Guided Surgery Process

IC + You

Implant Concierge will use your CBCT scan and diagnostic models/.STL files to create a preliminary treatment plan. You will then choose how you want to finalize the implant placement!

Auto Approval
- Single Implants Only
- Fast and convenient!
- Simply accept the treatment plan as is, or request edits.
- Review a quick video with measurements and key anatomy.

Virtual Implant Planning (VIP)
- Schedule an online consultation with your favorite, experienced 3D Case Coordinator.
- Request as many meetings as you need until you are comfortable with the case! It’s your plan!
- No Software purchase required!

Finalize in RealGUIDE™
No additional fee
- Download the free treatment planning software, RealGUIDE, to finalize the implant placement yourself!
- Include video link
- You can visit the video library on how to use the RealGUIDE software here https://www.realguide.com/en/video/
- If you have questions, or need further assistance, please contact the RealGUIDE team at 866-828-5300 or at support.us@realguide.com

Case Requirements:
- CBCT Scan in DICOM format
- Diagnostic model/.STL files

Use my RealGUIDE™ Plan

One software, many opportunities! Download the free treatment planning software, RealGUIDE™, to create and finalize the implant placement yourself!

Features:

If you have questions, or need further assistance, please contact the RealGUIDE™ team at 866-828-5300 or at support.us@realguide.com

Optional Service: Virtual Implant Planning (VIP)
- Schedule an online consultation with your favorite, experienced 3D Case Coordinator.
- Include Video Link
Case Requirements
- RealGUIDE™ Project File

Translation

An Implant Treatment Plan was created using an alternate software and you need a surgical guide designed off the final plan.

For Partially Edentulous Cases Only (For Fully Edentulous cases, please choose IC+ You)

Implant Concierge will translate your Implant Treatment plan into the RealGUIDE software, to design and fabricate a surgical guide.

Approved Softwares:

Nobel Clinician
Sicat
CBCT Planning Software
Invivo

Optional Service: Virtual Implant Planning (VIP)
- Schedule an online consultation with your favorite, experienced 3D Case Coordinator.

Case Requirements:

3D Viewer of proposed implant plan
DICOM Files
Diagnostic model/.STL File

Surgical Guides

Description

The most predictable and stable option! The surgical guide will rest directly on the patient’s existing dentition with verification windows to ensure the guide is fully seated. Even in immediate extract cases we will leave a couple of teeth for guide support, if possible, as this is the ideal supporting structure!

Design
Print
Design and Print

(Flat Fee Per Arch)

Add-ons:
Side Entry Sleeve
Perforations with sleeves

Description

Have a fully edentulous patient? A tissue supported guide can be created with anchor pins for stabilization. If the Dual Scan protocol is followed (recommended), we are able to add denture teeth and palatal information to ensure proper orientation of the surgical guide.

Design
Print
Design & Print

(Flat fee per arch)

Add-ons:
Side Entry sleeve
Perforations with sleeves

Description

Are you anticipating reflecting a large flap? We can create a surgical guide to seat directly on the patient’s bone as well! Please note that the quality of both the CBCT scan and the patient’s bone will determine whether the information is predictable enough for us to create an accurate bone-borne surgical guide.

Design
Print
Design and Print

Comes with 3D printed model

Add-ons:
Side Entry Sleeve
Perforations with Sleeves

Description

A great tool to increase the accuracy of your full arch cases! Some cases may require reflecting a large flap prior to seating the surgical guide or may have too many osteotomy sites to include denture teeth in the surgical guide. In these scenarios, an additional anchor pin guide will establish anchor pin holes prior to any required reflections/extractions. This will allow you to align the surgical guide with the previously established anchor pin osteotomies to ensure proper orientation of the surgical guide.

Design
Print
Design and Print

Add-ons:
Side Entry Sleeve
Perforation with Sleeves

*Includes Anchor Pin and Implant Surgical Guides.

Description

The Connect Born Reduction Guide Package, featuring Dove Tail joints is a proven approach for complex cases. Utilize the Delivery guide and the patient’s predictable anatomy to place the bone reduction guide with confidence and precision. Simple, strong and low-profile, reduce the bone, place the implants, deliver the abutments and provide a Surgery-Ready provisional with confidence.

Design
Print
Design and Print

*Includes Anchor Pin, Bone Reduction, BR Verification and Implant Surgical Guides

Temporary Restorative Products

Description

Don’t have a wax-up solution at the moment? Implant Concierge is able to create you a virtual wax-up and include it in your virtual implant plan.

Required Items:

Upper/lower diagnostic model/.STL Files
Bite Registration

Description

Have a case in the esthetic zone? Our provisional crowns are designed out of occlusion and are purposely slightly over-contoured so that you may adjust as needed during delivery.

