The document outlines a comprehensive guide for the use of angled implants in dental procedures, detailing the fabrication and evaluation of diagnostic and surgical guides using specific tools and software. It describes the use of vacuform shells, guide posts, and correction techniques to ensure precise implant placement. The guide emphasizes the need for both linear and angular corrections and highlights the equipment used throughout the process.

1. Guide Right™
CASE FOR ANGLED IMPLANTS
Featuring:
 # 10 & # 6
 Vacuform Shell
 Offset Guide Posts
 Open Guide Sleeves
 Evaluation using Invivo5 Software
 Lineal Corrections
 Angular Corrections
ZHEN 2.2013

2. Fabrication of DIAGNOSTIC guide
 Vacuform
 3 mm guide posts
 3 mm guide sleeves

3. Cast of the patient as he presented at initial exam.

4. Temporary partial denture

5. Impression and cast with partial denture in place.

6. Vacuform shell on cast marked to indicate
the planned axis holes for the implants.

7. Holes are drilled through the plastic shell into the incisal edge with 3/32” drills.

8. Vacuform shell on cast with holes drilled indicating
the proposed axis holes for the implants.

9. The vacuform shell removed.

10. The drills are removed and replaced
with two short 3 mm straight guide posts.

11. 3 mm diagnostic guide sleeves (with 1 cleat) are placed
on the guide posts with cleats positioned on the palatal surface.

12. Triad® Gel is applied capturing the cleats on the guide posts
and adjacent teeth to form the DIAGNOSTIC guide
which is used for the cone beam imaging.

13. #6 PREOPERATIVE
Invivo5 Software Evaluation
Anatomage

14. #6
INITIAL ALIGNMENT of guide sleeve with implant
axial cross sectional
Invivo5
Anatomage
tangential view volumetric

15. #6
Utilizing 12º Angled Southern Implant ▪
axial cross sectional
Invivo5
Anatomage
tangential view volumetric
Cone beam image showing alignment of the guide sleeve in the # 6 position.
A 12 º bend is required for this site.

16. #6
Utilizing 12º Angled Southern Implant ▪
axial cross sectional
tangential view volumetric
Cone beam image showing the axial alignment of the virtual implant
in the # 6 position..
Invivo5
Anatomage

17. #6
Invivo5
Anatomage tangential view
The guide sleeve is in line with the virtual implant, but close to root of #5.
So a 1.5 mm offset post will be used to move the position of the guide
sleeve to the mesial.

18. Southern Implant & Guide Right™ Guide Sleeve in Place
#6 ▪ 12º facial correction needed to place implant ▪
cross sectional view
Invivo5
Anatomge

19. #6
Invivo5
Anatomage tangential view
The guide sleeve is in line with the virtual implant, but close to root of #5.
So a 1.5 mm offset post will be used to move the position of the guide
sleeve to the mesial.

20. #6 Southern Implant & Guide Right™ Guide Sleeve in Place
▪ 12º facial checking the correction with actual bent guide post on image ▪
cross sectional view
Invivo5
Anatomge

21. # 10 PREOPERATIVE
Invivo5 Software Evaluation
Anatomage

22. Invivo5
#10 ▪ Initial Alignment ▪
Anatomage
Showing virtual implant and the guide sleeve in two planes.
occlusal cross sectional
Invivo5
Anatomage
tangential view volumetric

23. #10 A Southern 12° Co-axis Implant will be used,
Angular Correction for guide sleeve: 12º toward the facial
cross sectional
Invivo5
Anatomage

24. #10 A Southern 12° Co-axis Implant will be used,
Checking the correction: 12º toward the facial
cross sectional
Invivo5
Anatomage

25. Invivo5
# 10 ▪ Southern Implant 12º co-axis virtual image ▪
Anatomage
Linear Correction:
1 mm offset guide post > moving closer to root of # 11
Invivo5 tangential view
Anatomage

26. Fabrication of SURGICAL guide
 Magnetic Guide Posts
 Open Guide Sleeves

27. Corrected magnetic offset guide posts in place:
# 6 > 1.5 mm offset guide post to move mesially, away from # 5
#10 > 1.0 mm offset guide post to move distally, closer to # 11

28. 3.3 mm open guide sleeves positioned over the magnetic guide posts
with cleats positioned toward the palatal surface.

