Maxillary Bicuspids and First Molar

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
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Maxillary Bicuspids and First Molar Placement
3 Implants
Ceramic and Stainless guide sleeves
Magnetic Guide Posts & Open Sleeves
3D Cone Beam Imaging
Utilizing Cosine Rule
Generation ll Bending Tool
MMEI

Holes are drilled in the cast in the planned positions of the bicuspids and first molar.
Two 3 mm guide posts and a 4 mm guide post were placed in the holes in the cast.
Three Ceramic guide sleeves were used to make the initial diagnostic template.

4 mm Guide Post 3 mm Guide Posts

A cone beam X-ray was taken and the images are viewed for each individual site
to verify or correct the position of the guide sleeve.
This panoramic view is not very accurate in the Galaxis (Sirona) software.
Therefore, tangential & cross sectional views are used to verify the sites in next slide.

tangential view shows #12 to be well aligned and does not need to be corrected. #12 cross sectional view

# 13 panoramic view * note middle implant highlighted in orange

tangential view cross sectional view
Both views indicates the guide sleeve should be moved to the buccal & distal to correct
the position of the proposed osteotomy. The 3 mm (id) ceramic guide sleeve indicates a
correction of 2.12 mm bucally and 2.12 mm distally made by using a 3 mm offset guide
post rotated 45° disto-buccally.
The angle of the guide sleeve is correct.
The geometric formula for the distance of an equal sided triangle is the length of the leg
multiplied by the cosign of a 45° angle. The cosign of 45° is 0.707 X 3mm = 2.12 mm

distal 3 mm buccal 3 mm A = cosign of 45 degrees X 3 (0.707 X 3mm = 2.12 mm) disto-buccal guide post center A = 2.12 mm

# 4 Panoramic view

A 5 X 9 mm virtual implant is placed on the cone beam image and indicates the guide post will need to be moved 3 mm bucally by using a 3 mm offset guide post at the same angle from its present position with no change in the angle of the post. # 14

# 19 panoramic view

# 19 tangential view #19 cross sectional view A correction of 6.6 ° to the lingual will be needed and the guide post will be moved 1 mm to the palatal using an offset guide post to avoid perforation of the lingual plate. The green line indicates the acceptable angle of the guide sleeve in the mesio-distal plane.

Magnetic guide posts with open guide sleeves showing cleats positioned toward the palatal surface.

Triad® Gel applied to open guide sleeve cleats & adjacent teeth to form the surgical template .

After the initial 2 mm drill a direction indicator was placed to check the proximity to the adjacent root.

# 12 volumetric view post op results

#13 panoramic view

#12 tangential view #12 saggital view
The post surgical scan shows the implant placement with the alignment
of the #12 implant with the surgical guide in place in both views.

The post surgical scan indicates the results of the implant placement with
the alignment of the implant placed and the open guide sleeve in both views.

The post surgical scan indicates the results of the implant placement
with the alignment of the implant in the # 14 position in both views.

Post-op position of the #19 implant

Impressions were made at the time of the surgery and an X-ray was taken of the impression copings to be sure they were seated.

A lateral view of the master cast with prepared abutments.

Final restorations .

Final restoration.

Guide Right™ Products Used in this Presentation
(1) 3/32” drill
(2) 3 mm & (1) 4 mm Straight Guide Posts for the diagnostic template
(2) 3 mm & (1) 4 mm Ceramic Guide Sleeve for the diagnostic template
(2) 3 mm & (1) 4 mm Open Guide Sleeve for the surgical template
(1) 3 mm Straight Magnetic Guide Post
(1) 3 mm x 3 mm Offset Magnetic Guide Post.
(1) 4 mm x 3 mm Offset Magnetic Guide Post.
(1) Generation ll Bending Tool & 3mm Stylus
Triad® Gel

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

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Maxillary Bicuspids and First Molar

by DePlaque on Oct 19, 2011

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Maxillary Bicuspids and First Molar — Presentation Transcript