Tooth supported surgical guides are common and easily adaptable to various clinical situations. One benefit is that consistently reproducible landmarks (namely, teeth) can be used for support, stability and retention. The improved accuracy and precision of implants placed through tooth-borne guides have been evaluated in both benchtop and clinical models. The most common utilization of tooth-borne guides is for single or multiple implants for fixed restorations. Although these guides have been shown to result in predictable restorative outcomes, it is important for the practitioner to be cognizant of available space and additional guided drill length, especially when placing posterior implants. To simplify the process of providing surgical guidance we developed the “No Scan Appliance Technique”. We simply require master casts, or a digital impression from any device, and a CBCT with the arches separated by cotton rolls. With this information, we provide CT guides for all implant systems!