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10 3 mm implants in narrow space angular & linear corrections
The document outlines a treatment plan using 3 mm implants for dental procedures in narrow spaces, detailing the use of guide posts and sleeves for precision placement. It elaborates on the required corrections for linear and angular adjustments at various implant sites and the fabrication of surgical guides. Additionally, it highlights the evaluation and verification processes using the invivo5 software for accurate implant positioning.
10 3 mm implants in narrow space angular & linear corrections
- 1. Using 3 mmImplants in Narrow Spaces ANGULAR & LINEAR CORRECTIONS 3 Implants #7 ▪ #10 ▪ #11 Magnetic Guide Posts & Open Sleeves Generation ll ▪ Guide Post Bending Tool Invivo5 Software Evaluation Anatomage QUATE 2.2013
- 2. DIAGNOSTIC Guide fabrication not shown The initial treatment plan was: ▪ to place a 3 mm implant in the #7 position ▪ to place a 4 mm implant in the #11 position ▪ with a mesial cantilever in the #10 position. However a cantilever would not fit on a 3 mm implant. Therefore 2 different size guide sleeves were used for the final treatment plan.
- 3. ` Initial Treatment Plan DIAGNOSTIC guide with two guide sleeves in proposed sites : 2 mm guide sleeve #7 site ▪ 3 mm guide sleeve #11 with mesial cantilever
- 4. Preview of Pre-opCorrections #7 LINEAR CORRECTION 1 mm offset toward the buccal #11 LINEAR CORRECTION 3 mm offset toward the buccal ANGULAR CORRECTION 12° bend toward the distal
- 5. PRE OPERATIVE Invivo5 SoftwareEvaluation Anatomage
- 6. #7 INITIAL ALIGNMENT in2 planes: mesio-distal & bucco-lingual axial view cross sectional view ` Invivo5 Anatomage tangential view volumetric view
- 7. #7 LINEAR ALIGNMENT axial view cross sectional view ` Invivo5 Anatomage tangential view volumetric view
- 8. #7 Virtual implant in position. tangential view cross sectional view Invivo5 Anatomage
- 9. #7 LINEAR CORRECTION 3 mm post X 1.5 mm offset correction toward the buccal required cross sectional view Invivo5 Anatomage
- 10. #7 ` 1.5 mm offset is measured & requires a 1.5 mm offset placement toward the buccal
- 11. ` 3 mm X1.5 mm Offset Magnetic Guide Post required for #7 buccal correction.
- 12. #10 ALIGNMENT axial view cross sectional view Invivo5 Anatomage tangential view volumetric view
- 13. tangential view # 10 cross sectional view # 10 did not initially have a guide sleeve in the DIAGNOSTIC guide because originally a mesial cantilever was anticipated from the implant in the #11 position. Invivo5 Anatomage
- 14. ` 3 mm StraightMagnetic Guide Post for #10
- 15. #11 INITIAL ALIGNMENT ofvirtual implant and guide sleeve axial view cross sectional view Invivo5 Anatomage tangential view volumetric view
- 16. #11 LINEAR CORRECTION: 3 mm offset ANGULAR CORRECTION: 12° bend toward the distal axial view cross sectional view Invivo5 Anatomage tangential view volumetric view
- 17. #11 LINEAR CORRECTION Theguide post/sleeve must be moved 3 mm toward the buccal. axial view cross sectional view Invivo5 Anatomage tangential view
- 18. #11 LINEAR CORRECTION Theguide post/sleeve must be moved 3 mm toward the buccal. tangential view cross sectional view 3 mm offset guide post is required for correction Invivo5 Anatomage
- 19. Understanding Invivo5 GridMeasurements SOFTWARE GRID each square: 5 X 5 mm each side of the square: 5 mm center mark is 2.5 mm tangential
- 20. #11 3 mmoffset is measured using the Invivo5 software grid `
- 21. #11 ANGULAR CORRECTION 12° bend toward the distal is needed. Invivo5 Anatomage tangential view
- 22. ` A 3 mmoffset guide post is required for #11 correction
- 23. ` 12° 3 mm X 3 mm offset guide post bent 12° toward the distal
- 24. Fabrication of SURGICALGuide Magnetic Guide Posts Open Guide Sleeves
- 25. 5.0 mm aparton center ` Corrected Magnetic Guide Posts in cast A hole was drilled at the #10 site parallel to #11 (5.0 mm apart on center).
- 26. ` Open Guide Sleevesplaced on Magnetic Guide Posts and positioned with cleats to the palatal.
- 27. ` Triad® Gel isadded to form the SURGICAL guide in two sections
- 28. Review of Pre-opCorrections #7 LINEAR CORRECTION 1.5 mm offset toward the buccal #10 NO CORRECTION #11 LINEAR CORRECTION 3 mm offset toward the buccal ANGULAR CORRECTION 12° bend toward the distal
- 29. A direction indicatoris used in #7 site to check alignment after the 2 mm drill is used.
- 30. # 7 3mmX 13 mm implant placement.
- 31. ` 2 mm directionindicator is placed in the #11 position
- 32. ` Final placement forimplants in #10 and #11 positions.
- 33. ` Atlantis abutments areinserted.
- 34.
- 35. Guide Right™ Products used in this presentation 1 - 3/32” Drill 1 – 2 mm Drill or #46 Drill 1 - 2 mm Guide Post 1 – 3 mm Guide Post 1 – 2 mm Guide Sleeve 1- 3 mm Guide Sleeve 1 - 3 mm Magnetic Guide Post 1 - 3 X 3.0 mm Offset Magnetic Guide Post 1 - 3 X 1.0 mm Offset Magnetic Guide Post 3 - 3 mm Open Guide Sleeve Triad® Gel Generation ll ▪ Guide Post Bending Tool 1.800.314.0065 • www.deplaque.com
- 36. A System ofComponents for the fabrication and correction of DIAGNOSTIC & SURGICAL guides in one or two dimensions In-office or lab fabrication Evaluate with 2D & 3D imaging Allows linear and angular correction Enables precision implant placement Cost effective 1.800.314.0065 • www.deplaque.com
- 37. DéPlaque Guide Right™ SurgicalGuide System fabricate ▪ evaluate ▪ correct ▪ verify ▪ place Start With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com