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Serial Guide Technique                              Featuring: #30           Fabrication of DIAGNOSTIC Guide using:       ...
Clinical view of proposed surgery site
Wax set up of #30 tooth
Hole drilled with 3/32” drill through wax up
3/32” drill in cast indicates the planned prosthetic axis.
The drill is replaced with a 3 mm guide post.
Undercuts blocked out.
Lubricating cast with petroleum jelly prior to adding Triad® Gel
5.3 Fabrication Insert (FABIN) used to center the 5.3 guide sleeveon the guide post and to prevent Triad® Gel from enterin...
Lingual view of FABIN in 5.3 mm guide sleeve withguide sleeve cleats positioned toward the lingual surface.
Appropriate lubrication of lingual and occlusalsurfaces is required before applying Triad® Gel.
Cure each layer of Triad® Gel
2nd layer of gel extended over several of the adjacent teeth
Buccal viewillustrating gel added to just cover occlusal & lingual surface of teeth.
Fabrication insert removed leaving 5.3 mm guide sleeve
Buccal view5.3 mm wide guide sleeve
Axial view5.3 guide sleeve is centered over the 3/32” hole
2.25 mm insert is used for initial 2 mm drill
IRT (insert removal tool) used to remove insert from guide sleeve.
 SURGICAL guide with 5.3 guide sleeve is placed over IRT Set on a firm surface and tapped with downward pressure  to rem...
5.3 wide guide sleeve is used with appropriate inserts for drill sizes.                   Shown here with 4 mm insert
SURGICAL guide in place           Appropriate inserts are used for each drill size2.0 mm insert, for 1.8 mm drill ■ 2.7 mm...
Peri-apical X-ray of SURGICAL guide alignment.
Final X-ray
Guide Right™Products shown in this case   3/32” drill   5.3 Wide Guide Sleeve   Series of Inserts for 5.3 Guide Sleeve ...
Serial INSERTS for 5.3 Guide Sleeves                                                   Guide Right™                       ...
Serial INSERTS for 4.5 Guide Sleeves                                 Guide Right™                                         ...
DéPlaqueGuide Right™ Surgical Guide System fabricate   evaluate   correct   verify   placeStart With Precision. Place With...
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3 serial guide technique

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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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3 serial guide technique

  1. 1. Serial Guide Technique Featuring: #30 Fabrication of DIAGNOSTIC Guide using:  5.3 Wide Guide Sleeve  Serial Guide Sleeve Inserts  Fabrication Insert (FABIN)  Insert Removal Tool (IRT) SURGICAL Guide in place Serial Inserts Kits are availableDWYER 2.2013
  2. 2. Clinical view of proposed surgery site
  3. 3. Wax set up of #30 tooth
  4. 4. Hole drilled with 3/32” drill through wax up
  5. 5. 3/32” drill in cast indicates the planned prosthetic axis.
  6. 6. The drill is replaced with a 3 mm guide post.
  7. 7. Undercuts blocked out.
  8. 8. Lubricating cast with petroleum jelly prior to adding Triad® Gel
  9. 9. 5.3 Fabrication Insert (FABIN) used to center the 5.3 guide sleeveon the guide post and to prevent Triad® Gel from entering sleeve.
  10. 10. Lingual view of FABIN in 5.3 mm guide sleeve withguide sleeve cleats positioned toward the lingual surface.
  11. 11. Appropriate lubrication of lingual and occlusalsurfaces is required before applying Triad® Gel.
  12. 12. Cure each layer of Triad® Gel
  13. 13. 2nd layer of gel extended over several of the adjacent teeth
  14. 14. Buccal viewillustrating gel added to just cover occlusal & lingual surface of teeth.
  15. 15. Fabrication insert removed leaving 5.3 mm guide sleeve
  16. 16. Buccal view5.3 mm wide guide sleeve
  17. 17. Axial view5.3 guide sleeve is centered over the 3/32” hole
  18. 18. 2.25 mm insert is used for initial 2 mm drill
  19. 19. IRT (insert removal tool) used to remove insert from guide sleeve.
  20. 20.  SURGICAL guide with 5.3 guide sleeve is placed over IRT Set on a firm surface and tapped with downward pressure to remove inserts.
  21. 21. 5.3 wide guide sleeve is used with appropriate inserts for drill sizes. Shown here with 4 mm insert
  22. 22. SURGICAL guide in place Appropriate inserts are used for each drill size2.0 mm insert, for 1.8 mm drill ■ 2.7 mm insert for 2.5 mm drill …etc. Completing the osteotomy with Astra 3.8 mm twist drill plus 5.0 mm conical drill used in 5.3 mm sleeve without an insert.
  23. 23. Peri-apical X-ray of SURGICAL guide alignment.
  24. 24. Final X-ray
  25. 25. Guide Right™Products shown in this case 3/32” drill 5.3 Wide Guide Sleeve Series of Inserts for 5.3 Guide Sleeve *next slide 5.3 Fabrication Insert (FABIN) 3 mm Guide Post Guide Sleeve Inserts for 5.3 Guide sleeve Insert Removal Tool (IRT) Petroleum Jelly Triad® Gel Recommended Kits: 4.5 / 5.3 Serial Guide Kit 1.800.314.0065 • www.deplaque.com
  26. 26. Serial INSERTS for 5.3 Guide Sleeves Guide Right™ Individual Insert Sizes Available 2.25 mm 2.6 mm 2.75 mm 3.0 mm 3.6 mm 4.0 mm 4.2 mm 4.6 mmOrder directly from > www.deplaque.com
  27. 27. Serial INSERTS for 4.5 Guide Sleeves Guide Right™ Fabrication Insert INSERTS FOR 4.5 Guide Sleeve FABIN Insert Removal ToolOrder directly from > www.deplaque.com
  28. 28. DéPlaqueGuide Right™ Surgical Guide System fabricate evaluate correct verify placeStart With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com

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