Magnetic Guide Posts with Open Guide Sleeves

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

Use of Magnetic Guide Posts with Open Guide Sleeves
2 implants
magnetic guide post
open guide sleeves
Boot

Undercut on the mesial of #30 has been blocked out with wax.
Pencil marks on the cast indict two approximate sites to be drilled.
Two 3/32” drills are used to drill approximate sites parallel to the long
axis of the adjacent teeth for the replacement of teeth # 28, 29 and 30.

The length of the edentulous ridge has been measured & holes drilled in the sites of #s 28 and 30. Two 3 mm straight guide posts are placed in the holes to capture the long axis of the proposed osteotomies.

Buccal view of two 3 mm straight guide posts placed in the 3/32” holes (approximate positions of the implant sites.)

Two guide sleeves have been placed over the two 3 mm
guide posts with the brackets rotated to the lingual surface.
Anterior: 3 mm stainless steel guide sleeve.
Posterior: 3 mm thick wall ceramic guide sleeve.

Clear Triad® Gel added to capture cleats on guide sleeves & teeth on both sides of the edentulous area.

Cone beam X-ray taken with template in place. Two virtual implants were placed below the guide sleeves & centered in the available bone.

tangential view saggital view Virtual 3.5 X 11 mm implant Indicates acceptable position of the guide sleeve. Indicates guide sleeve movement: 1 mm lingually & an angle change of 7° to better position the guide sleeve to position implant within the buccal & lingual cortical plates plus coronal & lingual to the mandibular nerve. #28

7 ° A 1 mm offset guide post is placed in the bending tool and bent 7 ° using the stylus. * see “Guide Right Generation ll Bending Tool” PowerPoint. Close up: Generation ll Bending Plate and Stylus

Close up of Gll Bending Plate Block with 1 mm offset guide post bent 7° toward the offset in the block of the Gll Bending Plate to correct the angle of the guide post in the #28 position according to the saggital view of the cone beam X-ray.

Volumetric view shows the approximate position of the virtual implants and the guide sleeves.

Panoramic view of the virtual 4 x 9 mm implant in the proposed site #30.

tangential view indicates the mesio-distal angle of the implant in the # 30 position is good. saggital view indicates a 9 ° to 10° angular change in the guide sleeve for better placement. #30

9° 9 ° correction of bucco-lingual angulation of distal guide post bent with the Generation ll Bending Tool Stylus.

Alterations guide post angles have been completed. 3 mm open guide sleeve placed on the anterior 3 mm magnetic guide post. 4 mm open guide sleeve placed on the posterior 4 mm magnetic guide post. * Use of open guide sleeves are essential for removal of template from cast when guide posts are at convergent angles. Standard guide sleeves make the template impossible to remove without destroying the cast.

The cast lubricated & Triad ® Gel added to form the body of the template.

Occlusal view Corrected template made with open guide sleeves and magnetic guide posts.

Buccal view with the template in place.

Starting with the flap reflected, a 2 mm drill with a 2.9 mm shaft is aligned with the inside of the 3 mm open guide sleeve.

A second drill (2 mm Astra) is centered in the 3 mm open guide sleeve.
Same steps are followed in the posterior 4 mm open guide sleeve starting
with a 2 mm drill / 3.9 mm shaft, centered in the 4 mm open guide sleeve.

The third drill is a 2.5 mm drill centered in the 3 mm open guide sleeve followed by a 3.2 mm drill without the guide sleeve. (not shown)

Implant carriers placed to demonstrate the accuracy of the technique.

Final clinical view.

Final periapical radiograph.

Abutment placement.

Metal frame work.

Buccal view.

Final restoration.

Final Restoration

Guide Right™ Products Used in this Presentation (2) 3/32” drill (2) 3 mm Open Guide Sleeve (2) 3 mm Magnetic Guide Post (2) 3 mm Straight Stainless Guide Post (1) 3 mm Thick Wall Ceramic Guide Sleeve (1) Generation ll Bending Tool & 3mm Stylus (2) 4 mm Open Guide Sleeve (2) 4 mm Magnetic Guide Post Triad® Gel

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

http://www.deplaque.com	789
http://implantguide.blogspot.com	304
http://implantguide.blogspot.in	6
http://implantguide.blogspot.ca	2
http://implantguide.blogspot.co.nz	2
http://implantguide.blogspot.com.au	1

Magnetic Guide Posts with Open Guide Sleeves

by DePlaque on Oct 26, 2011

Accessibility

Categories

Tags

Upload Details

Usage Rights

6 Embeds 1,104

Statistics

Magnetic Guide Posts with Open Guide Sleeves — Presentation Transcript