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10 3 mm implants in narrow space angular & linear corrections

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The Guide Right Surgical Guide System is a system of components for the fabrication and correction of diagnostic and surgical dental implant guides in 1 or 2 dimensions.

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10 3 mm implants in narrow space angular & linear corrections

  1. 1. Using 3 mm Implants in Narrow Spaces ANGULAR & LINEAR CORRECTIONS  3 Implants #7 ▪ #10 ▪ #11  Magnetic Guide Posts & Open Sleeves  Generation ll ▪ Guide Post Bending Tool  Invivo5 Software Evaluation AnatomageQUATE 2.2013
  2. 2. DIAGNOSTIC Guide fabrication not shownThe initial treatment plan was:▪ to place a 3 mm implant in the #7 position▪ to place a 4 mm implant in the #11 position▪ with a mesial cantilever in the #10 position.However a cantilever would not fit on a 3 mm implant.Therefore 2 different size guide sleeves were used forthe final treatment plan.
  3. 3. ` Initial Treatment Plan DIAGNOSTIC guide with two guide sleeves in proposed sites :2 mm guide sleeve #7 site ▪ 3 mm guide sleeve #11 with mesial cantilever
  4. 4. Preview of Pre-op Corrections #7 LINEAR CORRECTION 1 mm offset toward the buccal #11 LINEAR CORRECTION 3 mm offset toward the buccal ANGULAR CORRECTION 12° bend toward the distal
  5. 5. PRE OPERATIVEInvivo5 Software EvaluationAnatomage
  6. 6. #7 INITIAL ALIGNMENTin 2 planes: mesio-distal & bucco-lingual axial view cross sectional view ` Invivo5 Anatomage tangential view volumetric view
  7. 7. #7 LINEAR ALIGNMENTaxial view cross sectional view ` Invivo5 Anatomagetangential view volumetric view
  8. 8. #7 Virtual implant in position. tangential view cross sectional viewInvivo5Anatomage
  9. 9. #7 LINEAR CORRECTION 3 mm post X 1.5 mm offset correction toward the buccal required cross sectional viewInvivo5Anatomage
  10. 10. #7 ` 1.5 mm offsetis measured & requires a 1.5 mm offset placement toward the buccal
  11. 11. `3 mm X 1.5 mm Offset Magnetic Guide Post required for #7 buccal correction.
  12. 12. #10 ALIGNMENTaxial view cross sectional view Invivo5 Anatomagetangential view volumetric view
  13. 13. tangential view # 10 cross sectional view # 10 did not initially have a guide sleeve in the DIAGNOSTIC guide because originally a mesial cantilever was anticipated from the implant in the #11 position.Invivo5Anatomage
  14. 14. `3 mm Straight Magnetic Guide Post for #10
  15. 15. #11 INITIAL ALIGNMENTof virtual implant and guide sleeve axial view cross sectional view Invivo5 Anatomage tangential view volumetric view
  16. 16. #11 LINEAR CORRECTION: 3 mm offset ANGULAR CORRECTION: 12° bend toward the distal axial view cross sectional view Invivo5 Anatomage tangential view volumetric view
  17. 17. #11 LINEAR CORRECTIONThe guide post/sleeve must be moved 3 mm toward the buccal. axial view cross sectional view Invivo5 Anatomage tangential view
  18. 18. #11 LINEAR CORRECTIONThe guide post/sleeve must be moved 3 mm toward the buccal. tangential view cross sectional view 3 mm offset guide post is required for correctionInvivo5Anatomage
  19. 19. Understanding Invivo5 Grid Measurements SOFTWARE GRID each square: 5 X 5 mm each side of the square: 5 mm center mark is 2.5 mm tangential
  20. 20. #11 3 mm offset is measured using the Invivo5 software grid `
  21. 21. #11 ANGULAR CORRECTION 12° bend toward the distal is needed.Invivo5Anatomage tangential view
  22. 22. `A 3 mm offset guide post is required for #11 correction
  23. 23. ` 12°3 mm X 3 mm offset guide post bent 12° toward the distal
  24. 24. Fabrication of SURGICAL Guide  Magnetic Guide Posts  Open Guide Sleeves
  25. 25. 5.0 mm apart on center ` Corrected Magnetic Guide Posts in castA hole was drilled at the #10 site parallel to #11 (5.0 mm apart on center).
  26. 26. `Open Guide Sleeves placed on Magnetic Guide Postsand positioned with cleats to the palatal.
  27. 27. `Triad® Gel is added to form the SURGICAL guide in two sections
  28. 28. Review of Pre-op Corrections #7 LINEAR CORRECTION 1.5 mm offset toward the buccal #10 NO CORRECTION #11 LINEAR CORRECTION 3 mm offset toward the buccal ANGULAR CORRECTION 12° bend toward the distal
  29. 29. A direction indicator is used in #7 site to check alignment after the 2 mm drill is used.
  30. 30. # 7 3mm X 13 mm implant placement.
  31. 31. `2 mm direction indicator is placed in the #11 position
  32. 32. `Final placement for implants in #10 and #11 positions.
  33. 33. `Atlantis abutments are inserted.
  34. 34. `Final restorations
  35. 35. Guide Right™ Products used in this presentation 1 - 3/32” Drill 1 – 2 mm Drill or #46 Drill 1 - 2 mm Guide Post 1 – 3 mm Guide Post 1 – 2 mm Guide Sleeve 1- 3 mm Guide Sleeve 1 - 3 mm Magnetic Guide Post 1 - 3 X 3.0 mm Offset Magnetic Guide Post 1 - 3 X 1.0 mm Offset Magnetic Guide Post 3 - 3 mm Open Guide Sleeve Triad® Gel Generation ll ▪ Guide Post Bending Tool1.800.314.0065 • www.deplaque.com
  36. 36. A System of Componentsfor the fabrication and correction of DIAGNOSTIC & SURGICAL guides in one or two dimensions  In-office or lab fabrication  Evaluate with 2D & 3D imaging  Allows linear and angular correction  Enables precision implant placement  Cost effective 1.800.314.0065 • www.deplaque.com
  37. 37. DéPlaqueGuide Right™ Surgical Guide System fabricate ▪ evaluate ▪ correct ▪ verify ▪ placeStart With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com

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