The document presents a detailed guide on the use of the Guide Right™ system for maxillary left case linear corrections in dental implant procedures, highlighting key components such as guide posts, sleeves, and software evaluations. It outlines the steps for measuring, correcting, and placing surgical guides along with specific calculations based on the Pythagorean theorem and cosine functions to achieve accurate placements. The guide emphasizes the importance of pre-operative evaluation and adjustments to ensure precision in implant placements.

1. Guide Right™
Maxillary Left Case - Linear Correction in 2 Planes
Featuring
 # 12 & 14
 Generation ll Bending Tool
 Straight & Offset Magnetic Guide Posts
 Cylindrical & Open Guide Sleeves
 3 mm Diagnostic Guide Sleeve
 Invivo5 Software Evaluation
Anatomage
ANTIN 2.2013

2. Fabrication of DIAGNOSTIC Guide

3. 3 mm short guide posts placed in holes to check occlusion

4. Check planned occlusion with opposing teeth.

5. Undercuts blocked out.
30 mm guide posts placed in 3/32” holes.

6. 3 mm guide sleeves placed on 3 x 30 mm guide posts with cleats toward the palatal.

7. Triad® Gel added to guide sleeves capturing the cleats and adjacent teeth
to form the DIAGNOSTIC guide

8. Preview of Pre-op Corrections
#12
LINEAR CORRECTION
1st : 1 mm toward the buccal
2nd : 1 mm distally using a 1.5 mm offset guide post rotated 45 °
#14
LINEAR CORRECTION
1 mm toward mesial using1 mm offset guide post
Cosine is applied to determine correction data.
* see next 3 slide

9. DéPlaque
Pythagorean Theorem
COSINE Calculations for Guide Right™ Guides
The cosine of 45°
is recommended for Guide Right corrections
BECAUSE
rotating the offset guide post half way
between 2 adjacent planes (90° apart) is 45°.

10. Correction based on the calculations
from the Pythagorean Theorem
To move the position of the guide sleeve 1.4 mm both mesially & buccally:
► use a 3 mm X 1.5 mm offset guide post
► and direct the offset 45º facially and buccally.
Cosine: 1.5 mm X 0.71 = 1.06 mm
see Slideshow > Use of Pythagorean Theorem in #9 Single Implant Case

11. A= cosine of 45º X 1.5
(0.707 X 1.5 mm = 1.06 mm

12. PRE-OPERATIVE
Invivo5 Software Evaluation
Anatomage

13. LINEAR CORRECTION
Indicates guide sleeve should be moved 1 mm distally
# 12 occlusal view cross sectional view
Invivo5
Anatomage
Invivo5
Anatomage
volumetric
tangential view

14. # 12 axial view: wrong plane
Axial view should always be adjusted to the 90°
cross sectional plane of the alveolar ridge.
Invivo5
Anatomage

15. Invivo5 #12 axial plane rotated to about 90°
Anatomage

16. # 12
cross sectional view tangential view
Invivo5
Anatomage
by rotating a 1.5 mm offset guide post 45 °
The guide sleeve is moved 1 mm toward the buccal and 1 mm to the distal
(Pythagorean Theorem)

17. # 14 LINEAR CORRECTION
move guide sleeve 1 mm mesially
axial view cross sectional view
Invivo5
Anatomage
tangential view volumetric

18. #14
Invivo5
Anatomage
Axial view should always be adjusted to the 90°
cross sectional plane of the alveolar ridge.

19. tangential
#14 moving the position of the guide sleeve 1 mm mesially
Invivo5 will require a 1 mm offset guide post
Anatomage

20. Understanding Invivo5 Grid Measurements
SOFTWARE GRID
 each square: 5 X 5 mm
 each side of the square: 5 mm
 center mark is 2.5 mm
tangential

21. #14
To calculate the 1 mm linear movement of
the guide sleeve
► The distance from the orange line
drawn through the long axis of the virtual
implant to the green line drawn through
the center axis of the guide sleeve is
measured.
tangential
Invivo5
Anatomage

22. Review of Pre-op Corrections
#12
LINEAR CORRECTION
1st : 1 mm toward the buccal
2nd : 1 mm distally using a 1.5 mm offset guide post rotated 45 °
#14
LINEAR CORRECTION
1 mm toward the mesial using1 mm offset guide post
Cosine is applied to determine correction data.
* see next 3 slide

23. Fabrication of SURGICAL Guide

24. Magnetic Offset Guide Posts in Place:
#12: 1.5 mm distally  # 14: 1 mm to anterior.

25. Positioned 4 mm short open guide sleeve
on magnetic offset guide posts with cleats to the palatal

26. Placement of open guide sleeves
NOTE: 3 mm Diagnostic guide sleeve on #14 guide post used to increase post size
to accommodate a 4 mm guide sleeve on distal guide post for larger drill.

27. SURGICAL Guide • buccal view

28. Completed SURGICAL Guide

29. Final view at stage 2 surgery

30. Final Restoration
[mirror shot]

31. 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

32. Open Magnetic Guide Sleeve sets
 3.0 mm x 5.0 mm Open Guide Sleeve (short)
 3.0 mm x 8.0 mm Open Guide Sleeve (long)
 3.0 mm Magnetic Guide Post Straight
 3.0 mm x 1.0 mm Offset Magnetic Guide Post
 2.0 mm x 8.5 mm Pilot Drills
 2.0 mm x10.0 mm Pilot Drill
 4.0 mm x 5.0 mm Open Guide Sleeve (short)
 4.0 mm x 8.0 mm Open Guide Sleeve (long)
 4.0 mm Magnetic Guide Posts Straight
 4.0 mm x 1.0 mm Offset Magnetic Guide Post
 2.0 x 5.0 mm Pilot Drill
 2.0 x 10.0 mm Pilot Drill

33. Guide Right™
Products shown in this case
 1 - 3/32” Drill
 2 - 3.0 mm x 5.0 mm Open Guide Sleeve (short)
 2 - 3.0 mm Guide Sleeve
 1 - 3 mm X 1.5 mm Offset Magnetic Guide Posts
 1 - 3 mm X 1.0 mm Offset Magnetic Guide Posts
 1 - 4 mm od. Spacer (fits over the 3 mm guide post)
 1 - 3 mm X 0.5 mm Magnetic Offset Guide Post
 2 - 3 mm Open Guide Sleeve
 Guide Post Bending Tool
 Triad® Gel
1.800.314.0065 • www.deplaque.com

34. 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 screw and remove guide post and the stylus to find the guide post
bent to the desired angle.

35. 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.

36. 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

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