Immediate load · One plan · 24-48h
Immediate loading and provisional design for U.S. labs.
Screw-retained provisionals designed with the implant plan, so the temporary is ready on surgery day and the final follows the same positions, delivered in 24–48 hours and paid after approval.
Ready before the surgery, not after
An immediate-load case is planned as one job: implant positions, multi-unit positions and the provisional together. The provisional is designed to the planned positions and exported print-ready before the surgical appointment, so the patient leaves with teeth on the day of surgery.
Single-tooth immediate provisionals are designed the same way, with the emergence profile shaped to manage the soft tissue at the implant site.
What you send, what comes back
You send
- CBCT (DICOM) and intraoral scans (STL)
- Implant system, multi-unit or temporary abutments
- The planned or approved implant positions, or a planning request
- Shade and esthetic references you already have
You get back
- Screw-retained immediate-load provisional, print- or mill-ready
- Single-unit provisional crowns with shaped emergence
- Screw access checked against the planned positions
- A path to the final: the same plan carries to the final design
Why send it here
One person, one case
The implant positions and the provisional are planned as one job, so nothing is re-planned by someone else between the CBCT and surgery day.
On call for surgery day
If the surgeon changes a position, the answer comes back inside the same business day. Aruba runs on Atlantic time: the same clock as U.S. Eastern during daylight time, one hour ahead in winter.
Approve it before you pay
Nothing is invoiced until you approve the provisional. Minor revisions are unlimited, and if the stated 24 to 48 hour turnaround is missed the case is free.
Matched to your abutments
Your multi-unit or temporary abutments, taken from the manufacturer's own library. Screw access is checked against the planned positions and the file is exported print or mill ready for the equipment you run.
Pricing
Every price is design only. You review the plan and the design before you pay: approval is on the report and the screenshots, and the production files are released when the invoice is settled. Revisions inside the approved plan are included. The turnaround clock starts when I confirm your files are complete and stops while I am waiting on an answer from you; if I miss the turnaround I stated when I accepted the case, that case is free.
Questions U.S. labs ask, answered
Can we send the provisional and the final as one order?
Yes. The provisional and the final All-on-X design are planned from the same positions; ordering them together is the normal path for an immediate-load arch.
What if the surgeon changes an implant position on the day?
Send the post-surgical scan or the final positions and the provisional is revised to fit. Minor revisions are included; nothing is invoiced until you approve the design.
Is this a U.S. company?
No. NB Digital Dentistry is Nicolás Petersen, a digital dentistry designer based in Aruba, working remotely for laboratories and clinics in the United States, Canada and the Caribbean. Aruba is on Atlantic time, so the working day overlaps the U.S. Eastern business day.
How do files travel, and what about patient data?
You receive an encrypted upload link. Patient files never travel as email attachments and never over WhatsApp. Send the CBCT (DICOM) and intraoral scans (STL) with no patient identifiers in the file names; the design work needs none.
Who carries the regulatory responsibility, and who owns the plan?
You do, on both counts. The deliverable is a design file: printing, materials, sterilisation and every regulatory obligation stay with your laboratory or clinic, as they would for a design your own technician produced. The treating clinician prescribes the case, approves every implant position on their own screen and is solely responsible for the decision to place. I design to that prescription and tell you about anything in the data I would not drill on.
Can you work on-site in the U.S.?
The service is remote and file-based; that is how U.S. clients are served on the same 24–48 hour turnaround as Aruba clients. In-person work is available on Aruba.
You approve the design before you pay.
The first case is free — one implant plan and guide of up to two implants for a clinic, or three restorative units for a laboratory, one per practice. Judge the files on your own equipment first.
Send your first case free