Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.
Case showing Maxillary 2nd Molar Replacement
featuring
Linear Corrections using 2-Piece Guide Post
Rava
Surgical Guide
Guide Right™ Surgical Guide System
1.800.314.0065 • www.deplaque.com
fabricate ▪ evaluate ▪ correct ▪ verify ▪ refabricate...
DéPlaque
▪ fabricate [Diagnostic Guide]
▪ evaluate
▪ correct
▪ verify
▪ re-fabricate
▪ place
Start With Precision. Place W...
Drill hole in the cast with a 3/32” split point drill to create
a planned prosthetic position for the final implant placem...
3 mm guide post & 3 mm guide sleeve in place
Addition of Triad® gel applied & extended to adjacent
teeth capturing the cleats to form a Diagnostic Guide
DéPlaque
▪ fabricate [diagnostic guide]
▪ evaluate
▪ correct
▪ verify
▪ re-fabricate
▪ place
Start With Precision. Place W...
Invivo5
Anatomage
Cone Beam Analysis
more information: www.deplaque.com
ONLINE SLIDE SHOW: 2-Piece Guide Post with Steps t...
3 Invivo5 views are evaluated...
• axial view
• cross sectional or bucco-lingual view
• tangential or mesio-distal view
• #15 •
Home Position
axial cross section
tangential volumetric
• #15 •
Virtual Implant in preferred Implant Position
axial cross section
tangential volumetric
• #15 •
Linear Correction: 3 mm to distal
axial cross section
tangential volumetric
• Higher Magnification •
Linear Correction: 3 mm to distal
tangential
SOFTWARE GRID
 each square: 5 X 5 mm
 each side of the square: 5 mm
 center mark is 2.5 mm
Understanding Gri...
• Higher Magnification •
Angular Correction: 5° to distal & palatal
DéPlaque
▪ fabricate [diagnostic guide]
▪ evaluate
▪ correct
▪ verify
▪ re-fabricate
▪ place
Start With Precision. Place W...
Linear Correction:
To correct the guide sleeve position by 2 mm to distal,
a 2-Piece 3 mm offset guide post is used.
Angul...
Interchangeable upper & offset lower guide posts
2-Piece Guide Post
Upper Part
Lower Part
Guide Right™ Bending Tool
5°
Stylus over 3 mm
offset guide post
after 1st 5° bend is
made.
block
• 3 mm 5° bent offset gui...
DéPlaque
▪ fabricate [diagnostic guide]
▪ evaluate
▪ correct
▪ verify
▪ re-fabricate [surgical guide]
▪ place
Start With P...
3 mm Offset Lower 2-Piece Guide Post positioned at 45° distal-palatal
Occlusal view
Upper & Lower Components of 3.8 mm 2-Piece Guide Post together.
Addition of 3.9 mm guide sleeve on the post with cleat positioned to the lingual.
Light cured Triad® gel added to capture cleat of 3.9 mm guide sleeve
set over 3.8 mm 2-Piece guide post to form Surgical G...
Light cured Triad gel added to capture cleat of 3.9 mm angle cut guide sleeve
set over 3.8 mm 2-Piece guide post to form S...
3.9 mm guide sleeve
Occlusal View
3.8 mm drill stop X 2 mm diameter X 5 mm long hybrid drill
placed in a with 3.9 mm angle cut guide sleeve
front side
Pilot...
2nd Surgical Guide made with 6 mm guide sleeve & 5.9 mm
guide post to accommodate the wider 5.5 mm diameter implant.
Secondary Surgical Guide 6 mm diameter guide sleeve with post
removed showing it centered on the same rotated lower post a...
DéPlaque
▪ fabricate [diagnostic guide]
▪ evaluate
▪ correct
▪ verify
▪ re-fabricate [surgical guide]
▪ place
Start With P...
• # 15 •
Post Operative cone beam image of final implant placement
Invivo5
axial cross section
tangential volumetric
Stage 2 Post-op Periapical X-ray
Impression Coping in Master Cast
Master Cast with Final Screw Retained Restoration
Buccal View
Screw Retained Cast-to-Abutment & Crown
Final Restoration in Master Cast
Occlusal View
Final Restoration
Occlusal View
Final Restoration
Buccal View
Guide Right™ Surgical Guide System
1.800.314.0065 • www.deplaque.com
DéPlaque
fabricate ▪ evaluate ▪ correct ▪ verify ▪ re...
Upcoming SlideShare
Loading in …5
×

Maxillary 2nd Molar-Linear Corrections using Guide Right 2-Piece Guide Post

153 views

Published on

Linear Correction:
To correct the guide sleeve position by 2 mm to distal,
a 2-Piece 3 mm offset guide post is used.
Angular Correction:
Using Guide Right™ Bending Tool 2-Piece 3 mm offset
guide post is bent 5° to distal & palatal (2 bends)

