Maxillary Cuspid Immediate Placement

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

Maxillary Cuspid Immediate Placement
Use of Magnetic Guide Post & Open Guide Sleeves
SMIT

A cast is made of patient to replace the deciduous maxillary left bicuspid.

A hole is drilled through the deciduous tooth with a 3/32” drill.

After the deciduous tooth was removed from the cast and an estimated position of the osteotomy is drilled a 3 mm X 30 mm guide post is placed in the hole in the cast.

A ceramic guide sleeve is placed on the 3 mm guide post.

The referring dentist made the diagnostic surgical guide. A ceramic 3 mm guide sleeve and Triad® Gel were used to make the diagnostic guide which is ready for the cone beam X-ray to evaluate the long axis of the proposed osteotomy.

A 4 mm implant image is superimposed on the images in both the mesio-distal view. The position of the implant position is very close the root of the distal tooth. Changing the angle of the guide sleeve 11 degrees and remaking the template will correct the position of the guide sleeve.

A better position appears to be 21 degrees angled toward the buccal with bodily movement of the guide sleeve 0.5 mm toward the buccal from the present axis of the ceramic guide sleeve in the diagnostic template.

Choose one. Cross Sectional

3.0 Magnetic Offset Guide Post
straight
3.0 mm od
offset
3.0 od X 0.5 mm os
3.0 od X 1.0 mm os
3.0 od X 1.5 mm os
3.0 od X 2.0 mm os
3.0 od X 3.0 mm os

Open Magnetic Guide Sleeve sets
3.0 mm x 5.0 mm Open Guide Sleeve (short)
3.0 mm x 8.0 mm Open Guide Sleeve (long)
3.0 mm Magnetic Guide Post Straight
3.0 mm x 1.0 mm Offset Magnetic Guide Post
2.0 mm x 8 4.0 mm x 5.0 mm Open Guide Sleeve (short)
4.0 mm x 8.0 mm Open Guide Sleeve (long)
4.0 mm Magnetic Guide Posts Straight
4.0 mm x 1.0 mm Offset Magnetic Guide Post
2.0 x 5.0 mm Pilot Drill
2.0 x 10.0 mm Pilot Drill.5 mm Pilot Drills
2.0 mm x10.0 mm Pilot Drill

A 0.5 mm offset guide post is placed in the bending tool. The offset post which will be toward the buccal is rotated in the bending tool with the depression toward the right.

The stylus is placed over the guide post and bent 20 degrees which will reposition the guide sleeve angle away from the apex of the adjacent distal tooth.

The second bend will be 10 degrees toward the distal to avoid hitting the root of the distal tooth. The slide support bar is positioned beneath the stylus to maintain the 20 degree angle of the first bend.

The magnetic guide post is rotated so the offset is toward the right and the bend is toward the right 20 degrees toward the buccal. An open guide sleeve has been placed on it.

The deciduous tooth has been removed from the cast. The correctly bent guide post is placed back in the cast with the offset positioned toward the buccal. An open guide sleeve is positioned on the magnetic post and the cast lubricated to prevent the template from sticking to it.

Triad® Gel is added to make the body of the surgical guide.

The position of the angle corrected magnetic Offset guide post is viewed from the buccal.

Buccal view of the corrected template is shown.

A direction indicator is placed after the initial 2 mm pilot drill is used to check the angle of the osteotomy.

A 3.5 mm implant is placed and a final X-ray is taken.

Finally a temporary crown is placed

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™ SYSTEM Start With Precision. Place With Confidence. 1.800.314.0065 • www.deplaque.com

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Maxillary Cuspid Immediate Placement

by DePlaque on Oct 17, 2011

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Maxillary Cuspid Immediate Placement — Presentation Transcript