Advanced 3D Clinical Planning
500+ Cases Planned · Documented Surgical-Grade Accuracy
More than just guides: we design surgical strategies powered by active oral surgeons.
Where Technology Meets Clinical Experience
The "TiGuido" Way
TiGuido was born from the need to bridge the gap between CAD software and surgical reality. As the market becomes saturated with purely technical service centers, we chose a different path: Surgical Data Architecture.
Our team is led by active oral surgeons who use the very technologies they design with on a daily basis. This allows us to speak the clinician's language and anticipate biological challenges that a pure technician could never foresee. With over 500 validated cases and a unique specialization in stackable guide protocols, we are the strategic partner for practices that demand excellence and zero-risk outcomes.
🧠 Clinical Intelligence
Every plan is validated by an implant surgeon. We accept no biological compromises: if it can't be executed in the operating room, we don't design it.
📐 Advanced 3D Geometry
Specialists in Stackable Guides and bone reduction protocols. We manage complex Boolean logic to ensure perfect interlocking between different surgical layers.
🔗 Data Fusion Mastery
Experts in multimodal dataset fusion (DICOM/STL). We transform raw, noisy scans into high-fidelity anatomical models.
Our Work
Keyword: PREDICTABILITY
Today, computer-guided surgical planning enables a considerable simplification of otherwise complex procedures, minimizing the risk of complications and providing excellent support in implant-prosthetic rehabilitation of even the most challenging cases.
So why, you may wonder, do so many colleagues still not
use this technology regularly?
Mastering the dedicated software and
confidently managing the associated workflows demands commitment and, above all,
time. This is why many clinicians turn to third-party services for their
computer-guided planning. What sets us apart is our deep clinical experience
— we are clinicians first, and software specialists second.
On this website, we showcase our daily work from our practice in Genoa, illustrating the remarkable potential of this technology.
What Can We Do for You?
The importance of planning
We can start working from a Cone Beam (easily transferable online) and a dental impression to plan the implant treatment. By using these basic data, we will be able to produce a surgical template for the guided implants positioning. Then you will just need your guided implantology kit to perform a simple, fast and minimally invasive surgery.
By adding the data on the prosthetic case study (diagnostic wax-up, final preview) it will be possible to offer an optimal result from the surgical, prosthetic and aesthetic point of view even in the most challenging situations.
Furthermore, by downloading a free app on your iPad (link), you will be able to explore the planning simply and intuitively and even benefit from a powerful tool for communicating with the patient.
Note: the Cone Beam must be performed without contact between the dental arches
(for example by interposing two cotton rollers during the examination)
and the FOV (Field Of View) must be wide enough to include the whole
arch.
In edentulous patients or with a metal prosthesis, to
accurately match the data, the Cone Beam must be performed with a specific
diagnostic template.
Contact us for more information.
The Great Benefits of Guided Surgery
Offer the best to your patients
One of the key strengths of computer-guided implantology is the ability to combine data from the bone anatomy, the initial dental situation, and the final prosthetic preview. This allows implants to be positioned with outstanding accuracy, respecting both bone volumes and prosthetic space. Additionally, abutment placement and angulation can be precisely planned, and provisional restorations can be designed to perfectly match the implant positioning.
This translates into considerable advantages across a wide range of clinical indications, including but not limited to:
Post-extraction sites & bone defects
The use of the surgical template tightly guides the drill along the predetermined axis, preventing it from sliding towards the weakest areas and allowing the optimal implant positioning.
Immediate loading
The precise planning allows an ideal placement of the prosthetic screws’ holes and a drastic reduction in the surgery execution time.
Tilted Implants
Enables rehabilitation of patients with limited residual bone support, avoiding the need for regenerative surgery. It also allows precise determination of the direction and angulation of angled abutments.
Lateral sinus lift
Digital planning allows the surgeon to precisely identify and delineate the optimal access point, simplifying and increasing the safety of this procedure.
Flapless surgery
Allows access to the implant site without raising a flap, significantly reducing invasiveness and improving patient recovery.
Our Clinical Cases
THE TEAM
Clinical and Technical Excellence
Luca Repetto, DDS
Lead Digital Architect & coDiagnostiX™ Specialist
Architect of over 500 computer-guided surgical plans, Dr. Repetto personally manages every project end-to-end — from initial DICOM import and 3D volumetric segmentation through multi-layer stackable guide design to final sub-millimetric prosthetic-driven implant positioning. Each case is individually crafted, not delegated.
A recognized specialist in coDiagnostiX™ advanced workflows, he develops complex protocols involving tilted implants, guided sinus access, and immediate loading — consistently delivering outcomes with documented precision and accuracy.
Core Competencies: DICOM/CBCT Processing · 3D Segmentation · STL/PLY Data Pipelines · Stackable Multi-Guide Protocols · Prosthetic-Driven Planning · Medical AI Training Data Generation
Sergio Piano, DDS
Senior Clinical Director · Straumann KOL
Past President of the ITI Italian Section (until Dec 2025) and a long-standing Straumann Key Opinion Leader, Dr. Piano brings the elite clinical judgement that validates every TiGuido project. His advisory role provides the biological oversight and high-level clinical perspective that ensures each digital plan meets the world's highest standards of safety and predictability.
His international leadership in the scientific community ensures that every digital workflow is not just technically sound, but biologically impeccable and aligned with the latest evidence-based protocols.
Core Competencies: Surgical Protocol Validation · Biological Oversight · ITI Scientific Leadership · International Lecturer · Complex Full-Arch rehabilitations · Clinical Predictability Assurance
Our Software
We use Dental Wings' coDiagnostiX® software, a versatile program
compatible with all open-source digital scanners, intraoral or extraoral, and which boasts a library
with more than 9500 implants from over 80 implant companies.
You can download on your iPad a
view-only version of the projects, in order to share and discuss the treatment plans with the
patients.
