RealGUIDE Online School: From Beginner to Advanced
RealGUIDE Online School: From Beginner to Advanced
Course overview
RealGUIDE Online School is not just a course — it’s a complete digital transformation of how you plan, design, and execute guided surgery. Every lesson unlocks the exact protocols used by leading clinicians and top surgical centers worldwide.
Designed by one of the earliest RealGuide users and a pioneer with hands-on experience since 2018, Nikita Degtyarev, this course takes you from your very first steps in the software all the way to full-arch workflows, metal-bar guides, multi-component assemblies, and PMMA prosthetic integration.
During the course, you will learn to:
Master every type of surgical guide — from the simplest to the most advanced full-arch systems
Apply proven digital protocols that save hours of planning and increase surgical accuracy
Gain skills used in world-leading implantology centers
Advance to the next level of digital surgery with clarity, precision, and confidence.
- Navigate RealGuide modules to assemble CT, scan, and prosthetic data for guided surgery planning.
- Design tooth-, mucosa-, and radiographic‑supported surgical guides for single and edentulous cases.
- Model sleeve selection, fixation pin strategies, and sectional guides for immediate extraction workflows.
- Plan full‑arch workflows including metal‑bar guides, PMMA prosthesis integration, and immediate loading channels.
What you will learn
Course lessons
Lesson 1. Overview of the Main RealGuide Tools and How to Use Them
Why is RealGuide gaining popularity?
Key features and capabilities
Overview of the Surgical Module
Overview of the Sandbox Module
Overview of the Segmentation Module and additional useful modules.
Lesson 2. Creating Simple Surgical Guides, Selecting and Modeling Sleeves
Creating a tooth-supported surgical guide with a defect enabled
Sleeve selection and offset adjustment
Creating a custom sleeve from drawings
Writing a surgical drilling protocol for a navigational set.
Lesson 3. Surgical Guides for Fully Edentulous Cases: Radiographic and Mucosa-Supported
Creating a radiographic surgical guide
Principles of matching the radiographic guide with CT data
Data assembly in the 3D scene
Modeling a mucosa-supported surgical guide.
Lesson 4. Surgical Guides for Fully Edentulous Cases: Sectional Guide on Edentulous Jaws
Matching edentulous jaw models with CT data and creating a digital wax-up: implementation options
Creating a surgical guide base on fixation pins
Creating a sectional surgical guide
Options for fixing the base and counterpart parts of surgical guides.
Lesson 5. Surgical Guides for All-on-6 with Immediate Tooth Extraction
Implant positioning during immediate extraction
Creating a surgical guide for transferring fixation pin positions
Preparing the 3D jaw model for work
Creating a surgical guide based on the placed pins.
Lesson 6. Sectional Surgical Guides for All-on-6 with Immediate Tooth Extraction
Creating a surgical guide for fixation pins
Creating a base guide for ridge reduction
Creating the counterpart part of the surgical guide for osteotomy preparation
Options for fixing the sectional guide parts together.
Lesson 7. Various Methods of Bite Transfer for Full-Arch Cases in a Digital Format
Modeling a surgical guide for bite transfer
Working with intraoral scan markers
Making a scanning guide for digital post-op data transfer to existing project
Data matching in the 3D scene.
Lesson 8. Immediate Loading for Full-Arch Cases in RealGuide
Creating channels in the virtual prosthesis
Options for fixing the prosthesis relative to surgical guides
Combining analog and digital workflows
Transferring implant positions to models.
Lesson 9. Additional Guides: for Tooth Autotransplantation, Gingivectomy, and others
Creating surgical guides for tooth autotransplantation
Creating surgical guides for gingival contour correction
Modeling a surgical guide for bone trepanation
Creating a custom healing abutment.
Lesson 10. Metal Bar Guides. Part 1
Importing an FP1 prosthesis from exocad
Matching the adapter with the anatomical model
Linking files with the wax-up
Implant placement for All-on-4
Selecting multi-units and determining the angles between channel exits
Surgical aspects of positioning fixation pins.
Lesson 11. Metal Bar Guides. Part 2
Placing fixation pins from the palatal and vestibular sides
Demonstration of the metal guide base and tooth-supported fixator
Sleeve selection and offset adjustment
Creating blanks for metal housing seats for sleeves
Creating clearance for sleeve seating
Modeling the base metal guide.
Lesson 12. Fabrication of Full-Protocol Metal Guides with Sleeve Integration
Removing excess elements in the sleeve housing seats
Creating a tooth-borne positioner for the metal guide
Removing teeth on the anatomical model
Creating a metal guide with sleeves for a full navigational protocol
Placing custom retention and magnetic connectors
Aligning the connectors.
Lesson 13. Connector Integration and Multi-Component Guide Assembly
Linking connectors with the base of the metal guide
Cleaning the housing seats for magnets and retention elements in the base
Linking the tooth-borne positioner with the connectors via a bar
Linking the sleeve-bearing metal guide with the connectors
Cleaning the housing seats for magnets and retention elements in the guide.
Lesson 14. Finalization of the PMMA Prosthesis Workflow and Insertion Path
Creating the insertion path for the milled PMMA prosthesis in the adapter
Creating the flanges for the milled PMMA prosthesis; design verification
Discussion of results + bonus.
Lesson 15. Transition Design Toward the PMMA Prosthetic Phase
Creating a transition system for a milled PMMA prosthesis
Linking connectors and prosthesis adapter with a bar
Creating supports for prosthesis flanges
Creating housing seats and clearance for prosthesis flanges.