*Pricing does not include components.

Required Items:

Upper/lower diagnostic
Model/.STL Files
Bite Registration
Classic VITA Tooth Shade

Optional:

Extra-Oral Photos (frontal Smile, Frontal Rest, Lateral Smile, Lateral Rest, 12 O’clock)

Description

An immediate tissue-level provisional that supports and helps maintain the contour of the tissue during healing, to lay the foundation for a great final restoration!

$83

*Pricing does not include components.

Required Items:

Upper/lower diagnostic model/.STL Files

Description

Not comfortable with loading the implant with a temporary restoration at the time of surgery? Order a temporary, removable Essix Tray instead! These can be ordered shaded or clear and with or without an acrylic tooth. Includes 3D printed model.

*Pricing does not include components.

Required Items:

Upper/lower diagnostic model/.STL Files

Description

Simplify full-arch temporization with Implant Concierge’s Anchor Pin. We are able to create Provisionals for immediate chair side pick up! Immediate full-arch temporaries are available for your complex cases.

Required Items:

Upper/lower diagnostic model/.STL Files
Bite Registration

Required:

Extra-Oral Photos (frontal Smile, Frontal Rest, Lateral Smile, Lateral Rest, 12 O’clock)

Description

If you do not want to immediately load your implants at the time of surgery, we can provide an immediate denture. This product can also be ordered as a back up when ordering a Full-Arch Passive Fit Bridge.

Required Items:
Upper/lower diagnostic model/.STL Files

Optional:
Extra-Oral Photos (frontal Smile, Frontal Rest, Lateral Smile, Lateral Rest, 12 O’clock)

Puros® Allograft Customized Block

BONE BLOCKS

The Custom Approach for Complex Defects

Patients with severe atrophy of the mandible or maxilla who have elected for an implant-supported restoration may benefit from customized treatment. Allogenic (human) blocks as well as autologous blocks are the choice materials for the bone graft required for these cases. The success or failure of the grafting procedure may be determined by how well the block conforms to the defect.

Puros Allograft Customized Blocks are a crucial developmental step in block grafting. A custom block is produced using CAD/CAM technology based on a CBCT/CT scan of the defect area. This makes the procedure more comfortable for your patient by reducing surgery time and minimizing the risk of complications.¹

Benefits of Puros Customized Blocks

Tutoplast^® Process

Over the past 50 years:⁵

• Approximately 6 million implants have gone through the Tutoplast Process globally.

• More than 5.5 million patient procedures have been performed using implants processed through the Tutoplast Process globally.

• Zero incidents of implant-associated infection.

Congruent In Shape

• Customized block fits precisely to defect.

• Large contact surface area improves ingrowth of blood vessels and revascularization.⁶

Reduced Surgery Time

• Additional manual adjustment of the defect and of the customized block is seldom required, allowing for reduced surgery time and reduced morbidity.⁷

Workflow from Scanning to Surgery

* Please contact your radiologist or device manufacturer if you have any questions on DICOM export.

Scan

Scan patient’s defect using either a CT or CBCT machine. Save the resulting DICOM file.

Upload

Login to implantconcierge.com and create a new Puros Bone Block Case and upload DICOM file. You may need to create a new account on implantconcierge.com if you don’t already have one.

Design

Zimmer Biomet Dental will design a Customized Block according to the parameters provided by you on the Implant Concierge Portal. An Implant Concierge team member will notify you once the block design is ready for your review.

Review

Login to the Implant Concierge Portal to review the design. You can view the design on the portal or download it to view in a STL viewer of your choice. Adjustments can be made to the design at any time prior to final approval

Approve Design

Once you are satisfied with the design, please accept charges and provide your authorization via the Implant Concierge website. Your approval is required to release the block for milling.

*Shipping lead times may vary by case

Milling

A Puros Allograft Customized Block will be milled from Tutoplast-processed, allogenic cancellous bone.

Shipping

The final block will be gamma sterilized and is provided in double-pouched, sterile packaging. The milled block will be shipped in approximately 8 weeks after your approval*.

Surgery

Implant the Puros Allograft Customized Block on the patient’s defect per the treatment plan.

Resources

Brochure

Puros® Allograft Customized Block – Product Information

ZBINST0104 REV A 07/21

Clinical Summaries

Puros Allograft Customized Block Clinical Case Studies

ZB1185 REV A 06/21

1. Schlee M, Rothamel D. Ridge augmentation using customized allogenic bone blocks: proof of concept and histological findings. Implant Dent. (2013) 22:212-8.

