Dental laboratory for Flapless guided implant surgery

Guide Doc® plans every implant from your patient's CBCT and intraoral scan, then makes the surgical guide, custom abutment and crown — so the implant goes exactly where it was planned, often without a flap.

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GUIDE DOC® dental laboratory services
Reg. U.S. Pat. & Tm. Off. · Reg. No. 6,591,167

A Guide Doc® tooth-supported surgical guide in clear resin with a blue metal drill sleeve and an inspection window — The Guide Doc® surgical guide — a metal sleeve sets the position, angle and depth of every drill.

Guided surgery, end to end

Everything a guided implant case needs — from the scan to the crown — from one Guide Doc® laboratory.

1CBCT3D CT (DICOM) of the jaw — bone height, width and nerves.Book a scan →
2ScanIntraoral scan (STL) of the teeth and gums, merged with the CT.Book a scan →
3Surgical planningThe plan report: implant size, position, angle and sleeve offset, approved by the dentist.Order →
4Guide templateSingle hole · multi hole · full arch — printed guides with metal sleeves.Order →
5Drilling protocolOne sheet per implant: drill order, drill length, speed, torque and the last drill per bone density.Order →
6Custom drillStop drills by length — L6 · L8 · L10 · L11.5 · L13 — the stop sets the depth.Order →
7Guide surgical kit with stopperThe Guide Doc® Ver 2 kit: punches, bone trimmers, stop drills, taps and drivers.Order →
8Custom abutmentTitanium or zirconia abutment designed from the final implant position.Order →
9Implant crownZirconia crown made for the custom abutment — the end of the case.Order →

Watch · Guide Doc® at work

Guided surgery on video

From the drilling protocol to a real Flapless case — see how the guide, the kit and the plan work together.

Drilling protocol The Guide Doc® Ver 2 kit, tool by tool — speed, torque and depth for every step.

Flapless guided surgery How a guide turns the 3D plan into the implant position — no flap, no sutures. 2 min

Case video Flapless crestal sinus approach, step by step. 5 min

Surgical cases

A Guide Doc® surgical guide seated on the upper teeth with metal sleeves over the implant sites — **1 · Guide seated** The guide sits on the teeth; metal sleeves mark each planned implant.

Drilling through the sleeve of a Guide Doc® surgical guide — **2 · Guided drilling** Each drill runs through the sleeve to its stop — position, angle and depth as planned.

Two implants in the upper front jaw placed through a Guide Doc® surgical guide, with small round tissue openings and no flap — **3 · Result** Two implants, small tissue punches, no flap, no sutures.

An upper full-arch Guide Doc® guide fixed with three anchor pins, seen through a lip retractor — **Full arch · anchor pins** The guide is fixed with three pins before the first drill, so it cannot move.

Trying in a Guide Doc® guide with an inspection window before surgery — **Try-in** Seat the guide and check through the inspection windows before drilling.

Clinical photos from Guide Doc® cases, shown with the patients' permission. Faces and names removed.

A dentist and assistants placing implants through a surgical guide at a partner clinic — Guided surgery day at a partner clinic — the dentist places the implants; Guide Doc® supplies the guide, the kit and the drilling protocol.

Flapless — the guide sleeve sets position, angle and depth, so the gum is opened only with a small punch.
Less swelling, faster recovery — less tissue trauma than a full flap for most patients. Results vary.
Planned on the patient's own CBCT — implant size and angle chosen before surgery, then confirmed by the treating dentist.

Guide Doc® plan report: panoramic view with three planned implants, and cross-sections of site #14 with a 4.0 × 11.5 mm implant and 1.5 mm sleeve offset — Sample plan report (patient name removed). Site #14: Ø4.0 × 11.5 mm, sleeve offset 1.5 mm.

Surgical plan

Every case comes with a plan report the dentist reviews before we print:

Panoramic overview of all planned implants
Cross-sections for each site — buccal (B) and lingual (L) bone around the implant
Implant size and sleeve offset, e.g. 4.0 × 11.5 mm / 1.5
Surgical notes — e.g. a sloped crest: flatten with the bone flattening drill first, or the drill can slip on entry

Drilling protocol

One sheet per implant: every tool in order, the drill length through the sleeve, and the last drill for each bone density.

Ø4.5 × 10 mm · offset 9 mm Last drill: Ø3.2 in D4 · Ø3.8 in D3 · profile drill in D1–D2 · tap in D1.

Drill sequence for a 5.0 × 10 mm implant with a 10.5 mm sleeve offset, final drills Ø2.7 to Ø4.3 — **Ø5.0 × 10 mm · offset 10.5 mm** Last drill: Ø3.8 in D4 · Ø4.3 in D3 · profile drill in D1–D2 · tap in D1.

Position (FDI)	Implant	Sleeve	Offset	Min. drill length
24	Osstem TSIII Ø4.5 × 10	TUBE625-525-4L	9 mm	19 mm
36	Osstem TSIII Ø5.0 × 10	TUBE625-525-4L	10.5 mm	20.5 mm

From a real two-implant case, anonymized. Minimum drill length = implant length + sleeve offset. Always confirm against the implant maker's instructions.

Guide Doc® Ver 2 kit protocol

The sheets that come with the kit: sequence with sleeve offset, speed and torque, and the latest changes.

Ø4.5 × 10 mm · sleeve offset +1.5 mm Drill length = 10.5 mm sleeve offset + 10 mm fixture + 1.2 mm tip = 21.7 mm.

Drilling speed and torque for every instrument in the Guide Doc® Ver 2 kit, with precautions — **Drilling speed & torque** Speeds per instrument and the surgical precautions.

Guide Doc® protocol updates: new drilling order, drill Y-dimension 1.2 mm, fixture driver offset marking — **Protocol updates** Tissue punch → bone trimmer → Ø2.4 point drill; drill Y-dimension 1.2 mm; offset-marking caution.

Open this sample in the case workspace →

A Guide Doc® surgical guide with two metal sleeves seated on a stone model

How an order works

Send the scansUpload the CBCT (DICOM, a clinic .zip is fine) and the intraoral scan (STL) — or send the case in 3Shape Communicate to our lab, opencbct.
We planImplant size, position and angle, sleeve and drill stops — sent to you as a plan report.
You reviewApprove or ask for changes; two design revisions are included.
We print and shipThe guide arrives with sleeves, drill keys and a printable drilling protocol. Track it in your AICBCT orders.

Start a case →

Track orders →

One team, from the scan to the crown

AICBCTThe app that connects patients, CBCTs, labs and partners.

rentalXrayCBCT and panoramic rental for clinics — the scan that every plan starts from.

CBCTVANMobile CBCT — the scan comes to the clinic or the patient.

Guide Doc®Implant planning, surgical guides and the Guide Doc® drill kit.

All of them order through one AICBCT account.

The lab behind Guide Doc®

Founded by Benjamin Kim, who started as an implant sales representative in 2010 and was among the first generation to bring guided implant surgery to dentists in the U.S. — with a field-tech background installing and servicing dental imaging equipment, running seminars for dentists and taking them to international live surgeries.