until it is clinically right; you pay only after you approve.
How this differs
Named designer vs. a CAD farm
The same full-arch file can be produced two very different ways. The difference shows up at try-in.
| What matters | This service | Typical CAD farm |
|---|---|---|
| Who designs it | Nico, personally, every case | Rotating anonymous technicians |
| Design logic | Restoratively driven, teeth-first | Bone-first, prosthetics retrofitted |
| Provisional + final | One designer, shared reference | Split across jobs and hands |
| Turnaround | 24–48h (24h rush) | Often several days |
| Revisions | Until clinically right | Charged or capped |
| Payment | After you approve | Upfront or per-unit |
Questions
Full-arch design, answered
Do you design the provisional and the final?
Yes. The screw-retained immediate provisional and the definitive zirconia are both designed here, from the same prosthetic reference — so the final restores what the provisional proved.
Screw-access through cingulum or occlusal?
Whatever the restoratively-driven plan requires. Implant angulation is chosen so access exits through the cingulum or occlusal surface cleanly — never through a labial face or a contact point.
White-label for my lab?
Yes. Design arrives under your name with no branding of mine. Labs outsource the CAD; you mill, finish and deliver as your own work.
Turnaround for a full arch?
24–48h for the design, 24h on rush. Send CBCT DICOM plus intraoral STL and you get milling-ready files back inside that window. You pay after you approve.