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11 case for co axis angled implants

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Guide Right Surgical Guide System: fabrication and correction of Diagnostic & Surgical Guides with 2D & 3D X-ray Images

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11 case for co axis angled implants

  1. 1. Guide Right™ CASE FOR ANGLED IMPLANTS Featuring:  # 10 & # 6  Vacuform Shell  Offset Guide Posts  Open Guide Sleeves  Evaluation using Invivo5 Software  Lineal Corrections  Angular CorrectionsZHEN 2.2013
  2. 2. Fabrication of DIAGNOSTIC guide  Vacuform  3 mm guide posts  3 mm guide sleeves
  3. 3. Cast of the patient as he presented at initial exam.
  4. 4. Temporary partial denture
  5. 5. Impression and cast with partial denture in place.
  6. 6. Vacuform shell on cast marked to indicate the planned axis holes for the implants.
  7. 7. Holes are drilled through the plastic shell into the incisal edge with 3/32” drills.
  8. 8. Vacuform shell on cast with holes drilled indicating the proposed axis holes for the implants.
  9. 9. The vacuform shell removed.
  10. 10. The drills are removed and replacedwith two short 3 mm straight guide posts.
  11. 11. 3 mm diagnostic guide sleeves (with 1 cleat) are placedon the guide posts with cleats positioned on the palatal surface.
  12. 12. Triad® Gel is applied capturing the cleats on the guide posts and adjacent teeth to form the DIAGNOSTIC guide which is used for the cone beam imaging.
  13. 13. #6 PREOPERATIVEInvivo5 Software EvaluationAnatomage
  14. 14. #6Initial Alignment of guide sleeve with implant axial cross sectional Invivo5 Anatomage tangential view volumetric
  15. 15. #6 Utilizing 12º Angled Southern Implant axial cross sectional Invivo5 Anatomage tangential view volumetricCone beam image showing alignment of the guide sleeve in the # 6 position. A 12 º bend is required for this site.
  16. 16. Southern Implant & Guide Right™ Guide Sleeve in Place #6 12º facial correction needed to place implant cross sectional viewInvivo5Anatomge
  17. 17. #6Initial Alignment of guide sleeve with implant axial cross sectional Invivo5 Anatomage tangential view volumetric
  18. 18. #6 Invivo5 Anatomage tangential viewThe guide sleeve is in line with the virtual implant, but close to root of #5.So a 1.5 mm offset post will be used to move the position of the guidesleeve to the mesial.
  19. 19. # 10 PREOPERATIVEInvivo5 Software EvaluationAnatomage
  20. 20. Invivo5#10 Initial Alignment Anatomage Showing virtual implant and the guide sleeve in two planes. occlusal cross sectional Invivo5 Anatomage tangential view volumetric
  21. 21. #10 A Southern 12 Co-axis Implant will be used, Angular Correction for guide sleeve: 12º toward the facial cross sectional Invivo5 Anatomage
  22. 22. Invivo5# 10 Southern Implant 12º co-axis virtual image Anatomage Linear Correction: 1 mm offset guide post > moving closer to root of # 11Invivo5 tangential viewAnatomage
  23. 23. Fabrication of SURGICAL guide  Magnetic Guide Posts  Open Guide Sleeves
  24. 24. Fabrication of SURGICAL Guide  Magnetic Guide Posts  Open Guide Sleeves
  25. 25. Corrected magnetic offset guide posts in place:# 6 > 1.5 mm offset guide post to move mesially, away from # 5#10 > 1.0 mm offset guide post to move distally, closer to # 11
  26. 26. 3.3 mm open guide sleeves positioned over the magnetic guide posts with cleats positioned toward the palatal surface.
  27. 27. Triad® Gel is added to form the completed SURGICAL guide.
  28. 28. POST-OPERATIVE Final X-rays
  29. 29. #6 # 10Final X-rays of implant placement
  30. 30. RESTORATION
  31. 31. Axis indicator (3 mm guide posts) in place
  32. 32. Posts indicating the long axis of the abutments
  33. 33. Atlantis abutments
  34. 34. Final restoration
  35. 35. Final restoration
  36. 36. Atlantis Abutment
  37. 37. Final Restoration
  38. 38. Final Restoration
  39. 39. Guide Right™ GENERATION II BENDING TOOL SINGLE BEND reviewStep 1 Place bending tool plate on a secure flat surface with the degree increments at the top & the stainless steel bar with the v-cut at the bottom.Step 2 Locate 3/32” hole in the center of the v-cut and place the bottom half of the guide post into the hole. Tighten the set screw.Step 3 Locate the hole in the bottom of the stylus that you will use that will fit over the top half of the guide post (3.0 mm, 4.0 mm or 5.0 mm).Step 4 Fit the stylus over the guide post securely with the point directed at zero degrees and the bottom of the stylus in contact with the V block.Step 5 Using the stylus as a lever, bend the guide post to the degree of angle of correction. You may need to ease the point of the stylus beyond the point of the desired degree.Step 6 Loosen screw and remove guide post and the stylus to find the guide post bent to the desired angle.
  40. 40. Guide Right™ GENERATION II BENDING TOOL COMPOUND BEND overviewStep 1 Position a straight or offset guide post in the bending plate, tightening the set screw against one of the flat surfaces on the lower half of the guide post.Step 2 The 1st bend can be made to the right or left direction.Step 3 The set screw is loosened and the guide post is rotated 90 ° next flat surface.Step 4 The 2nd bend in the second plane is made after rotating the guide post up away from the surface of the bending plate to register the stylus point back at 0 degrees.Step 5 Slide the stylus support bar down under the stylus until it supports the stylus. Tighten the side screws before making the second bend.Step 6 The second bend can be made in either direction according to the x-ray.Step 7 Remove the stylus and place the guide post back in the cast with the appropriate side indicated by a mark facing the buccal or lingual surface. Be sure the post is in the correct position. If the post needs to be corrected by a linear movement an offset guide post can be used. Off sets available in the 3 mm guide post: 0.5,1,1.5, 2.0 ,or 3.0 mm.
  41. 41. Guide Right™ Generation ll Bending Tool 10 example For more information on use of the bending tool go towww.deplaque.com ▪ Guide Right™ Generation ll Bending Tool
  42. 42. Guide Right™ Generation ll Bending ToolClose up of Offset Guide Posts in bending block
  43. 43. Magnetic Guide Posts 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 2.5 mm os 3.0 od X 3.0 mm os
  44. 44. Guide Right™ Products shown in this case 2 - 3/32” Drill 2 - 3 mm Straight Guide Posts (short) 2 - 3 mm Guide Sleeves 1 - 3 mm X 1.0 mm Offset Magnetic Guide Post 1 - 3 mm X 1.5 mm Offset Magnetic Guide Post 2 - 3 mm Open Guide Sleeve Generation ll Bending Tool Triad® Gel
  45. 45. A System of Componentsfor the fabrication and correction of DIAGNOSTIC & SURGICAL guides 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
  46. 46. Guide Right™ Surgical Guide Systemfabricate evaluate correct verify placeStart With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com

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