CADCAM Pilot Only Surgical Guide – Missing Lateral

The Implant Concierge provides different types of surgical guides.  For different reasons, a Pilot only guide is requested by dentists.  Some of those reasons could be due to inter-dental space concerns, instrumentation concerns or due to dentists preferences.  The case below, submitted by periodontist Takanari Miyamoto in Omaha, NE, is a great example of a tight inter-dental space.  This case also illustrates the requirements and ease of use of using Implant Concierge Virtual Treatment Plan coordinator to order, track and plan the ideal case when time is short and patient demands are high!  Please enjoy this case and thank you Dr. Miyamoto for allowing us to use your case to showcase the Implant Concierge.  

Pilot Guide for tight Inter-dental space

Dr. Miyamoto

Takanari Miyamoto,


Diplomates of the American Board of Periodontics 

La Vista, NE 68128



Patient referred for implant consultation to replace missing lateral incisor

Patient Profile

68 year old male with no significant health history with congenital missing tooth number 7.

Doctor quote

“I truly enjoyed the service of Implant Concierge! It took only 5 days from the day I ordered the Implant Concierge guide to the time I received in my office. Guide fits very well and the cost was only $225. It was a wonderful experience. – Takanari Miyamoto, DDS PhD CAGS MSD PC

lo 007[1] Pre OP Photo. Congenitally missing tooth 7





Sagital view of DENTSPLY 3.5 x 11mm


Implant #7 (DENTSPLY AstraTech 3.5 x 11mm) virtually placed by Implant Concierge 3D Case Coordinator and then placement was finalize during brief online meeting with Dr. Miyamoto.  The image is very powerful due to the ability to overlay the patient’s soft tissue onto the CBCT dicom scan.  This allows us to place the implant in the ideal restorative B/L, M/D and vertical position to ensure a beautiful restoration. 



Picture Miyamoto

Splitting the upright

Splitting the uprights!

Coronal slice with measurements showing the space between the implant edge and the adjacent roots of #8 and #6.  Having the ability to plan with Dr. Miyomoto during an online session, we were able to quickly position the implant as well as determine which type of surgical sleeve we could utilize.  In this case, a Facilitate compatible guide was not an option due to the tight inter-dental space.





Here is another stunning image of the virtual surgery with Dr. Miyomoto.  You can see the DENSPLY Astra 3.5mm x 11 mm implant and the master sleeve in the CAD 3D model.




Implant Concierge CAD/CAM Pilot Surgical Guide in surgery.           surgical guide pic 2







Post Op x-ray showing the precision and accuracy of the 3.3mm x 11mm implant.  Not only did Dr. Miyamoto succesfully split the uprights in a challenging surgical space, but he also maximized the surface to bone ratio with the 11mm implant as it snuggles up to the base of the nasal cavity. 




How did Implant Concierge services make a difference in this case?

This patient wanted to schedule the implant surgery right away. I had a confidence that we can get a guide on time because I knew that IC has their own scanner in San Antonio and they can do overnight shipping. IC guide is simple to use and easy to order. “

Thank you Dr. Miyamoto for this great case and congratulations on a successful surgery!  To learn more about the Implant Concierge and our flat rate prices surgical guides, please visit us at or call us at 866-977-2228 to schedule a demo!

BioHorizons Announces Implant Concierge™ as an Approved Surgical Guide Manufacturer!

Implant Concierge™ CAD/CAM Surgical guides are now BioHorizons compatible!   On Aug. 25, 2014, Stuart Nicholson, Implant Product Manager, announced that Implant Concierge™ has made their approved list as a BioHorizons compatible surgical guide manufacturer.  (

Implant Concierge BioHorizons Compatible Surgical Guide

Implant Concierge BioHorizons Compatible Surgical Guide


Implant Concierge™ continues to expand their compatibility options to provide the most accurate and affordable surgical stents in the market place.  Only Implant Concierge™ offers a flat price for surgical guides at $225.  No matter how many implant sites, it is always only $225!




BioHorizons Guided Implants

BioHorizons guided surgical kit can be used to place all diameters from 3.0mm to 5.7mm of the highly successful Tapered Internal, Tapered Plus, and Tapered 3.0 implants.  The kit offers three different master sleeve sizes as well as four different lengths of drills to accommodate almost any clinical need.

What I personally like about the BioHorizons guided surgical kit is the layout, the Quick Connect Handle, and the implant mount.  The features of the guided mount that set it apart from other guided implant mounts are:

  • Hex orientation “dimple”  which allows clinician to orientate the internal hex perpendicular to the buccal aspect
  • Four diBioHorizons Guided Implant Mountfferent “Stop Position” (SP1, SP2, SP3 & SP4) which allows a single mount to accommodate multiple depth positions, thus minimizing parts, costs and confusion
  • Mount-free transfer

The cost of the BioHorizons guided surgical kit is around $4,000 putting it into a very competitive price point as compared to Straumann, Nobel Biocare, DENTSPLY and others.

