C-TECH Guided Surgery: Implantology Meets Passion, Precision and Predictability

The C-TECH /C-Guide guided surgery concept is a comprehensive system which offers complete guidance for the 4 diameters of the EL implant family. Full guidance; depth, position and prosthetic orientation for all implant lengths. The well proven EL system in combination with C-Guide delivers precision, predictability and long term esthetic success. C-Guide planning can be done through all the major implant planning systems on the right hand side of this page.

STEP 1 – Patient Evaluation
  • Esthetics
  • Function
  • Occlusion
  • Vertical dimension
  • Phonetics

STEP 2 – Radiological Stent
  • Completely or partially edentulous
  • Double CT/CBCT
  • Scan of the stent
  • External reference points


STEP 4 – One shot

STEP 5 – Implant Planning

STEP 6 – Guide Creation
  • Developing the surgical guide
  • Lab models with analogs
  • Development of prosthetics
  • Bone grafting
  • Creation of the STL file

STEP 7 – 3D Printing
The guide is positioned on the jaw of the patient, using existing dentition as stabilization.

In the case of an edentulous jaw, the guide is positioned and then fastened in place using lateral pins

The appropriate tissue punch is used in a handpiece in order to remove the gingival tissue above the osteotomy site.

The locator drills are used to make a starting point so as to prevent the successive drills slipping on the crest.

The 2.1mm pilot drill is used to create the osteotomy to its final depth. So as ensure there is always guidance and engagement with the sleeve for the initial drilling, the first 2.1 pilot drill to be used will be the shortest one, no matter what the final length will be. Thus in a narrow sleeve case it will be the GS-N2009 drill and in the case of a wide sleeve case will be the GS-N2007 and then one can proceed to the pilot drill with final length.

The 3.5 mm drill will follow the pilot drill and stop at the same depth.

In the case of a 3.5 mm implant in normal bone the 3.5 mm drill will be the final drill. In the case of hard bone, the 3.5 mm drill will be followed by the 3.5 mm Hard Bone drill.

The implant is removed from the vial using the implant driver or implant driver/mount.

The implant is carried to the site with use of the driver or mount/driver.

Once the implant has been placed in its site, it can be manually driven with use of the finger adapter. It may also be driven by hand-piece using the latch drivers or by ratchet through the use of the adapters or mount/drivers.

The implant latch drivers can be converted into finger drivers and into ratchet adapters through use of the CT-E7003 finger adapter which fits onto the top of the latch.

The implant is seated in its final position once the mount shoulder is flush with the top of the sleeve and the lines on the top of the shoulder are aligned with the lines on the top of the sleeve. These lines represent the center of the flat sides on the implant’s internal hex.

* The kit has the space to accomodate the screw driver EL-3016 and the fixed ratchet MC-00376. These two items are not included in the kit but can be purchased separately. The torque ratchet CT-8010 is already included in the kit. The drill for fixing later pins (GS-FIXDRLL) and the 4 lateral pins (GS-PIN) are included in the kit.

Clinical Case of Guided Surgery

Smile Center Italia srl September 2019 | Dr. Marco Cernicchi

Planning Software


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