This document describes the fabrication of diagnostic and surgical guides for a single implant case using the Guide Right system. It involves using CBCT scans and software to plan a 20 degree lingual and 6 degree mesial bend in the guide post to accurately align the implant. Trials are done with drills up to the final implant size. The case highlights the Guide Right bending tool and offset guide posts for linear and angular corrections to achieve precision placement.

1. # 23
SINGLE IMPLANT CASE
Osteotomy Progression in Open Guide Sleeves
Featuring
 3 x1 mm Magnetic Offset Guide Post
 Open Guide Sleeve
 Utilizing Cosine Rule
 Generation ll Bending Tool
 GALAXIS Software Evaluaton
 Invivo5 Software Evaluation
 Drill series in SURGICAL Guide
TUIT

2. Fabrication of DIAGNOSTIC Guide

3. A 3/32” hole is drilled in the cast

4. Buccal view

5. 2 mm guide post Generation ll straight guide post
2 mm guide sleeve showing 4 flat sides & marker dot.

6. A 2 mm guide post with 2 mm guide sleeve (used in narrow spaces)
is placed in the hole.

7. Triad® Gel was added to capture the cleats of the guide sleeve
to form the DIAGNOSTIC guide

8. GALAXIS Cone Beam Images
PRE-operative Evaluation

9. GALAXIS #23 Panoramic view

10. cross sectional view indications
Close up
NOTE: distance between yellow & green
lines = angular correction of 20°
GALAXIS
necessary to correctly place implant
 virtual implant should be repositioned 1 mm toward the lingual
 & positioned in the center of the bone
 axis should be bent toward the lingual # 23

11. # 23
Tangential View Indications:
 Implant could be repositioned 6°
 Angle bent toward the mesial (left)
 Implant centered between the
roots of the adjacent teeth
 6° angular correction is necessary
to correctly place implant
GALAXIS

12. Invivo5 Software
Anatomage
PRE-operative Evaluation
# 23

13. ALIGNMENT of guide sleeve with long axis of implant
FIRST BEND 20° correction to the lingual
# 23 axial cross sectional (bucco-lingual)
Invivo5
Anatomage
tangential (mesio-distal) volumetric

14. # 23 Evaluation Plane : yellow line
which should be (is) a bucco-lingual orientation
Invivo5
Anatomage
axial view
Explanation re: Evaluation Plane see slide show ►
“Use of Pythagorean Theorem #9 Single Implant Case” slide # 27

15. Invivo5
Anatomage ALIGNMENT (bucco-lingual)
Indication: 20° Angular Correction to the Lingual is needed
For FIRST BEND
An angle is measured
by intersection of the line
passing thru the long axis
of the implant and the long
axis of the guide sleeve.
In this case, 20°
cross sectional view

16. 3 mm magnetic guide post with 1.0 mm offset in bending block to be bent 20°

17. Initially, the stylus over the unbent offset guide post should point to zero.

18. FIRST BEND: 20º

19. # 23 ALIGNMENT (mesio-distal)
SECOND BEND 6° Angular Correction
axial cross sectional
Invivo5
Anatomage
tangential volumetric image

20. # 23 PRE-OP ALIGNMENT
Indication: 6° Angular Correction Necessary
Invivo5 axial view
Anatomage

21. # 23 Pre-op
Indication: 6° Correction toward Mesial is needed
For SECOND BEND
Invivo5
Anatomage tangential view

22. # 23 Pre-op
Guide Post needs 6° Angular Correction to the Mesial
Invivo5
Anatomage cross sectional view

23. SECOND BEND: 6°

24. Generation ll (4 sided lower portion of post)
3 mm X 1 mm offset
Magnetic Offset Guide Post
with
20º bend toward the lingual
6º bend toward the mesial

25. Corrected
3 mm X 1 mm offset magnetic guide post
with open guide sleeve

26. Fabrication of Surgical Guide

27. Bent 1 mm offset guide post in cast

28. 3 mm open guide sleeve positioned over 3 mm x 1 mm offset post
with cleats to the lingual.

29. SURGICAL Guide
with corrected offset magnetic guide post

30. SURGICAL guide in place with initial 2 mm drill

31. Periapical X-ray
with DIAGNOSTIC guide post to check the placement.

32. 2 mm drill

33. 2.5 mm drill

34. Implant carrier

35. Cover screw

36. Final placement

37. Guide Right™
Products shown in this case
 1 - 3/32” drill
 1 - 2 mm Guide Post
 1 - 2 mm Guide Sleeve
 1 - 3 mm X 1 mm offset Magnetic Offset Guide Post
 1 - 3 mm Open Guide Sleeve
 Generation ll ▪ Guide Post Bending Tool
 Triad® Gel
1.800.314.0065 • www.deplaque.com

38. Guide Right™
GENERATION II ▪ 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.

39. Guide Right™
GENERATION II ▪ 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.

40. A System of Components
for the fabrication and correction of diagnostic & surgical guide
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

41. Guide Right™ by DéPlaque
Start With Precision. Place With Confidence.
1.800.314.0065 • www.deplaque.com