BioHorizons Guided Surgical Kit

BioHorizons Guided Surgical Kit


Below is an example of the “work-flow” for a partially edentulous case when ordering a BioHorizons compatible dental implant guide through the Implant Concierge™ web site:

  1. Register or log in at and “Start Case” and then select “BioHorizons Guided Kit”
  2. Complete teeth charts, “Current Dentate Status” and “Ideal Restorative Plan”
  3. Select patient specific services that will be coordinated by the Virtual Treatment Plan Coordinator™
  4. Follow the patient specific work flow created by the Implant Concierge™ (partially edentulous)

a.  Upload an .stl file of the arch (digital impression) or ship a PVS or accurate model

b.  Upload the CBCT (DICOM) images

c.  Finalize the treatment plan online with a 3D Case Coordinator

d.  Provide a precise, proficient and minimally invasive implant procedure

The Implant Concierge™ is a free, web-based proprietary software that enables any dentist who places implants to utilize the known advantages of guided surgery immediately without purchasing expensive software, going through time consuming weekend training courses or spending hours after or during work trying to coordinate and plan their next guided implant case.

Implants, CBCT, surgical guides

Simplifies your surgical guide and CBCT orders and syncronizes your dental implant team.

The Implant Concierge™ automatically communicates through our HIPAA compliant portal with all of your implant team by synchronizing all steps seamlessly and efficiently for you.  We work hard to synchronize your case so you can keep your hands in the mouth and not on a mouse!

Implant Concierge™ is also compatible with the following implant manufacturer guided kits:

  • Straumann Guided Kit
  • Nobel Clinician Procera Active, Straight and Tapered Guided Kit
  • Zimmer Guided Kit
  • Implant Direct Guided Kit
  • Camlog Guide Surgery
  • Coming Soon:  Biomet 3i Navigator and DENTSPLY EV Guided Kit

For more information or to schedule a demo, please visit or call us at (866)977-2228.

Surgical Guides – Virtual Treatment Plan Coordinator Makes it Easy

Due to improved work-flows and software advancements that allow virtual diagnostic wax-ups to be created from an .stl intra-oral digital impression, CAD/CAM dental implant surgical guides are beginning to make their impact upon the dental implant community.  Implant Concierge™, a dynamic free proprietary web-based software allows dentists to order CBCT services such as Board Certified radiology interpretations, radiographic prosthesis (scanning appliance),  surgical guides and provisional restorations has recently introduced the Virtual Treatment Plan Coordinator™ to further simplify the process and allow a dentist to maximize their chair-time while reducing their managerial headaches.

The Virtual Treatment Plan Coordinator™ (VTPC) is your personal assistant for guided surgery as it consolidates a complex and time-consuming process into a single-site.  The Virtual Treatment Plan Coordinator™ is unique because it synchronizes your entire dental implant team:  dental colleagues, dental laboratory, radiology center, computer-aided design (CAD) on-line treatment planning, surgical guide ordering,  computer-aided manufacturing (CAM) of surgical stents and radiology interpretations all in ONE location and ONE invoice.

How does it work?  Based upon your patient’s dentate status, your ideal treatment plan and your treatment planning software of choice, the Implant Concierge™ patented program and work-flow provides the exact work flow and ordering options.  Once specific services are selected, it provides:

  • Efficient work-flow
  • Up-front pricing
  • Real-time case updates
  • 24/7 HIPAA compliant access to all case files
  • Communication portal between all case partners
  • $225 Flat-Priced surgical guides
  • Single Invoice

Because the Implant Concierge is a FREE web-based software, there are no downloads necessary, no software purchases, no annual fees, no maintenance fees and no expensive and time-consuming weekend courses.   Simply order the services that you need and allow your Virtual Treatment Plan Coordinator™ to synchronize your case and entire dental implant team!

My experience with Implant Concierge was incredible.  From evaluation, deDentist, Implantologistsign and fabrication, the process is easy and quick.  The guides fit without any alteration, no worries about angulation or proximity to adjacent structures, making this one of the easiest placements ever.  –  Joseph Perry, D.D.S.,  San Antonio Denture Solutions 

Implants, CBCT, surgical guides

Simplifies your surgical guide and CBCT orders and syncronizes your dental implant team.

Bret E. Royal, CEO and co-founder of Implant Concierge™ states, “The Virtual Treatment Plan Coordinator™ was designed to simplify and consolidate a complicated and fragmented dental process:  contracts favorable pricing with vetted and trained providers, discloses and guarantees costs up-front, uses industry-best 3D Case Coordinator, contracts with leading regional labs, and manufactures CAD/CAM surgical guides at a competitive price.  It enables any implantologist or surgeon to seamlessly implement the known benefits of guided implant surgery into their practice quickly and affordably.  There is nothing like it.” 

To learn more about the Virtual Treatment Plan Coordinator™, Implant Concierge™ and the $225 flat-priced surgical guide, please visit or call (866) 977-2228 to schedule an on-line demo.