1. CrystalGuide – laser sintered metal surgical guides –
a case report
Clinical pictures: courtesy of Dr. Danny Domingue

2. Preoperative CBCT scan in occlusion,
metal artefacts

3. Radiographic guide aligned

4. Optical scan of master cast aligned to
visible tooth structure

5. Master cast with radiographic guide
aligned on CBCT scan

6. 3D view of radiographic guide on cast
in implant planning program

8. Bone surface visualization in implant planning
program, knife-like ridge in frontal area

9. Planned implant 13, implant-centric view with
outline of cast and radiographic guide

10. Planned implant 23, implant-centric view with
outline of cast and radiographic guide

11. Planned implant 24, implant-centric view with
outline of cast and radiographic guide

12. Planned implant 25, implant-centric view with
outline of cast and radiographic guide

13. Planned implants in 3D bone surface view

14. Planned implants in 3D cast surface view

15. Occlusal 3D view of planned implants in relation
to soft tissue (cast)

16. Frontal 3D view of planned implants in relation
to radiographic guide on cast

17. 3D view of planned implants in relation to
radiographic guide

18. Design of CrystalGuide on cast – free surgical field to enable sight
and cooling, as well as to allow for flapped surgery

19. 3D view right side of designed guide, open
design for maximum access

20. 3D view right side of designed guide, tooth covering
bridge-like for perfect fit and optimal control

21. 3D view of guide design occlusal

22. 3D view of guide design underside

23. 3D view of guide design in relation to implants

24. CrystalGuide intraoral positioned, stable fit and
free access

25. Drill guiding tubes inserted in CrystalGuide,
yellow 2 mm, blue 3 mm

26. 2 mm guiding tube inserted at position 13

27. 2 mm drills with guiding tubes regio 24 and 25

28. Implant insertion regio 13

29. Implant insertion regio 13

30. Situation immediately after insertion of all 4
implants, healing caps in place

31. Postoperative CBCT scan of implant regio 25, note the
perfect positioning according planning next to recessus
of maxillary sinus

32. Postoperative CBCT scan of implant regio
24, positioned as planned. Flapless surgery was
choosen without grafting, vestibular plate intact

33. Postoperative CBCT scan of implant regio 23

34. Postoperative CBCT scan of implant regio 13

35. CrystalGuide
laser sintered
metal surgical guides
•A real advance in guided surgery
•Open access for optimal sight
•Open access for optimal cooling
•Rigidity and stable fit
•Can be sterilized

36. CrystalGuide
laser sintered
metal surgical guides
•CAD/CAM fabricated with advanced technology
•DMLS laser sintered CoCr in Germany
•Ultra-thin design possible
•Bone supported reduction guides / drill guides available
•Metal guides for edentulous cases with anchor pins

37. CrystalGuide
laser sintered
metal surgical guides
•No or minimal upfront costs
•Planning software provided at no cost
•Online support and training
•Compatible with all guided surgery kits
•Low-cost standard tools available if no kit is used

38. CrystalGuide
laser sintered
metal surgical guides
•Flat fee EUR 280 regardless number of implants
•Distribution by Hess Medizintechnik GmbH/Germany
•www.crystalguide.us (english)
•www.cristalguide.com (deutsch)
•www.cristalguide.net (español)