DMDM Dental DesignRemote CAD Partner

Implant Surgical Guide Design Service

Delivery time
1 – 3 days
Revisions
Included until approved
Software
RealGUIDE
Delivers
Project files

DM Dental Design provides remote surgical guide design for clinics and laboratories doing digital implant planning and guided surgery. We align your CBCT (DICOM) with the surface scan, plan the implant from the final restoration, and design a print-ready guide for your sleeve system and guided kit. A guide has one job: to put the implant exactly where the plan says it should go.

We design tooth-supported, mucosa-supported and fully edentulous guides with fixation pins, pilot-only or fully guided — and on request we also handle the implant planning itself.

What we focus on in every surgical guides case

  • Implant positioning. Placement driven by the final restoration.

  • Angulation and depth. Controlled by sleeve position and offset.

  • Guide stability. Support surfaces chosen for a firm, single seat.

  • Access. Clear irrigation and visibility during drilling.

Our step-by-step process

  1. 1

    Submit your scanned case files and instructions.

  2. 2

    We produce the digital design and send it for review.

  3. 3

    After approval we deliver the final files.

  4. 4

    You receive the project files — ready for production.

How surgical guide design works

A guide is only as good as the alignment behind it. The CBCT DICOM volume and the surface scan are superimposed on shared reference points — teeth, a radiographic marker, or scan bodies — and the match is verified slice by slice before any planning starts. An alignment error of a fraction of a millimetre at this stage becomes an angulation error at the apex.

Implant positions are then planned restoratively: the crown is placed first, and the implant follows the emergence it needs, within the bone that is actually available. Bone density, nerve canal, sinus floor and adjacent roots are all checked in the same view.

The guide body is designed around the sleeve system and drill kit you use, with the offset height matched to your kit's specification. Support surfaces are chosen for a firm single seat — tooth-supported where teeth allow it, mucosa- or bone-supported with fixation pins where they do not — and inspection windows are added so seating can be confirmed clinically.

Cases we design most often

  • Single and multiple implant guides, tooth-supported
  • Fully edentulous guides with fixation pins
  • Pilot-only guides and fully guided protocols
  • Implant planning on request, when only the CBCT and scan are supplied

What we need to align the case

  • CBCT export as DICOM (not a screenshot or a compressed viewer file)
  • Surface scan of the arch, plus the antagonist where occlusion matters
  • Implant system, diameter, length and the guided kit you will use

Read more

Real case

A guided surgery case, step by step

How we go from CBCT data and an STL scan to a printable surgical guide in RealGUIDE.

  1. CBCT and arch curve – Surgical Guides CAD design

    1. CBCT and arch curve

    The CBCT volume is loaded and the arch curve is traced, so every cross-section follows the patient's jaw.

  2. Implant planning – Surgical Guides CAD design

    2. Implant planning

    Implants are positioned around the final crowns and checked on each CBCT slice for bone, angulation and distance from the nerve.

  3. Guide design with sleeves – Surgical Guides CAD design

    3. Guide design with sleeves

    The guide body is built on the scan, with a sleeve for each implant at the planned position, angle and depth.

  4. Final guide ready to print – Surgical Guides CAD design

    4. Final guide ready to print

    Seating, thickness and sleeve access are checked, then the STL file is sent to your printer.

Surgical Guides design — frequently asked questions

Do you need CBCT data?
Yes. We merge the CBCT DICOM data with your intraoral or model scan so implant position, angulation and depth follow the plan.
Can you do the implant planning too?
On request we plan the implant positions as well, and we design tooth-supported, mucosa-supported and bone-supported guide variants.
Do you support my implant system?
Tell us the implant system and guided kit you use, and the sleeve seats and offsets are built to that kit's specification.
How long does surgical guide design take?
Routine cases are designed overnight. Complex or large cases can take longer, and we tell you the expected time when we confirm the case.
How many revisions are included?
Revisions are included until you approve the design. Additional redesigns caused by new clinical instructions may be quoted separately.
Which software do you use, and what do I receive?
We design in RealGUIDE and deliver the project files, ready to send straight to your mill or printer.

Real cases from our desk

Surgical Guides design cases

A selection of surgical guides cases we designed for dental labs and clinics. Tap any image to see it full size.

10 cases

Other design services

Fast, precise and customized results

Email us your case and scans and get a design quote. First case? We'll confirm turnaround before we start.

Send your first case

Prefer email? Send your files directly to info@dmdentaldesign.com.