RealGUIDE is an Italian program from 3DIEMME for implant planning and surgical guide design. The main competitor to coDiagnostiX. Used worldwide: USA, EU, Latin America, Russia, Asia. Searches like «RealGUIDE download», «RealGUIDE install», «RealGUIDE tutorial» are among the most frequent in the implantology community. Let's break down what it is, how to install, configure for tasks, and compare with competitors.
What is RealGUIDE
RealGUIDE is a licensed program from Italian 3DIEMME for virtual implant planning, design and production of surgical guides. Complete workflow: CBCT import → fusion with STL scan → virtual implant placement → guide design with sleeves → STL export for 3D printing.
The program has several license levels: RealGUIDE Easy, RealGUIDE Pro, RealGUIDE Cloud. Easy covers basic planning, Pro adds full-arch planning, advanced segmentation, export for all printers, implant libraries from all key brands.
Versions and system requirements
Current version — RealGUIDE 5.x. System requirements: Windows 10/11 64-bit, Intel Core i7 (8th gen or newer), 16+ GB RAM, NVIDIA GTX 1660 or higher, 256+ GB SSD. For serious full-arch CBCT work, I recommend 32 GB RAM. Available also as cloud version — works through browser, convenient for remote consultations.
Where to get RealGUIDE
The program is distributed through the official 3DIEMME site (3diemme.it) — company registration required, license keys issued by email. Authorized RealGUIDE dealers exist in all key regions: USA (through Avinent, Neodent), EU (3DIEMME direct), Latin America, Asia, Russia (local partners).
Installation process
Self-installation takes 1.5-3 hours. Steps: 1) register on 3DIEMME portal, receive license keys via email; 2) download distributive (~800 MB); 3) run installer, select components; 4) activate license through online servers; 5) connect implant library databases (brands: Nobel, Straumann, MIS, Megagen, Osstem, Implant Direct, BTI, BioHorizons — each brand connects separately); 6) configure export to 3D printer; 7) update to latest version.
DICOM import and planning
Open the program, create a new patient, import DICOM folder with CBCT. Program automatically reconstructs the volume. If you have intraoral scan (STL) — add it, fuse with CBCT data via 2-3 points or automatically by teeth.
Next — virtual implant placement: choose brand from library, required diameter and length, place in bone, assess distance to adjacent implants and inferior alveolar nerve. Program highlights critical zones in red.
Creating surgical guide
After virtual placement, move to guide design. RealGUIDE offers several templates: pilot, edentulous (toothless), full prosthetic. Add sleeves for chosen implant system, adjust guide thickness, viewing windows.
Export — STL file imported into slicer (e.g. CHITUBOX Dental or Formlabs PreForm) and printed on 3D printer. After printing — sterilization and use in operating room.
Comparison with competitors
vs coDiagnostiX (Straumann/Dental Wings): coDiagnostiX is more expensive but has a wider implant library and integrates better with Straumann scanners. RealGUIDE is cheaper with a simpler interface.
vs Blue Sky Plan: Blue Sky Plan is weaker in implant library and advanced planning. RealGUIDE is a mature solution for serious implantology practice.
vs Exoplan (Exocad): Exoplan integrates with Exocad CAD ecosystem — convenient if you already work in Exocad DentalCAD. RealGUIDE is independent from CAD system.
Typical problems
«License doesn't activate» — check internet connection, disable VPN. «DICOM doesn't open» — RealGUIDE doesn't support all DICOM formats, may need conversion through Sante DICOM Converter. «Guide doesn't print» — need to properly configure STL export for your printer: orientation, supports, sleeve thickness.
SEO keywords: what people search
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Turnkey installation
We install and activate the program: connect implant libraries for required brands, set up export for your 3D printer. Remote installation takes 60-90 minutes.
Message us on Telegram @keys_helper or WhatsApp — we'll arrange a convenient time. About remote installation process — «How remote installation works». About DICOM format — «DICOM for dentists».