2. Keith JD Jr, Petrungaro P, Leonetti JA, Elwell CW, Zeren KJ, Caputo C et al. Clinical and histologic evaluation of a mineralized block allograft: results from the developmental period (2001-2004). Int J Periodontics Restorative Dent. 2006;26:321-327.

3. Leonetti JA, Koup R. Localized maxillary ridge augmentation with a block allograft for dental implant placement: case reports. Implant Dent. 2003;12:217-226.

4. Würzler KK, Will F, Berger S. Herstellung und Anwendung CAD/CAM-gefräster, patientenspezifischer Knochenblöcke. Implantologie Journal (2015) 5:30-36.

5. Data on file with RTI Surgical, Inc

6. McAllister, B. S. Bone augmentation techniques Journal of Periodontology 2007;78:377-396

7. Parthasarathy, J., 3D modeling, custom implants and its future perspectives in craniofacial surgery. Annals of Maxillofacial Surgery 2014;4:9-18.

Unless otherwise indicated, as referenced herein, all trademarks are the property of Zimmer Biomet; and all products are manufactured by one or more of the dental subsidiaries of Zimmer Biomet Holdings, Inc. and marketed and distributed by Zimmer Biomet Dental and its authorized marketing partners. Puros Allograft Customized Block is processed by RTI Surgical, Inc. Tutoplast is a registered trademark of Tutogen Medical GmbH. For additional product information, please refer to the individual product labeling or instructions for use. Product clearance and availability may be limited to certain countries/regions. This material is intended for clinicians only and does not comprise medical advice or recommendations. Distribution to any other recipient is prohibited. This material may not be copied or reprinted without the express written consent of Zimmer Biomet Dental.

ZBINST0104 REV A 07/21

Radiology Interpretation

Description

If you have pathological concerns or notice abnormal anatomy on your patient’s CBCT, request our in-house Board Certified Oral Maxillofacial Radiologist! Minimize your risk.

Select from Implant Concierge in-house Board Certified Oral Maxillofacial Radiologist or from one of our trusted partners.
Thorough analysis of anatomical structures, pathology, and implant viability with correlating 3D images.
Areas of interest are encouraged to be specific!

OUR RADIOLOGY PARTNERS

Additional Products & Services

Description

Want to have a physical representation of the bone from the patient’s CBCT Scan? Provide the DICOM files of the patient, and we can print as little or as much bone/jaw information that you need.

Description

Please provide your . STL file if you would like to have a physical model printed.

Description

If you have a terminally dentate patient, or an immediate extract/immediate place case, and Implant Concierge virtually extracted the teeth from your model/.STL file, then we will be happy to print if needed!

Description

If you need just a Pilot drill for depth and direction on the initial osteotomy site, we have you covered!

Choose from the three lengths we have below:

Tapered Twist Drill 1.9 mm x 19mm
Tapered Twist Drill 1.9 mm x 22mm
Tapered Twist Drill 1.9 mm x 25mm

Description

No anchor pin drill in your guided kit, or do you need a new anchor pin drill? We have you covered!

Description

No anchor pins in your guided kit, or do you need new anchor pins? We have you covered!

Description

Need a case in less than 5 business days? No problem! We will prioritize your case to ensure you have your surgical guide in time for surgery!

Same day planning, designing + printing available.

Guided Surgery Process

IC + You

Auto Approval

Virtual Implant Planning (VIP)

Finalize in RealGUIDE™

Case Requirements:

Use my RealGUIDE™ Plan

Features:

Optional Service: Virtual Implant Planning (VIP)

Case Requirements

Translation

Approved Softwares:

Optional Service: Virtual Implant Planning (VIP)

Case Requirements:

Surgical Guides

Description

Description

Controls

Description

Controls

Description

Controls

Description

Controls

Temporary Restorative Products

Description

Description

Description

Description

Description

Description

Puros® Allograft Customized Block

BONE BLOCKS

The Custom Approach for Complex Defects

Benefits of Puros Customized Blocks

Tutoplast® Process

Over the past 50 years:5

Congruent In Shape

Reduced Surgery Time

Workflow from Scanning to Surgery

Scan

Upload

Design

Review

Approve Design

Milling

Shipping

Surgery

Resources

Puros® Allograft Customized Block – Product Information

Puros Allograft Customized Block Clinical Case Studies

Radiology Interpretation

Description

OUR RADIOLOGY PARTNERS

Additional Products & Services

Description

Description

Description

Description

Description

Description

Description

ABOUT US

Customer Support

LEGAL

Follow US

ATTENTION

Not all Implant Concierge services are available for all countries at this time.

Tutoplast^® Process

Over the past 50 years:⁵