10 3 mm implants in narrow space angular & linear corrections
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
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.
` 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
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
PRE OPERATIVEInvivo5 Software EvaluationAnatomage
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
#11 LINEAR CORRECTION: 3 mm offset ANGULAR CORRECTION: 12° bend toward the distal axial view cross sectional view Invivo5 Anatomage tangential view volumetric view
#11 LINEAR CORRECTIONThe guide post/sleeve must be moved 3 mm toward the buccal. axial view cross sectional view Invivo5 Anatomage tangential view
#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
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
#11 3 mm offset is measured using the Invivo5 software grid `
#11 ANGULAR CORRECTION 12° bend toward the distal is needed.Invivo5Anatomage tangential view
`A 3 mm offset guide post is required for #11 correction
` 12°3 mm X 3 mm offset guide post bent 12° toward the distal
Fabrication of SURGICAL Guide Magnetic Guide Posts Open Guide Sleeves
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).
`Open Guide Sleeves placed on Magnetic Guide Postsand positioned with cleats to the palatal.
`Triad® Gel is added to form the SURGICAL guide in two sections
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
A direction indicator is used in #7 site to check alignment after the 2 mm drill is used.
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
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
DéPlaqueGuide Right™ Surgical Guide System fabricate ▪ evaluate ▪ correct ▪ verify ▪ placeStart With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com