Surgeon Experience Assessment

01 / 09

Practice Profile

Who you are and where you practice.

Surgeon name *

Practice name *

Email *

Phone

Specialty *

Years in practice *

Your full-arch vision. How do you see full-arch fitting into your practice?

My excitement and enthusiasm to move fully into full-arch (0 = less likely · 10 = most likely) *

Cases per year I'd like to complete initially

Cases per year I could see myself completing with more experience

02 / 09

Case Experience by Procedure

Approximate lifetime case counts as primary surgeon.

Procedure	None	1–10	11–50	51–200	200+
All-on-X full archFixed full-arch on 4–6 implants
All-on-X same-day / next-day deliveryImmediate-load workflow with day-of or next-day prosthesis
FP3 restorationsFixed full-arch prosthesis with prosthetic pink
FP1 restorationsTooth-only fixed prosthesis, no pink
Traditional sequenced implant careFull-mouth extraction, grafting, immediate/future placement, healing, referral to dentist for prosthesis
Guided surgery — individual implantStatic/dynamic guide for single-implant placement
Guided surgery — full archGuided full-arch treatment
Zygomatic implantsZygoma-anchored, severe maxillary atrophy
Pterygoid implantsPosterior maxilla, graftless

03 / 09

Annual Full-Arch Volume

Arches per year, per individual provider — current pace.

04 / 09

Digital Workflow Experience

Which best describes your current digital experience?

No digital experience Minimum digital experience — our lab comes in with a scanner and uses it when needed Partial digital experience — IOS scans taken and sent to the lab for implant guides; scan-body impressions for referral offices; upper/lower + bite for night guards Full digital experience — IOS scans taken and implant guides made in-house All-on-X digital — IOS + CBCT + pre-op wax-up, photogrammetry, IOS reference-cap scan, print hybrid temp, process & place, final photogrammetry, final IOS, final design check, final delivery

Check the digital impression experience you have today (all that apply).

I have experience overseeing our assistants taking digital impressions Pre-op full-arch scans Night guard creation Scan-body impressions for individual implants (referral office) Conventional impressions for full-arch or individual implant construction I have no experience with digital impressions

05 / 09

Current Equipment

Check everything currently in your practice.

CBCT Intraoral scanner (Trios, iTero, Medit, Primescan…) Photogrammetry (iMetric iCam, PIC, MicroMapper, Shining 3D, FastMap, TAbutment…) 3D printer (in-house) Design software (exocad, 3Shape, BlueSkyPlan…) In-house milling Guided surgery planning/system

06 / 09

Team Structure

Surgeons placing implants

Lab support

Pre-op & day-of-surgery lab support

Final prosthesis production

Dedicated treatment coordinator Surgical assistants trained in full-arch Established restorative partner(s) In-house anesthesia capability

07 / 09

Current Full-Arch Workflow

Briefly describe your current protocol from consult to final prosthesis (or write "not yet offering").

08 / 09

Clinical Goals & Training Interests

Check all that apply.

Grow full-arch case volume Master FP1 (tooth-only) protocols Add zygomatic implants Add pterygoid implants Same-day digital conversion workflow Photogrammetry integration Patient acquisition & marketing systems Team training & treatment coordination

09 / 09

Readiness & Timeline

When do you want to begin implementation?

Ready now 1–3 months 3–6 months 6+ months / exploring

Surgeon Experience Assessment

Practice Profile

Case Experience by Procedure

Annual Full-Arch Volume

Digital Workflow Experience

Current Equipment

Team Structure

Current Full-Arch Workflow

Clinical Goals & Training Interests

Readiness & Timeline

Partner Readiness Profile

Readiness by Pillar

Case Experience Summary

Technology Stack & Equipment Gaps

Team Composition

Customized Implementation Roadmap