What files do I need to send to start a surgical guide case?

You need two files: (1) a CBCT scan in DICOM format — we recommend a voxel size of 0.2mm or smaller for optimal guide accuracy, and (2) an intraoral scan in STL, PLY, or OBJ format. If available, also include a wax-up or prosthetic design so we can plan implant positions relative to the final restoration.

What is the turnaround time for a surgical guide?

Standard delivery is 3 business days with our Triple QA quality process. Express 24-hour delivery is available for urgent surgical cases. Every guide is reviewed by Dr. Alex Pakhomov before delivery to ensure clinical feasibility.

Is the design compatible with my implant kit and 3D printer?

Yes. We support all major implant systems including Straumann, Nobel Biocare, Zimvie (Zimmer Biomet), Osstem, Megagen, Neodent, BioHorizons, and Dentium. Sleeve parameters are customized for your specific guided surgery kit. You receive open-format STL files ready to print on any SLA/DLP 3D printer using biocompatible Class IIa resin.

Do you handle complex cases like All-on-X?

Yes, complex full-arch rehabilitation is our core specialty. Dr. Alex Pakhomov personally oversees All-on-4, All-on-6, zygomatic, and pterygoid implant cases. We design stackable multi-layer guides (extraction + osteotomy + implant placement) with bone reduction protocols and tight sleeve tolerances (±0.05mm).

Is the guide design reviewed by a dentist?

Yes. Every case is clinically reviewed by Dr. Alex Pakhomov, a practicing dentist with over 10 years of clinical experience and 5,000+ surgical guides designed. We verify nerve proximity, bone density (Hounsfield units), implant angulation, and prosthetic alignment before delivery — ensuring not just CAD accuracy, but real clinical feasibility.

How accurate are your surgical guides?

Our guides achieve sub-millimeter accuracy in implant placement. Accuracy depends on CBCT voxel size (we recommend ≤0.2mm), scan quality, and 3D printer calibration. Based on our experience designing 5,000+ guides, we design with tight sleeve tolerances (±0.05mm) and verify guide seating on the digital model before delivery.

Can I 3D print the surgical guide in my own clinic?

Yes. We deliver open-format STL files compatible with any SLA/DLP 3D printer. Print using biocompatible Class IIa resin (e.g., Formlabs Surgical Guide Resin or NextDent SG) and insert the metal sleeves corresponding to your implant system. We provide drill depth markings and a full drilling protocol in PDF format.

How much does outsourced surgical guide design cost?

Single-implant guide design starts from €80. All-on-X and zygomatic cases are priced based on complexity. We operate on a 'Design First, Pay Later' model — you review the full plan before any payment. For partner clinics, we offer consolidated bi-weekly invoicing.

Outsourced Surgical Guide Design

Digital Implant Planning Service. You Print In-House.

Send CBCT & intraoral scans. Get print-ready STL surgical guides in 24–48h. Pay after approval.

Send Your First Case View Pricing

Dr. Alex Pakhomov

I review your cases as a dentist, not just a CAD operator.

10+ Years Clinical Experience

5000+ Guides Designed

200+ Partner Clinics

I founded SurgicalGuide.Pro to bring clinical precision to every surgical guide. As a practicing dentist, I personally plan and review each case — from single implants to full-arch All-on-X — ensuring accuracy before you print.

As a lecturer, I have trained over 100 dentists in digital planning and surgical guide design.

Surgical Guide Design Portfolio

Dental implant guides, apical resection & autotransplant cases from our practice

Clinical Surgical Guide Cases

Before-and-after dental implant surgery with guided protocols

Full-Arch Implant Rehabilitation

All-on-4 surgical guide for complete upper arch restoration

Single Implant with Bone Graft

Guided implant placement with simultaneous bone augmentation

Maxillary Implant Case — 3 Implants

Tooth-supported guide for 3 implants in the upper jaw. Digital planning with precise implant positioning.

Dual Arch Rehabilitation — All-on-4 & All-on-6

Complete upper and lower jaw rehabilitation. All-on-4 concept for maxilla and All-on-6 for mandible with custom surgical guides.

How Digital Implant Planning Works

From CBCT scan to 3D-printed surgical guide in 4 steps

Case Description & Files

You describe your case and send CBCT scan, intraoral scan (STL), and wax-up if available

CBCT / DICOM
IO Scan (STL)
Wax-up (optional)

→

Project Review

We prepare the plan and send it for your approval with all necessary materials

PDF Report
Screenshots
Secure in-app chat

→

Review & Approval

Review your drilling protocol and screenshots. Confirm or request revisions.

Project approval
Request edits if needed
Confirm final design

→

Post-Payment & Delivery

Pay only after approval, then receive your STL files ready for 3D printing.

Pay after approval
STL files delivery
Partner invoicing

Transparent Pricing for Dental Implant Planning & Surgical Guide Design

Digital planning only. STL files included.

Surgical Implant Guides

Tooth-, tissue-, or bone-supported surgical guides for precise dental implant placement. Includes full drilling protocol and STL files ready for 3D printing.

from €80

View Details

Apical Resection Guide

Targeted osteotomy guide for safe apex localization during apical surgery.

from €100

View Details

Autotransplant Template

3D replica of the donor tooth used for accurate recipient site preparation in dental autotransplantation.

from €70

View Details

Segmentation Services

CBCT segmentation into clean STL models of nerves, teeth, and bone for diagnostics and surgical planning.

from €20

View Details

Surgical Guide Design FAQ

Everything you need to know about implant planning and guide manufacturing

We need two things: a CBCT scan (DICOM format) of the jaw and an intraoral scan (STL/PLY) or a model scan. For accuracy, please ensure the scans are recent and free of major artifacts.

Our Standard delivery is 48 hours (2 business days). This ensures a thorough quality check. If you have an urgent surgery, please contact us for Express options.

We operate on a "Design First" model. You upload your case, we design it, and you pay only after the files are ready for delivery. For long-term partners, we offer consolidated bi-weekly invoicing.

Yes. We design for any implant system (Straumann, Nobel, Osstem, etc.) and customize parameters for your kit. You receive open STL files ready to print on any 3D printer.

We offer unlimited revisions until the design meets your clinical approval. Simply leave a comment in the dashboard, and we will adjust it for free.

Yes, complex rehabilitation is our specialty. Dr. Alex Pakhomov oversees full-arch cases, including stackable guides and bone reduction protocols.

Yes. We offer Apical Resection Guides (from €100) for precise root location and Autotransplant Templates (from €70) — 3D replicas of donor teeth for site preparation.

We convert raw DICOM data into clean STL models. We can segment teeth, bone, nerves, or sinuses separately. Starting from €20.

Our standard delivery includes detailed PDF Drilling Protocol and screenshots. Video walkthroughs are available upon request for complex cases.

Yes. We prioritize data protection with a private client dashboard, encrypted file uploads and HIPAA/GDPR compliant storage. Your patient data remains strictly confidential.

Through our built-in secure chat directly inside your dashboard. All case discussions and file exchanges happen within the platform — no need for external messengers or email threads.

Start Your Surgical Guide Project Today

Upload CBCT & intraoral scans — receive your precision guide in 24–48h

Create Account