Full Arch — Immediate Load

XactDesign

Full-arch guide design and immediate provisional, printed in-house.

For All-on-X immediate load cases, we design your patient's immediate full-arch provisional — then deliver the final .STL so you can 3D print it in-house and insert it the same day.

What Is XactDesign?

XactDesign is a complete design service built specifically for full-arch, All-on-X immediate load cases. We handle both the pre-surgical provisional design and the post-surgical conversion — so your team stays focused on the patient while we handle the digital workflow.

You submit your records, approve the design, perform the surgery, and send us your post-surgical data. We convert it and send you a print-ready .STL file — designed to fit the implants exactly as placed.

See It In Action

XactDesign Predesign Demo

Watch how we take your case from initial records through pre-surgical design

Post-Surgery Conversion

XactDesign Post-Surgery Demo

Watch how we convert the approved pre-surgical design using post-surgery Photogrammetry/Grammetry data — delivering a final provisional ready to 3D print in-house and insert the same day.

What You Submit

CBCT Scan

Full cone beam CT for bone anatomy, implant planning, and prosthetic design reference.

IOS Scans

Intraoral scans of upper and lower arches for accurate soft tissue and occlusal mapping.

Bite Records

Pre-surgical bite registration to establish correct vertical dimension and occlusal relationship.

Clinical Photos

Facial and intraoral photos to guide aesthetic proportions and smile design.

How It Works

Phase 1 — Pre-Surgery
01

Submit Your Records

Upload your CBCT, IOS scans, bite records, and clinical photos through our secure case portal.

02

We Design the Provisional

Our team designs the full-arch immediate provisional based on your submitted records, incorporating implant positions, occlusion, and aesthetics.

03

You Approve the Case

We send you the design for review. You confirm fit, aesthetics, and occlusion before we finalize anything. No surprises on surgery day.

Surgery Day

Phase 2 — Day of Surgery
04

Send Post-Surgery Records

Once implants are placed and stable, send us: pre-surgery IOS upper/lower with bite, Photogrammetry/Grammetry data with fixtures in place, and an IOS tissue scan on white scan bodies.

05

We Convert & Redesign

We perform the post-surgery conversion using your Photogrammetry/Grammetry data — adapting the provisional design to match the exact implant positions as placed.

06

Print & Insert Same Day

We deliver the final print-ready .STL file. You 3D print it in-house and insert the provisional the same day — giving your patient an immediate, well-fitting full-arch restoration.

Why Clinicians Choose XactDesign

On-Call Day of Surgery

We stay available throughout your surgery day to receive post-surgical data and turn around the final design as fast as possible.

Photogrammetry-Driven Accuracy

Post-surgical design is driven by Photogrammetry/Grammetry data — not estimates — ensuring the provisional fits the implants exactly as placed.

In-House Printing

The final .STL is optimized for your in-office 3D printer, so you control the print and the timeline without waiting on a lab.

Clinician Approval Built In

Every case includes a pre-surgical approval step. You review and confirm the design before surgery day — no last-minute surprises.

Ready to Start a XactDesign Case?

Submit your case records or book a call to walk through the workflow with us.