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Tapered Guide Sleeve & Insert - Versah Drills - Sinus Augmentation - Crestal Approach JANUARY 2019_ 8618

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This is a sinus augmentation case using crestal approach. A Guide Right surgical guide was fabricated with a 2° tapered guide sleeve & insert. Versa Drills were utilized to expand the sinus laterally and vertically. Invivo5 software was used to prepare the osteotomy and place the 5 X 10 mm Magagen Implant.

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Tapered Guide Sleeve & Insert - Versah Drills - Sinus Augmentation - Crestal Approach JANUARY 2019_ 8618

  1. 1. 8616 Guide Right™ 2°Tapered Guide Sleeve & Insert Versah Drills Sinus Augmentation  Crestal Approach Surgical Guide JANUARY 2019
  2. 2. DéPlaque ▪ fabricate [Diagnostic Guide] ▪ evaluate ▪ correct ▪ verify ▪ place Guide Right™ Surgical Guide System
  3. 3. 3/32” drill used to indicate prosthetic planned position # 4
  4. 4. 3 mm guide sleeve placed over 3 mm guide post placed in hole
  5. 5. Cast lubricated & Triad® gel added to form the DIAGNOSTIC GUIDE
  6. 6. DIAGNOSTIC GUIDE Planned for a restoration with 2 bicuspids buccal view
  7. 7. Guide Right™ Surgical Guide System DéPlaque ▪ fabricate diagnostic guide ▪ evaluate ▪ correct ▪ re-fabricate surgical guide ▪ verify ▪ place Guide Right™ Surgical Guide System
  8. 8. • # 4 • HOME POSITION axial cross sectional tangential volumetric
  9. 9. • # 4 • Pre op: DIAGNOSTIC Guide tangential LINEAR CORRECTION: 1 mm offset buccal ANGLE CORRECTION: 9° distal
  10. 10. BONE DENSITY PROFILE • # 4 • PRE-OP 3 Months POST-OP
  11. 11. • # 4 • Planned Corrections: ANGLE: 9° distal tangential
  12. 12. • # 4 • cross section Planned Corrections: LINEAR: 1 mm offset buccal
  13. 13. DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ re-fabricate [surgical guide] ▪ verify ▪ place Guide Right™ Surgical Guide System
  14. 14. Guide Right™ Bending Tool 1st Bend: 1 mm offset 2-piece guide post bent 9° See Compound Bend [Steps 1 - 2] at end of slide show 9° bend
  15. 15. Guide Right™ BENDING TOOL SINGLE BEND review 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 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 zero degrees & 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.
  16. 16. DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ re-fabricate [surgical guide] ▪ verify ▪ place Guide Right™ Surgical Guide SystemGuide Right™ Surgical Guide System
  17. 17. Straight 2-Piece guide post corrected 9°
  18. 18. 3 mm top-part 2-piece guide post showing 9° distal angle correction
  19. 19. 3 mm id / 3° tapered insert fit in a 4.5 mm id / 3° tapered angle cut guide sleeve 4.5 mm id / 3° tapered, angle cut guide sleeve 3 mm 2-piece upper-piece 3 mm id / 3° tapered insert 1 mm 2-piece offset guide post
  20. 20. Occlusal view of 4.5 mm id / 3° tapered angle cut guide sleeve Designed to be used with Versah Drill
  21. 21. Versah Densah Bur Kit used to prepare & widen the osteotomy http://shop.versah.com/
  22. 22. Triad® gel added to form the SURGICAL GUIDE Buccal view
  23. 23. DéPlaque ▪ fabricate ▪ evaluate ▪ correct ▪ re-fabricate [surgical guide] ▪ verify ▪ place implants Guide Right™ Surgical Guide System
  24. 24. SURGICAL GUIDE in place
  25. 25. Occlusal view of elliptical incision
  26. 26. • palatal flap reflection • 3 mm insert inside 4.5 mm guide sleeve.
  27. 27. 3.3 mm set stop drills Full set of 2 mm & 3.3 mm stop drills Stop Drills available at www.deplaque.com  800.314.0065 STOP DRILLS used prior to the Versah Drills Stop Drills
  28. 28. 2 mm Versah drill with 3 mm taperd insert
  29. 29. 4 mm Versah drill with tapered insert removed
  30. 30. Closure
  31. 31. Post-op cone beam distal sinus augmentation with Versah drill technique illustrating accuracy of Megagen implant after widening the ridge axial cross sectional tangential volumetric • # 4 •
  32. 32. Comparing the long axis of the implant with the long axis of the guide sleeve cross sectional • # 3 •
  33. 33. Illustrates distal sinus augmentation mesial distal tangential view • # 3 •
  34. 34. 0.5 mm offset ERROR cross sectional • # 3 •
  35. 35. 0.5 mm offset ERROR tangential • # 3 •
  36. 36. Immediate post surgery radiograph  5 x10 mm Magagen implant
  37. 37. Stage 2 Surgery NOTE: increased thickness of bone distal to the implant
  38. 38. Final Restoration will be completed in 3 months: April 2019
  39. 39. Guide Right™ Angle & Linear Corrections NEW 2-Piece Guide Post with Steps to Making a Surgical Guide featuring Invivo5 & 2018 Bullet Stylus November 2018 Product Orders: 1.800.314.0065 • www.deplaque.com For a better understanding of • use of Bending Tool • use of 2-Piece Guide Post SEE SlideShare - https://www.slideshare.net/cmeitner
  40. 40. Invivo5Software Navigating the System NEW 2-Piece Guide Post with Steps to Making a Surgical Guide featuring Invivo5 & 2018 Bullet Stylus November 2018 For a better understanding for using Invivo5 software Product Orders: 1.800.314.0065 • www.deplaque.com SEE SlideShare - https://www.slideshare.net/cmeitner
  41. 41. Guide Right™ Surgical Guide System Start With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com fabricate ▪ evaluate ▪ correct ▪ verify ▪ place DéPlaque

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