Guided surgery · Europe

Guided surgery,
done right.Service, software or skill.

We plan and design the guide for your case. Plan it yourself in RealGUIDE™. Or learn to do both. One protocol, refined over 10 000+ implant cases since 2005.

Free access · verification and fixed price before you pay · STL in 48 h
Stackable surgical guide, render
48 hscan to
print-ready STL
10 000+
implant cases planned since 2005
12 000+
surgical guides designed
2 900+
clinicians trained
200+
implant systems supported
Recognised by Official RealGUIDE™ Partner & Reseller · 3Diemme
Choose your workflow

One protocol. Three ways to get it

Same planning method, same guide design standards. Start by sending us a case, learn the protocol, then run it yourself.

02 · LEARN ITStandard surgical guide
Academy

Learn the protocol.

Online with personal support, or one day hands-on in Madrid.

  • Online: 9 modules + case support
  • In-person: 12 seats, your own case
  • Full RealGUIDE for 1 month included
from€290 / seat
03 · DO IT YOURSELF
RealGUIDE™ software

Plan and design in-house.

RealGUIDE™ installed remotely, with clinician-to-clinician support.

  • 30-day free trial, no card
  • Remote setup on day one
  • Official licence, full warranty
from€100 / month
The protocol

From DICOM to a printed guide in five steps

The same sequence whether we run it for you, you run it in RealGUIDE, or you learn it at the Academy. That is why the results are repeatable.

"About three quarters of placement accuracy is decided before planning starts: the CBCT, the scans, and how they are matched. That is where we spend the time."

1
Data in

CBCT (DICOM), intraoral or model scan (STL/OBJ), photos. Any scanner, any CBCT unit. We check alignment before anything else.

2
Segmentation and matching

AI bone and tooth segmentation, nerve tracing, DICOM-to-scan registration verified by a clinician. Three data protocols depending on the dentition: standard, radiopaque tray, dual scan.

Where most of the accuracy is decided
3
Prosthetically driven planning

Virtual wax-up first, implants second. 200+ implant systems and sleeve libraries. Bone reduction and immediate load planned here.

4
Guide design

Tooth-, mucosa- or bone-supported. Standard, bone-reduction or stackable multi-layer guides with magnet or pin retention.

5
Print-ready STL and report

Export for Asiga, Formlabs or any open printer, with a surgical report: sleeves, drills, depths and sequence.

Case

Stackable guide. Immediate implant placement.

Stackable · magnetic Stackable magnetic guide, immediate implant placement case
Planned in GuideFlow · surgery Dr. Roman Kutsyak

Extractions and implants in one visit, through a pin-fixed magnetic guide

Base plate seated with a positioner and fixed with pins before extraction. Atraumatic extractions, then implants placed through the removable magnetic layer. Radiographic control before and after on the same plan.

1 visit
extraction and placement
Pins
base fixed before extraction
Magnet
removable implant layer
48 h
scan to STL
George Tryfonov, DDS
Who plans your cases

Every guide that leaves us is planned or reviewed by a clinician who has placed implants with it. Not by a technician following a checklist.

George Tryfonov, DDS

Founder, Maxilla Medical · radiologist and digital implantology educator

Planning implant cases since 2005, first for his own surgeries, then for referring clinics. The protocol behind GuideFlow and the Academy is the one he still uses on his own patients. Official RealGUIDE™ partner and reseller, recognised by 3Diemme.

2005first guided case
10 000+cases planned
2 900+clinicians trained
Academy

Upcoming courses

Small groups, your own cases, a RealGUIDE licence for the course period.

IN-PERSON · MADRIDStandard surgical guide
In-person · Madrid1 day

Surgical Guides Mastery

Design and print a standard guide for your own case, in one day.

28 November 2026 · Madrid

IN-PERSON · MADRIDStackable guide render
In-person · MadridAdvanced

Stackable Guides A–Z

Design a three-layer stackable guide for full-arch immediate load.

29 November 2026 · Madrid

Start here

Start with your next case.
Request access, share, approve.

Request access and we connect your clinic within the hour. Share the case through the free RealGUIDE™ cloud, get a verification and a fixed price, pay only if the proposal suits you.

Request access
Free access · verification and fixed price before you pay · STL in 48 h