Published in: Healthcare
  • Be the first to comment

  • Be the first to like this

Maxillary 2nd Molar-Linear Corrections using Guide Right 2-Piece Guide Post

  1. 1. Case showing Maxillary 2nd Molar Replacement featuring Linear Corrections using 2-Piece Guide Post Rava Surgical Guide
  2. 2. Guide Right™ Surgical Guide System 1.800.314.0065 • www.deplaque.com fabricate ▪ evaluate ▪ correct ▪ verify ▪ refabricate ▪ place DéPlaque A Geometric Approach to Guided Surgery Start With Precision. Place With Confidence.™
  3. 3. DéPlaque ▪ fabricate [Diagnostic Guide] ▪ evaluate ▪ correct ▪ verify ▪ re-fabricate ▪ place Start With Precision. Place With Confidence. Guide Right™ Surgical Guide System
  4. 4. Drill hole in the cast with a 3/32” split point drill to create a planned prosthetic position for the final implant placement.
  5. 5. 3 mm guide post & 3 mm guide sleeve in place
  6. 6. Addition of Triad® gel applied & extended to adjacent teeth capturing the cleats to form a Diagnostic Guide
  7. 7. DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ verify ▪ re-fabricate ▪ place Start With Precision. Place With Confidence. Guide Right™ Surgical Guide System
  8. 8. Invivo5 Anatomage Cone Beam Analysis more information: www.deplaque.com ONLINE SLIDE SHOW: 2-Piece Guide Post with Steps to Making a Surgical Guide featuring Invivo5 Software.
  9. 9. 3 Invivo5 views are evaluated... • axial view • cross sectional or bucco-lingual view • tangential or mesio-distal view
  10. 10. • #15 • Home Position axial cross section tangential volumetric
  11. 11. • #15 • Virtual Implant in preferred Implant Position axial cross section tangential volumetric
  12. 12. • #15 • Linear Correction: 3 mm to distal axial cross section tangential volumetric
  13. 13. • Higher Magnification • Linear Correction: 3 mm to distal
  14. 14. tangential SOFTWARE GRID  each square: 5 X 5 mm  each side of the square: 5 mm  center mark is 2.5 mm Understanding Grid MeasurementsInvivo5 LINEAR CORRECTION
  15. 15. • Higher Magnification • Angular Correction: 5° to distal & palatal
  16. 16. DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ verify ▪ re-fabricate ▪ place Start With Precision. Place With Confidence. Guide Right™ Surgical Guide System
  17. 17. Linear Correction: To correct the guide sleeve position by 2 mm to distal, a 2-Piece 3 mm offset guide post is used. Angular Correction: Using Guide Right™ Bending Tool 2-Piece 3 mm offset guide post is bent 5° to distal & palatal (2 bends) Corrections www.deplaque.com slide show: 2-Piece Guide Post with Steps to Making a Surgical Guide featuring Invivo5 Software.
  18. 18. Interchangeable upper & offset lower guide posts 2-Piece Guide Post Upper Part Lower Part
  19. 19. Guide Right™ Bending Tool 5° Stylus over 3 mm offset guide post after 1st 5° bend is made. block • 3 mm 5° bent offset guide post placed hole in block & rotated 45° • Set screw tightened against the flat on the post • Stylus placed over the post, & used to bend the post to the required 2nd 5° angle. set screw www.deplaque.com Slide Show: Correction Using Bending Tool
  20. 20. DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ verify ▪ re-fabricate [surgical guide] ▪ place Start With Precision. Place With Confidence. Guide Right™ Surgical Guide System
  21. 21. 3 mm Offset Lower 2-Piece Guide Post positioned at 45° distal-palatal Occlusal view
  22. 22. Upper & Lower Components of 3.8 mm 2-Piece Guide Post together.
  23. 23. Addition of 3.9 mm guide sleeve on the post with cleat positioned to the lingual.
  24. 24. Light cured Triad® gel added to capture cleat of 3.9 mm guide sleeve set over 3.8 mm 2-Piece guide post to form Surgical Guide. Occlusal view
  25. 25. Light cured Triad gel added to capture cleat of 3.9 mm angle cut guide sleeve set over 3.8 mm 2-Piece guide post to form Surgical guide.
  26. 26. 3.9 mm guide sleeve Occlusal View
  27. 27. 3.8 mm drill stop X 2 mm diameter X 5 mm long hybrid drill placed in a with 3.9 mm angle cut guide sleeve front side Pilot Drills used
  28. 28. 2nd Surgical Guide made with 6 mm guide sleeve & 5.9 mm guide post to accommodate the wider 5.5 mm diameter implant.
  29. 29. Secondary Surgical Guide 6 mm diameter guide sleeve with post removed showing it centered on the same rotated lower post at 45°
  30. 30. DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ verify ▪ re-fabricate [surgical guide] ▪ place Start With Precision. Place With Confidence. Guide Right™ Surgical Guide System
  31. 31. • # 15 • Post Operative cone beam image of final implant placement Invivo5 axial cross section tangential volumetric
  32. 32. Stage 2 Post-op Periapical X-ray
  33. 33. Impression Coping in Master Cast
  34. 34. Master Cast with Final Screw Retained Restoration Buccal View
  35. 35. Screw Retained Cast-to-Abutment & Crown
  36. 36. Final Restoration in Master Cast Occlusal View
  37. 37. Final Restoration Occlusal View
  38. 38. Final Restoration Buccal View
  39. 39. Guide Right™ Surgical Guide System 1.800.314.0065 • www.deplaque.com DéPlaque fabricate ▪ evaluate ▪ correct ▪ verify ▪ refabricate ▪ place A Geometric Approach to Guided Surgery Start With Precision. Place With Confidence.™

×