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Use of 2 piece guide post for single implant case with linear & angular corrections 9.2016 JB

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Use of 2-Piece Guide Post in Single Implant Case with Linear & Angular Corrections featuring: #4, 2-Piece Guide Post,Diagnostic & Surgical Guide, Invivo5 Software analysis, Cone Beam X-rays, guide Right Bending Tool Corrections

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Use of 2 piece guide post for single implant case with linear & angular corrections 9.2016 JB

  1. 1. BLAND 3.28.15 in Single Implant Case with Linear & Angular Corrections
  2. 2. Featuring  2-Piece Guide Post  Diagnostic & Surgical Guide  Software  Cone Beam X-rays  Bending Tool Corrections A Geometric Approach to In-office Guided Implant Placement
  3. 3. DéPlaque ▪ fabricate diagnostic guide ▪ evaluate ▪ correct ▪ re-fabricate surgical guide ▪ verify ▪ place Guide Right™ Surgical Guide System Method Used Guide Right™ Surgical Guide System
  4. 4. fabricate ▪ evaluate ▪ correct ▪ verify ▪ place  Fabricate DIAGNOSTIC guide  Cone beam X-ray taken with DIAGNOSTIC guide in place  Evaluate linear & angular position of guide  Corrections: linear & angular  Verify  Fabricate SURGICAL guide  Surgical placement using corrected surgical guide
  5. 5. DéPlaque ▪ fabricate diagnostic guide ▪ evaluate ▪ correct ▪ re-fabricate surgical guide ▪ verify ▪ place Guide Right™ Surgical Guide System
  6. 6. 3/32” drill used to drill prosthetically planned # 4 site.
  7. 7. A 3 mm straight guide post is placed in the prospective osteotomy site.
  8. 8. The cast is lubricated, Triad® gel applied to guide sleeve & adjacent teeth capturing cleats to form the Diagnostic Guide
  9. 9. DéPlaque ▪ fabricate diagnostic guide ▪ evaluate ▪ correct ▪ re-fabricate surgical guide ▪ verify ▪ place Guide Right™ Surgical Guide System
  10. 10. # 4 Angle Correction: 10° to buccal Implant: 11.5 x 4.5 mm axial cross sectional tangential volumetric Invivo5
  11. 11. # 4 Angle Correction: 10.2° to buccal ▪ hard sharp setting axial cross sectional tangential volumetric
  12. 12. # 4 Linear Correction: 1 mm – 1.5 mm offset to the buccal axial cross sectional tangential volumetric
  13. 13. # 4 HOME POSITION: DIAGNOSTIC GUIDE Setting: “hard sharpened” setting is used axial cross sectional tangential volumetric
  14. 14. DéPlaque ▪ fabricate ▪ evaluate ▪ correct ▪ re-fabricate [surgical guide] ▪ verify ▪ place Guide Right™ Surgical Guide SystemGuide Right™ Surgical Guide System
  15. 15. 2-Piece Straight Guide Post in Bending Tool Block Guide Right™ Bending Tool
  16. 16. 10° 10° correction made to the 1 mm offset guide post using the bending tool
  17. 17. 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.
  18. 18. 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.
  19. 19. DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ re-fabricate [surgical guide] ▪ verify ▪ place Guide Right™ Surgical Guide SystemGuide Right™ Surgical Guide System
  20. 20. placed back in the cast with angle toward the buccal. Straight Guide Post bent 10°
  21. 21. 3.8 mm guide sleeve over 10° bent guide post guide post with sleeve positioned in the cast hole with cleat toward the lingual surface.
  22. 22. • Cast is lubricated & undercuts blocked out with yellow wax • Triad® gel applied to guide sleeve capturing cleat & adjacent teeth to form the Surgical Guide
  23. 23. Checking alignment of surgical guide
  24. 24. Guide Right™ Surgical Guide System DéPlaque ▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ re-fabricate [surgical guide] ▪ verify ▪ place
  25. 25. Final Implant Placement
  26. 26. Final abutment placement indicating use of straight abutment
  27. 27. Straight abutment Occlusal View
  28. 28. Final Restoration
  29. 29. Final Restoration Tangential View
  30. 30. Articulated View
  31. 31. Clinical Occlusal View
  32. 32. Final Restoration
  33. 33. Radiograph taken after the restoration is placed
  34. 34. Start With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com DéPlaque Guide Right™ Surgical Guide System fabricate ▪ evaluate ▪ correct ▪ verify ▪ place A Geometric Approach to Guided Surgery

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