The document outlines a procedure for mandibular non-parallel implant placement using two implants (#29 & #30) with the aid of invivo5 software and a surgical guide system. It details the steps for initial alignment, angular corrections, and the fabrication of diagnostic guides utilizing magnetic guide posts and specialized tools. The process emphasizes precision in placement and evaluation to ensure successful outcomes.

1. Mandibular Non-parallel Implant Placement
Featuring:
 2 implants: # 29 & # 30
 magnetic guide posts
 open guide sleeves
 Invivo5 Software Evaluation
Anatomage
DEMA

2. # 29 Pre-op Software Evaluation
▪ Initial alignment of guide sleeve with virtual implant ▪
axial cross sectional
Invivo5
Anatomage
tangential volumetric

3. Fabrication of DIAGNOSTIC Guide

4. Cast with planned implant sites marked and drilled with 3/32” drill

5. 3 mm guide posts placed in holes indicate the planned implant trajectory

6. Buccal view of guide posts in place

7. 3 mm guide posts with 3 mm DIAGNOSTIC guide sleeves [1 cleat]

8. lingual view
Triad® Gel added to form DIAGNOSTIC guide

9. Pre-operative Evaluation
Invivo5 Software
Anatomage
axial ▪ tangential ▪ cross sectional

10. # 29 Pre-op Software Evaluation
▪ Initial alignment of guide sleeve with virtual implant ▪
axial cross sectional
Invivo5
Anatomage
tangential volumetric

11. Axial view should always be adjusted to the 90°
cross sectional plane of the alveolar ridge.
# 29
Invivo5
Anatomage indication: reposition the implant, 4 x 9 mm

12. # 29 INITIAL ALIGNMENT: in both planes
tangential cross sectional
Invivo5
Anatomage

13. Invivo5
# 29 Software Analysis
Anatomage
ANGULAR CORRECTION needed: 29° toward the lingual
Invivo5
Anatomage

14. Invivo5
29° angle is drawn for planned correction toward the lingual
# 29 Anatomage
ANGULAR CORRECTION: to reposition the implant,(4 mm x 9 mm)
Invivo5
Anatomage

15. Invivo5
# 29 Software Analysis
Anatomage
Checking the ANGULAR CORRECTION: 29° toward the lingual
Invivo5
Anatomage

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

17. Single Bend
corrections in one plane
Guide Right™
Generation ll / Guide Post Bending Tool

18. Invivo5
ANGULAR CORRECTION:
# 29 Anatomage
29 ° - 30 ° BEND to the lingual

19. # 30 Pre-op Software Analysis
▪ Initial alignment of guide sleeve with virtual implant ▪
axial cross sectional
Invivo5
Invivo5
Anatomage
Anatomage
tangential volumetric

20. Axial view adjusted to the 90°
cross sectional plane of the alveolar ridge.
# 30
Initial line up shows originally planned implant placement
for the DIAGNOSTIC guide sleeve
Invivo5
Anatomage

21. # 30 INITIAL ALIGNMENT: in both planes
tangential cross sectional
Invivo5
Anatomage

22. Invivo5
# 30 Anatomage
ANGULAR CORRECTION: 28° - 30°

23. Invivo5
# 30 Anatomage
ANGULAR CORRECTION: 30° angle highlighted

24. Invivo5
# 30 Anatomage
ANGULAR CORRECTION: 28-30°

25. Invivo5
# 30 ANGULAR CORRECTION: 28 - 31° BEND to the lingual
Anatomage

26. Type here. Invivo5
Anatomage
Corrected 3 mm Magnetic Guide Posts
# 29 #30
30° 30°

27. Fabrication of SURGICAL Guide

28. # 30 # 29
30° 30°
Corrected 3 mm magnetic guide posts in cast

29. ▪ 3 mm magnetic guide posts
▪ 1 mm spacer has been added to accommodate
the 4 mm open guide sleeve on the distal post.
▪ 3 mm guide post is used on the mesial post.

30. SURGICAL guide

31. buccal view
SURGICAL guide

32. Final Implant Placement
Implant with SUGICAL Guide in place

33. Guide Right™
Products shown in this case
 3/32” drill
 3 mm Guide Post
 3 mm Guide Sleeve
 1.5 mm Offset Magnetic Guide Post
 3 mm Open Guide Sleeve
 2 mm Direction Indicator
 Generation ll / Guide Post Bending Tool
 Petroleum Jelly
 Triad® Gel
1.800.314.0065 • www.deplaque.com

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