This document outlines the procedures for immediate implant placement and temporary restoration using the Guide Right system, emphasizing the importance of angular corrections in guide post placement. It provides detailed steps for evaluating and fabricating surgical guides and the use of infrastructure like Invivo5 software for accurate positioning. The Guide Right bending tool is highlighted for making precise adjustments to guide posts, ensuring effective and accurate implantation techniques.

1. Guide Right™
Immediate Placement & Immediate Load
Featuring:
■ Correction using Guide Right Components
• 15° bend toward the facial
■ Guide Post Bending Tool
■ Pre-op evaluation using Invivo5 software
Anatomage
WHITEHO 2.2013

2. #11 has internal root resorption on palatal surface.
An implant was recommended.

3. Fabrication of DIAGNOSTIC Guide
 3 mm Guide Post
 3 mm Diagnostic Guide Sleeve (1 cleat)

4. Treatment Plan:
Replacement of #11 with immediate placement & temporary restoration

5. 3/32” drill through the existing tooth on the cast

6. 3 mm guide post & 3 mm diagnostic guide sleeve (1 cleat)
with existing tooth remaining for the DIAGNOSTIC guide

7. Red wax added to tooth if cast should break when drilling
to allow the DIAGNOSTIC guide to fit for the cone beam X-ray

8. Palatal view of beading wax added

9. Triad® Gel applied to capture guide sleeve cleats and adjacent teeth
to form the DIAGNOSTIC guide

10. Invivo5
Anatomage
Pre-op
Software Evaluation

11. NOTE:
# 11 Initial Alignment
Each time a change is made in the software go back to the
initial line up view and calculate the angle in the 2nd plane.
axial cross sectional
Invivo5
Anatomage
Invivo5
Anatomage
tangential view volumetric

12. # 11 Initial Alignment
of guide sleeve with virtual implant
Invivo5 cross sectional view
Anatomage

13. 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

14. If the implant is placed with the guide sleeve in this position
the facial wall of the bone will be violated.
Therefore the axis of the guide sleeve needs to be changed
# 11 CLOSE UP

15. # 11 indication
ANGULAR CORRECTION: 15º bend toward the facial
axial cross sectional
Invivo5
Invivo5
Anatomage
Anatomage
tangential volumetric

16. # 11 CLOSE UP
ANGULAR CORRECTION: 15° to the facial
tangential cross sectional
Invivo5
Anatomage

17. ANGULAR CORRECTIONS
are made with the
Guide Right™
Guide Post Bending Tool
Step by step instructions at end of slideshow

18. 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

19. 15°
One bend to correct # 11
3 mm stylus placed over 3 mm guide post to make the 15° bend

20. # 11 Image showing 15° difference in virtual implant correction
Before After
Invivo5
cross sectional views

21. # 11 actual guide post placed on image of virtual guide post and
corrected guide in place
▪ to verify 15º magnetic guide post correction ▪
One method of checking the
guide post after the bend is to
place the bent guide post over
a print out of the view observed
in the software.
Invivo5
Anatomage

22. Review of Pre-op Corrections
#11
ANGULAR CORRECTION
15º bend toward the facial

23. Fabrication of SURGICAL Guide
 3 mm Magnetic Guide Post
 3 mm Open Guide Sleeve

24. Existing restoration removed from cast before making SURGICAL guide

25. Straight magnetic 3 mm guide post in planned osteotomy hole

26. Corrected 3 mm magnetic guide post with 15° bend toward facial

27. 3 mm bent magnetic guide post showing 15° correction

28. Occlusal view of corrected 3 mm magnetic guide post and open guide sleeve

29. Initial Triad® Gel applied to capture the cleats of
the open guide sleeve to form the SURGICAL guide.

30. Final application of gel to form the SURGICAL guide

31. Clinical view of implant placement

32. Final implant placement

33. Placement of 15° angled abutment for temporary restoration

34. Temporary restoration

35. Temporary restoration 2 days later

36. Guide Right™
Products shown in this case
 1 - 3/32” drill
 1 - 3 mm Guide Post
 1 - 3 mm Diagnostic Guide Sleeve (1 cleat)
 1 - 3 mm Magnetic Guide Post
 1 - 3 mm Open Guide Sleeve
 Guide Post Bending Tool
 Triad® Gel
1.800.314.0065 • www.deplaque.com

37. 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.

38. 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 2nd 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.

39. 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

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