All-on-X Lab Process: How Full-Arch Smiles Are Made

At XCV Dental Lab, we specialize in All-on-X restorations—full-arch implant solutions that restore both form and function for edentulous patients. But what actually happens behind the scenes? Let’s take a closer look at the All-on-X process from a dental lab’s perspective and how we turn digital plans into life-changing smiles.

What Is All-on-X?

All-on-X is a full-arch, fixed implant restoration supported by four or more implants (hence the “X”). It’s ideal for patients who are fully edentulous or soon-to-be, offering a stable, aesthetic, and permanent solution—often in a single day.

Our 5-Step All-on-X Lab Workflow

We’ve fine-tuned our lab process to ensure precision, predictability, and seamless collaboration with clinicians. Here’s how it works:

1. Digital Case Planning

Everything begins with digital planning. Once we receive your intraoral scans, CBCT, photos, and bite data, our team loads them into advanced software like Exoplan or Blue Sky Plan.

We collaborate with the surgical team to:

  • Analyze bone availability and prosthetic space
  • Determine ideal implant positions and angulation
  • Plan for immediate load or delayed delivery

Outcome: A shared, data-driven plan for a predictable result.

2. Surgical Guide Design & 3D Printing

Using the approved implant plan, we design a custom surgical guide to aid in precise implant placement. Our guides are 3D printed in-house using biocompatible, high-precision resin.

Outcome: Faster surgery, accurate implant placement, reduced risk.

3. Provisional Prosthesis for Immediate Load

For same-day smiles, we pre-fabricate a conversion prosthesis—a temporary denture converted chairside post-surgery to attach to the implants.

  • Material options: Milled PMMA or 3D printed resin
  • Prepped for chairside adjustment and pickup

Outcome: Patients leave surgery with a secure, functional smile.

4. Final Prosthesis Fabrication

After the healing phase, we move on to creating the final restoration. Our lab uses CAD/CAM technology to design a prosthesis that is both durable and lifelike.

Materials commonly used:

  • Monolithic zirconia for strength and esthetics
  • Titanium or CrCo substructures
  • Gingival pink composite or porcelain for a natural gum look

Outcome: Long-lasting, high-function, aesthetic result personalized to each patient.

5. Quality Control & Delivery

Every final case goes through comprehensive QC:

  • Fit verification on printed models or analogs
  • Occlusion and articulation checks
  • Shade, contour, and polish inspection

Once it passes inspection, your case is delivered ready for insertion, on time and stress-free.

Outcome: Confident delivery with fewer chairside adjustments.

Why Partner with XCV Dental Lab?

At XCV Dental Lab, we combine technology, artistry, and surgical coordination to deliver predictable, beautiful All-on-X cases. Whether it’s digital planning, immediate load prosthetics, or full-contour zirconia arches—we’re with you every step of the way.

Related Blogs

© Copyright | All rights reserved. XCV Dental Lab