For dentists

Prosthodontic support for clinicians

Treatment planning, CAD design/surgical guide fabrication, and clinical and business mentorship.

You don’t have to refer the case away to get a prosthodontist involved.

CAD design of a stackable full-arch surgical guide, top view, showing implant sleeves, anchor pin rings and connecting struts
  • Treatment planning
  • CAD design
  • Surgical guides
  • Clinical and business mentorship

The training gap

Why This Exists

General dentists are placing and restoring more implants, taking on more full-arch cases, and managing more complex occlusion than at any point in the profession’s history. The training pipeline has not kept pace.

I work with general dentists at whatever point in that process they want a prosthodontist involved. The reality is that general practitioners should be able to provide quality services, if they are appropriately trained. Everyone has a different idea of what this means, but if you need support to get there — treatment planning, designing the restoration on Exocad, building the guide, or working alongside you across a run of cases until the workflow is yours, I can help.

And sometimes the case may just be over your head, and that’s okay too. We can decide when that is together.

CAD design of a full-arch surgical guide with implant sleeves and anchor pin positions
Intaglio surface of a full-arch implant-supported prosthesis with four titanium abutment cylinders bonded in place

Services

Ways we can work

Digital

Design and surgical guides

CAD design of single-unit, multi-unit, full-arch restorations, digital dentures. Surgical guide design and fabrication. Send the records, I’ll design, we’ll meet to review or I can send screenshots to you (whatever you prefer).

Per case

Case consultation

Send the intraoral scans, CBCT, photographs and history, and we go through it before you start — diagnosis and treatment planning, where the implants need to go, potential complications, literature review.

Ongoing

Ongoing mentorship

A longer relationship across many cases rather than one. Implants, full-arch, occlusion, and the judgment about which cases to keep and which to send out. The goal is that you need me less over time, not more.

In person

Hands on

Live cases worked through together, chairside. Over the shoulder coaching. Just like in dental school, application of skills is the fastest way to develop proficiency.

Practice

Growth and case acceptance

The business side of complex restorative: presenting the case, structuring the fee, and building the restorative side of a general practice so the clinical skill has opportunity to thrive.

The difference

Why a prosthodontist

I’ve dedicated my life to exploring and mastering the trenches of prosthodontics and dental implants. I am committed to deep knowledge of the field, proven by years of immersion. I also review dental malpractice matters as an expert witness, which means a meaningful part of my professional life is spent reading the records of treatment that did not work. That is an unusual education. I’m interested in serving you with the years of dedication I have poured out.

For dentists

Common questions

Do I have to refer the case out to work with a prosthodontist?

No. You can keep the case and bring a prosthodontist into the part of it you want help with — the treatment plan, the restoration design, the surgical guide, or the whole workflow across a run of cases.

What services do you offer?

CAD design of single-unit, multi-unit and full-arch restorations; surgical guide design and fabrication; consultation on a single case before you start; ongoing mentorship across many cases; and coaching on the business side of complex restorative work, including case presentation and fee structure.

What software do you design in?

RealGuide, Exocad, Meshmixer.

Do you work with dentists outside your area?

The planning, design and consultation work is done from the records you send, so where you practise is not a constraint. Hands-on work is the exception, since that has to happen chairside.

What if the case turns out to be beyond me?

Then we say so. Sometimes a case is over your head, and that is fine — we decide together when that is, and some cases should be referred out rather than kept. You will get that answer straight rather than being helped to hold on to something you should not. And I’ll educate you along the way so it won’t be a total loss.

How do I start?

Send the case, or ask whether it is a fit by filling out the form below. Either is fine.

Get started

Start a case

Send the case, or ask whether it’s a fit. Either is fine.

Contact — Dr. Nichols