29. Triad® Gel is added to form the completed SURGICAL guide.

30. POST-OPERATIVE
Final X-rays

31. #6 # 10
Final X-rays of implant placement

32. RESTORATION

33. Axis indicator (3 mm guide posts) in place

34. Posts indicating the long axis of the abutments

35. Atlantis abutments

36. Final Restoration

37. Final Restoration

38. Atlantis Abutment

39. Final Restoration

40. Final Restoration

41. Guide Right™
Guide Post Bending Tool
10 ° example
For more information on use of the bending tool go to
www.deplaque.com ▪ Guide Right™ Generation ll Bending Tool

42. Guide Right™
Guide Post Bending Tool
Close up of Offset Guide Posts in bending block

43. Guide Right™
GUIDE POST BENDING TOOL
SINGLE BEND review
Step 1 Place bending tool plate on a secure flat surface with the degree increments
at the top & the stainless steel bar with the v-cut at the bottom.
Step 2 Locate 3/32” hole in the center of the v-cut and place the bottom half of the
guide post into the hole. Tighten the set screw.
Step 3 Locate the hole in the bottom of the stylus that you will use that will fit over
the top half of the guide post (3.0 mm, 4.0 mm or 5.0 mm).
Step 4 Fit the stylus over the guide post securely with the point directed at
zero degrees and the bottom of the stylus in contact with the V block.
Step 5 Using the stylus as a lever, bend the guide post to the degree of angle of
correction. You may need to ease the point of the stylus beyond the
point of the desired degree.
Step 6 Loosen set crew and remove guide post and the stylus to find the guide post
bent to the desired angle.

44. Guide Right™
GUIDE POST BENDING TOOL
COMPOUND BEND overview
Step 1 Position a straight or offset guide post in the bending plate, tightening the set
screw against one of the flat surfaces on the lower half of the guide post.
Step 2 The 1st bend can be made to the right or left direction.
Step 3 The set screw is loosened and the guide post is rotated 90 ° next flat surface.
Step 4 The 2nd bend in the second plane is made after rotating the guide post up away
from the surface of the bending plate to register the stylus point back at 0 degrees.
Step 5 Slide the stylus support bar down under the stylus until it supports the stylus.
Tighten the side screws before making the second bend.
Step 6 The second bend can be made in either direction according to the x-ray.
Step 7 Remove the stylus and place the guide post back in the cast with the
appropriate side indicated by a mark facing the buccal or lingual surface.
Be sure the post is in the correct position.
If the post needs to be corrected by a linear movement an offset guide post can be used.
Off sets available in the 3 mm guide post: 0.5,1,1.5, 2.0 ,or 3.0 mm.

45. Magnetic Guide Posts
Straight
 3.0 mm od
Offset
 3.0 od X 0.5 mm os
 3.0 od X 1.0 mm os
 3.0 od X 1.5 mm os
 3.0 od X 2.0 mm os
 3.0 od X 2.5 mm os
 3.0 od X 3.0 mm os

46. Guide Right™
Products shown in this case
 2 - 3/32” Drill
 2 - 3 mm Straight Guide Posts (short)
 2 - 3 mm Guide Sleeves
 1 - 3 mm X 1.0 mm Offset Magnetic Guide Post
 1 - 3 mm X 1.5 mm Offset Magnetic Guide Post
 2 - 3 mm Open Guide Sleeve
 Guide Post Bending Tool
 Triad® Gel

47. A System of Components
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

48. Guide Right™ Surgical Guide System
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
Start With Precision. Place With Confidence.™
1.800.314.0065 • www.deplaque.com