Fully Edentulous Maxillary Arch

Guide Right™ SURGICAL GUIDE SYSTEM Start With Precision. Place With Confidence. ™ DéPlaque

In-office or lab fabrication
Evaluate with 2D & 3D imaging
Allows linear and angular correction
Enables precision implant placement
Cost effective

Fully Edentulous Maxillary Arch
6 implants
magnetic guide post
open guide sleeves
HOO

Trim and try the denture in to be sure it still fits etc.

View into the mucosal side of the denture base where 10 shallow holes have marked the center of the alveolar ridge.

Holes are drilled through the denture base with a 3/32” drill from the mucosal side of the denture starting in the middle of the alveolar ridge .

3 mm holes are drilled in the denture
where the proposed implant sites are
planned.
2 mm press fit inserts (GSI 2.0) have
been inserted into the 3 mm holes where
the osteotomies could be made.
Clear Triad® Gel has been added to
secure them on the oral side of the
denture.
6 to 8 sites will be chosen based on the
cone beam X-ray.
At this point the patient and denture are
ready for the cone beam volumetric X-ray.
Several screws (13 - 15 mm) will be placed
in 2 or more of the sites to stabilize the
denture during the surgery.

Lab-Putty has been mixed and molded into the denture base with 2mm guide sleeves in place.

2 mm drills have been used to index the guide sleeves by drilling through them into the Lab Putty

The denture and drills have been removed leaving the registration holes in the lab putty. Registration of the long axis of the guide posts remains in the Lab Putty.

Panoramic view: # 8 highlighted in “implant view” A cone beam volumetric X-ray is taken with the template in place.

# 8 Tangential view indicates it is OK Cross sectional view showing guide sleeve indicates angle needs to be changed 7 degrees to correct the angle.

Panoramic view : # 9 highlighted

X-Ray artifact

Panoramic view: #11 highlighted in implant view

# 11 Tangential view is fine. Cross sectional view indiacates 14 degree error Requiring a 14 degree bend in the guide post.

Guide Right™
GENERATION II BENDING TOOL
If the angle needs to be corrected a guide post is bent in the Guide Right™ Bending Tool.
A guide post is placed in the bending tool
and a set screw tightened.
The bending stylus is placed over the guide post and the post is bent in the first plane.
If a second bend is indicated by a scan the bent post in loosened and rotated 90 degrees and the set screw retightened.
The slide support bar is moved down in contact with the stylus and the second bend is made in the second plane.

3 mm magnetic guide posts with smaller diameter 3/32” lower half
have been inserted into the 2mm holes in the Lab Putty.
They have not been corrected yet with the information from the volumetric scan.

After bending the posts to the correct angle, according to the cone beam X-ray, the
posts are marked on the facial surface to orient them to be placed back in the Lab
Putty.
Posts should, also, be marked sequentially (1-6) to keep them in order.

Open Guide Sleeves may be used for the best visibility during surgery .
The acrylic sides of the denture have been removed with acrylic burrs to form slots
where the guide sleeves have been removed for the placement of the angle corrected
open guide sleeves on the magnetic guide posts .
Note: the offset guide post used in the right most distal site to correct the linear position
of the implant.

In this case open guide sleeves have been added to the magnetic guide posts with the cleats positioned on the palatal surface without interference from the acrylic of the duplicated denture.

Triad™ Gel is added to the remaining denture base to capture the open guide sleeves and the cleats.

After bending the guide posts [see Generation ll Bending Tool DVD] to correct the angles, the sleeves are removed and the holes are reamed out in the #6 and #11 positions to accommodate 2 mm guide posts and sleeves to guide screws to stabilize the denture.

2 mm X 15 mm screws are used to stabilize the denture while the osteotomies are being prepared.

Open guide sleeves allow visibility of drill depth markings.

A milled bar with locator attachments is made to support the prosthesis

Final Prosthesis

Milled bar with locator attachments

Intraoral view of attached bar

Insertion of milled bar.

Intraoral view of final prosthesis.

Click here to add notes

Guide Right™ Products Used in this Presentation
(2) 3/32” drill
(2) 2 mm Press Fit Inserts
(2) 2 mm Guide Sleeves
(6) 2 mm Drills
(6) 3 mm Magnetic Guide Posts
(6) 3 mm Open Guide Sleeves
(1) Generation ll Bending Tool & 3mm Stylus
Acrylic Burrs
Triad® gel

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

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Fully Edentulous Maxillary Arch

by DePlaque on Oct 27, 2011

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Fully Edentulous Maxillary Arch — Presentation Transcript