Everything finished in-house
Design, milling, layering, and finishing happen under one roof in Rapid City. Nothing leaves the building, so nothing comes back unexplained.
Dentist-owned · 100% in-house · Made in the USA
The Dentist-Owned, In-House USA Implant Lab
Full arch, partial arch, and single-unit implant restorations — designed and fabricated by one in-house team in Rapid City, SD. Nothing outsourced. Nobody overseas. Real conversations with the people making your case.
- Digital scans & traditional impressions accepted
- Owned by Dr. Chad Carpenter, DDS
- 5–7 business day turnaround
Sound familiar?
If any of this sounds familiar, you're paying for it in chair time.
Another remake.
Over half of dentists lose an hour or more every week to remakes.
Case number, not a person.
You call your lab and get a ticket queue, not the technician.
Where was this actually made?
Many "domestic" labs quietly ship cases overseas without telling you.
Seat date missed.
A rescheduled delivery is a patient conversation you shouldn't have to have.
Why dentists move their cases
Built like a manufacturer, staffed like a colleague
Fit checked before it ships
Fit checked in-house before anything ships. Our goal is one delivery appointment, not two.
Talk to the technician
Call and reach the person who designed your case — not a queue. Margin, occlusion, and shade questions get answered at the bench.
In the lab
Exocad design
In-house milling
3D printing
Photogrammetry for full arch
What we make
Implant restorations, start to finish
We are an implant lab. Full arch, partial arch, and single-unit — that's the work, and that's where the team's time goes.
Primary focus
Full Arch Restorations
All-on-4 / All-on-X fixed implant prosthetics. Monolithic zirconia and hybrid options, provisionals through final. Passive fit is the whole job, and it's the case type this lab was built around.
Send this case
Partial arch
Partial Arch
Multi-unit implant bridges and partial-arch prosthetics, screw-retained or cemented.
Send this case
Single unit
Single-Unit Implant Crowns
Screw-retained or cemented, custom abutments, zirconia or e.max.
Send this caseHow it works
Four steps from first case to standing account
- 01
Send the case
Digital file or physical impression. Tell us the platform, the plan, and the seat date.
- 02
Design review
Our team designs your restoration in Exocad and reaches out with questions before anything is milled.
- 03
Manufacture in-house
Milled, finished, and fit-checked in-house before it ships.
- 04
Delivered on the date given
Shipped to hit your seat appointment, with a direct line for chairside questions.
A lab built by someone who sits chairside
Dr. Chad Carpenter, DDS — owner, Teeth by Design
Dr. Carpenter has practiced in Rapid City since founding Carpenter Dental in 2005, after graduating from the University of Nebraska. His practice is built around implant and full-mouth reconstructive dentistry, and he spends at least 20 days a year in continuing education to stay current on complex cases.
He's a past president of the Black Hills District Dental Society and was named South Dakota's Young Dentist of the Year in 2014. He built an in-house digital lab for his own patients first — Exocad design, milling, 3D printing, photogrammetry — and opened it to other doctors because he knows what it costs when a case comes back wrong.
Practicing since 2005Past President, Black Hills District Dental SocietySD Young Dentist of the Year, 2014
“If I wouldn't seat it in my own operatory, it doesn't leave the building.”
Questions from doctors
What practices ask before sending a first case
Send your first case
Start with one case. Judge us on the fit.
Tell us the case type and seat date. A technician — not a sales rep — will follow up.
Request a call from the lab
We'll reach out to set up your account and answer questions.
Rapid City, South Dakota
Send one case. That's the whole evaluation.
Ship us a single unit and hold it to your own standard.