Download as PDF, PPTX
Uploaded byDePlaque
8 use of pythagorean theorem # 9 single implant case
The document outlines the use of the Pythagorean theorem and specific surgical design principles in creating diagnostic and surgical guides for implant placement, particularly focusing on case #9. It details the materials used, the process of guide fabrication, and the importance of accurate positioning using software analysis to enhance the precision of implant placement. Additionally, it emphasizes the application of cosine calculations for corrective measures to ensure optimal outcomes during the surgical procedure.
More Related Content
Similar to 8 use of pythagorean theorem # 9 single implant case
8 use of pythagorean theorem # 9 single implant case
- 1. Guide Right ™ Use of Pythagorean Theorem in #9 Single Implant Case Featuring: LINEAR CORRECTIONS DIAGNOSTIC Guide 3 mm X 30 mm guide post 3 mm guide sleeve SURGICAL Guide 3 mm X 1.5 mm offset guide post 3 mm open guide sleeve Pythagorean Theorem ► Cosine Invivo5 software analysis Anatomage BEL 2.2013
- 2.
- 3. facial view Line markedon teeth to position original axis for initial 3/32” drill mm & 3 mm guide post.
- 4. 3 mm X30 mm guide post in 3/32” hole
- 5. 3 mm guidesleeve placed on the 3 mm guide post and cast lubricated with petroleum jelly
- 6. Initial layer ofTriad® Gel added to the guide sleeve cleats and cured to stabilize the guide sleeve.
- 7. DIAGNOSTIC Guide showing the3 mm guide sleeve attached to the cured acrylic ready to be placed for cone beam X-ray.
- 8. Additional and finallayer of Triad® Gel extended to lingual and incisal surfaces of adjacent teeth
- 9. PRE-OPERATIVE Invivo5 Anatomage Software Evaluation
- 10. INITIAL EVALUATION of DIAGNOSTIC guide sleeve position axial plane cross sectional plane · buccal-lingual #9 Invivo5 Invivo5 Anatomage Anatomage tangential plane · mesial-distal 3D volume
- 11. Axial Plane Greater accuracy in implant placement is achieved when the line representing the bucco-lingual plane is set at 90° to the buccal surface of the arch. Yellow line passing through the axis of the implant creates the view seen in the cross sectional view (next slide). Dragging the yellow line in the software will change the cross sectional view as the line rotates about the axis of the implant. The markings on the concentric circles are 5 mm apart allowing measurements to be calculated. virtual implant Invivo5 #9 Anatomage
- 12. #9 preferred implant placement cross sectional plane · bucco-lingual Images from software evaluated in 3 planes: axial, mesio-distal & bucco-lingual axial plane cross sectional plane · bucco-lingual Invivo5 Anatomage tangential plane · mesio-distal 3D Volume
- 13. #9 LINEAR CORRECTION Illustrating preferred implant placement position (bucco-lingual) The virtual implant is moved parallel & facial 1.3 mm to the location of the DIAGNOSTIC guide sleeve. Yellow line passing through the axis of the implant. virtual implant 5 mm grid intervals to allow measurements to be calculated. actual guide sleeve Invivo5 Anatomage cross sectional view.
- 14. #9 LINEAR CORRECTION Illustrating preferred implant placement position (mesio-distal) Illustrating the preferred implant placement in the tangential view The center of the virtual implant is located 1 mm mesial to the center of the DIAGNOSTIC guide sleeve. virtual implant 5 mm grid intervals to allow measurements to be calculated. actual guide sleeve Invivo5 Anatomage tangential view
- 15. preferred implant placement tangential plane · mesio-distal Images from software evaluated in 3 planes: axial, mesio-distal & bucco-lingual axial plane cross sectional plane · bucco-lingual Invivo5 Anatomage tangential plane · mesio-distal 3D Volume
- 16. Review of Pre-opCorrections #9 LINEAR CORRECTION 1.5 mm offset guide post rotated 45º toward the mesial & facial. Cosine is applied to determine correction data. * see next 3 slide
- 17. Pythagorean Theorem COSINE Calculationsfor 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°.
- 18. Correction based on the calculations from the Pythagorean Theorem To move the position of the guide sleeve 1 mm both mesially & buccally: ► use a 1.5 mm offset guide post ► and rotate the offset guide post 45º to a mesio-buccal position. Cosine of 45° X 1.5 mm = 0.71 X 1.5 mm = 1.06 mm
- 19. A= cosine of45º X 1.5 (0.707 X 1.5 mm = 1.06 mm mesial 1.06 mm 45° 45° facial 1.06 mm guide post center
- 20. A= cosine of45º X 1.5 (0.707 X 1.5 mm = 1.06 mm
- 21.
- 22. palatal view 1.5 mmoffset guide post rotated 45º toward the mesial & facial.
- 23. Initial application ofTriad® Gel to capture the cleats on the open guide sleeve to form the SURGICAL guide.
- 24. Additional Triad® Geladded to adjacent teeth
- 25.
- 26.
- 27. POST-operative RESULTS Invivo5 SoftwareAnalysis Anatomage
- 28. # 9 POST-OPRESULTS showing actual implant placement. axial plane cross sectional plane · bucco-lingual Invivo5 Anatomage tangential plane · mesio-distal 3D Volume
- 29. # 9 POST-OPresults Axial Plane Greater accuracy in implant placement is achieved when the line representing the bucco-lingual plane is set at 90° to the buccal surface of the arch. Yellow line passing through the axis of the implant creates the view seen in the cross sectional view (next slide). virtual implant The markings on the concentric circles are 5 mm apart allowing measurements to be calculated. Dragging the yellow line in the software will change the cross sectional view as the line rotates about the axis of the implant. Invivo5 Anatomage
- 30. # 9 POST-OPresults Cross Section (bucco-lingual) Yellow line passing through the axis of the implant. virtual implant superimposed over actual implant 5 mm grid intervals to allow measurements to be calculated. actual open guide sleeve Only one wall of Invivo5 Anatomage open guide sleeve is visible.
- 31. # 9 POST-OPresult Tangential (mesio-distal) virtual implant superimposed over 5 mm grid intervals actual implant. to allow measurements to be calculated. actual guide sleeve Invivo5 Anatomage
- 32. Guide Right™ Products shown in this case 1 - 3/32” drill 1 - 3 mm X 30 mm Guide Post 1- 3 mm Guide Sleeve 1 - 3 mm x 1.5 mm Offset Magnetic Guide Post 1 - 3 mm Open Guide Sleeve Guide Post Bending Tool Triad® Gel 1.800.314.0065 • www.deplaque.com
- 33. A System ofComponents for the fabrication and correction of diagnostic & surgical templates 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
- 34. DéPlaque Guide Right™ SurgicalGuide System fabricate ▪ evaluate ▪ correct ▪ verify ▪ place Start With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com