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Immediate placement immediate load #7 hlm

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Bone Graft, 2-Piece Offset Guide Posts, Invivo5 Software, Triad® gel Application Sequence,
Guide Right Bending Tool,

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Immediate placement immediate load #7 hlm

  1. 1. IMMEDIATE PLACEMENT ▪ IMMEDIATE LOAD # 7 Guide Right™ Bone Graft 2-Piece Offset Guide Posts Invivo5 Software Triad® gel Application Sequence Bending Tool HLM 2016
  2. 2. Guide Right™ Surgical Guide System Start With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com fabricate ▪ evaluate ▪ correct ▪ verify ▪ place DéPlaque Guide Right™ Surgical Guide System fabricate ▪ evaluate ▪ correct ▪ re-fabricate ▪ verify ▪ place A Geometric Approach to Guided Implant Placement
  3. 3. Initial X-ray
  4. 4. A full thickness flap was reflected
  5. 5. A periosteal elevator used to reflect the flap to a depth of 12 mm
  6. 6. Elevator positioned to indicate the 12 mm depth
  7. 7. Puros & Infuse Bone Graft (BMP2)
  8. 8. Site was closed with resorbable sutures
  9. 9. Graft was completed 6 months before implant placement
  10. 10. Guide Right™ Surgical Guide System DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ re-fabricate ▪ verify ▪ place Start With Precision. Place With Confidence.™
  11. 11. 3/32” pilot drill used to drill initial hole with proposed implant trajectory in cast
  12. 12. 3/32” hole drilled in cast
  13. 13. 3 mm straight guide post in 3/32” hole in preparation for fabrication of DIAGNOSTIC GUIDE
  14. 14. 3 mm guide sleeve placed on 3 mm guide post with cleat positioned to the palate.
  15. 15. Triad® gel applied to the guide sleeve to capture the cleat & several of the adjacent teeth. Light cured to form the DIAGNOSTIC GUIDE
  16. 16. Guide Right™ Surgical Guide System DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ re-fabricate ▪ verify ▪ place Guide Right™ Surgical Guide System Start With Precision. Place With Confidence.™
  17. 17. Invivo5 Anatomage Cone Beam Analysis Software
  18. 18. axial cross sectional tangential 4 volumetric ANGULAR CORRECTION: 32° toward facial virtual implant #7
  19. 19. cross sectional high magnification ANGULAR CORRECTION: 32° toward facial 4 # 7
  20. 20. axial cross sectional HOME POSITION tangential 4 volumetric #7
  21. 21. cross sectional HOME POSITION high magnification 4
  22. 22. Invivo5 Software Navigating the System For better understanding of use of Invivo5 software view slide show at www.deplaque.com Steps to Making & Correcting a Surgical Guide Steps to using Invivo5 for Evaluation
  23. 23. Using Invivo5 Software START from the HOME POSITION ► the AXIAL view ► the view showing a virtual implant aligned with the image of the DIAGNOSTIC guide sleeve in Invivo5 software. 3 PLANES are viewed in the AXIAL view (A) the bucco-lingual / cross sectional plane may / may not display as a line intersecting the alveolar bone/ridge at 90º diagonally (B) the mesio-distal plane / tangential plane (HOME POSITION) (C) The IDEAL POSITION shown in the AXIAL PLANE is when the line intersecting the alveolar bone is 90º indicating the direction of the bucco-lingual plane being viewed. STEP by STEP Evaluation
  24. 24. DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ re-fabricate [surgical guide] ▪ verify ▪ place Guide Right™ Surgical Guide System Start With Precision. Place With Confidence.™
  25. 25. ANGULAR CORRECTIONS are made with the Guide Right™ Bending Tool Step by step instructions at end of slideshow
  26. 26. • Stylus placed over 2.5 mm offset guide post • Stylus used as a lever to gently bend the post to 32° Guide Right™ Bending Tool • Closeup: 2.5 mm offset guide post in bending tool block
  27. 27. Guide Right™ Surgical Guide System DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ re-fabricate [surgical guide] ▪ verify ▪ place Start With Precision. Place With Confidence.™
  28. 28. 2-Piece Lower-part 2.5 mm Offset Guide Post with angle correction of 32° To begin preparation for fabrication of SURGICAL GUIDE: 2-Piece Lower-part guide post bent 32° is placed in the hole in the cast Side View
  29. 29. 3 mm guide sleeve added to 2.5 mm offset guide post
  30. 30. Buccal View 2.5 mm offset guide post with 3 mm guide sleeve
  31. 31. Drop of sticky wax applied in 2 applications to secure 3 mm guide post during Triad® application 1st drop 2nd drop
