A method for forming a surgical guide for a dental patient rotates material about a rotation axis to a first angular position and drills a drill guiding hole using a drilling tool having a drilling tool axis. The drill guiding hole is centered about a guide axis that is orthogonal to the rotation axis. A first planar surface of the guide is formed from the material, wherein the first surface is. oblique to the guide axis. The material is repositioned to orient the first surface orthogonal to the drilling tool. A hole pattern is formed having two or more positioning holes in the first surface, with the pattern corresponding to a pin pattern in a tray that is positionally registered to a dental arch of the patient. A second planar surface of the surgical guide is formed, parallel to the first planar surface.