  32. 32. 1ST application of Triad® gel to offset guide post capturing cleat to begin forming the SURGICAL GUIDE
  33. 33. Application sequence of Triad® gel to offset guide sleeve & adjacent teeth to form the SURGICAL GUIDE • each application cured for 10 seconds & final application for required time •
  34. 34. Facial View SURGICAL GUIDE Guide Right™ 2-Piece 2.5 mm offset guide post corrected 32° in 3 mm guide sleeve.
  35. 35. SURGICAL GUIDE 2.5 mm offset guide post (corrected 32°) & 3 mm upper-part guide sleeve
  36. 36. DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ re-fabricate [surgical guide] ▪ verify ▪ place Guide Right™ Surgical Guide System Start With Precision. Place With Confidence.™
  37. 37. 3 mm guide sleeve in SURGICAL GUIDE to place a 3.3 Straumann Implant
  38. 38. DéPlaque POST OP
  39. 39. Temporary Crown
  40. 40. Guide Right™ GUIDE POST BENDING TOOL Steps to SINGLE BEND Step 1 Place bending tool plate on a secure flat surface with the degree increments at the top & the stainless steel bar at the bottom. Step 2 Locate the two 3/32” holes in the top of the stainless steel bar. The hole closest to the plate is used for all guide posts up to 3.0 mm offsets. The front hole is used for offsets 3.5 mm or larger. Place the bottom half of the guide post to be bent into the appropriate hole. Position the offset guide post in the hole determined by the planned direction of the correction. Tighten the set screw. Step 3 Select the appropriate stylus to fit over the top half of the guide post. Step 4 Fit the stylus over the guide post securely with the point directed at 0 ° & the bottom of the stylus in contact with the platform of 2-piece guide post or if no platform on post, in contact with 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 Remove the stylus. Loosen screw to remove the guide post bent to the desired angle.
  41. 41. Steps to COMPOUND BEND Guide Right™ GUIDE POST BENDING TOOL Step 1 Position a straight or offset guide post in the bending plate, tightening the set screw against one of the 8 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 & the guide post is rotated 90° next flat surface. Step 4 The 2nd bend in the 2nd plane is made after rotating the guide post up away from the surface of the bending plate to register the stylus point back at 0º. Step 5 Slide the stylus support bar down under the stylus until it supports the stylus. Tighten the side screws before making the 2nd bend. Step 6 The 2nd 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 with a felt tip pen facing the buccal or lingual surface. Be sure the post is in the correct position. Linear Corrections, using an offset guide post, must be determined & made before Angle Corrections. Offset 2-Piece Guide Posts available in the 3 mm guide post: 0.5,1, 1.5, 2.0, 2.5 & 3.0 mm.
  42. 42. LINEAR CORRECTIONS are made with the Guide Right™ guide posts & guide sleeve components VIEW: step by step instructions in this slideshow & instructive case example slideshows on www.deplaque.com
  43. 43. DéPlaque Guide Right™ Surgical Guide System Offset Guide Posts
  44. 44. 2-Piece Guide Post Straight Lower Piece with Upper Removable Piece The bottom half of all Lower Pieces of the 2-Piece Guide Post are designed with 4 flat sides corresponding with the mesial, distal, buccal & lingual surfaces of the tooth.
  45. 45. 2-Piece Guide Post Upper Removable Piece 2.7 mm Other diameters available on request.
  46. 46. For basic instruction for use of 2-Piece Guide Posts View Slideshow at www.deplaque.com “2-Piece Guide Post with STEPS to Making a Surgical Guide featuring Invivo5 Software Analysis”
  47. 47. To make Guide Sleeve Corrections …Correct the Guide Post Linear Corrections use offset guide posts 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4 mm Angular Corrections use Guide Right™ Bending Tool to correct the angle of the guide posts & guide sleeve
  48. 48. view Guide Right™ VIDEO Case HLM for actual site preparation & implant placement www.deplaque.com Featuring 2-Piece Offset Guide Posts Invivo5 Software Triad® gel Application Sequence
  49. 49. Guide Right™ Surgical Guide System Start With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com fabricate ▪ evaluate ▪ correct ▪ verify ▪ place DéPlaque Guide Right™ Surgical Guide System fabricate ▪ evaluate ▪ correct ▪ re-fabricate ▪ verify ▪ place A Geometric Approach to Guided Implant Placement

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