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12 maxillary left case linearcorrection in2 planes

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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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12 maxillary left case linearcorrection in2 planes

  1. 1. Guide Right™ Maxillary Left Case - Linear Correction in 2 Planes Featuring  # 12 & 14  Generation ll Bending Tool  Straight & Offset Magnetic Guide Posts  Cylindrical & Open Guide Sleeves  3 mm Diagnostic Guide Sleeve  Invivo5 Software Evaluation AnatomageANTIN 2.2013
  2. 2. Fabrication of DIAGNOSTIC Guide
  3. 3. 3 mm short guide posts placed in holes to check occlusion
  4. 4. Check planned occlusion with opposing teeth.
  5. 5. Undercuts blocked out.30 mm guide posts placed in 3/32” holes.
  6. 6. 3 mm guide sleeves placed on 3 x 30 mm guide posts with cleats toward the palatal.
  7. 7. Triad® Gel added to guide sleeves capturing the cleats and adjacent teeth to form the DIAGNOSTIC guide
  8. 8. Preview of Pre-op Corrections #12 LINEAR CORRECTION1st : 1 mm toward the buccal2nd : 1 mm distally using a 1.5 mm offset guide post rotated 45 ° #14 LINEAR CORRECTION 1 mm toward mesial using1 mm offset guide post Cosine is applied to determine correction data. * see next 3 slide
  9. 9. DéPlaque Pythagorean TheoremCOSINE Calculations for Guide Right™ Guides The cosine of 45° is recommended for Guide Right corrections BECAUSE rotating the offset guide post half way between 2 adjacent planes (90° apart) is 45°.
  10. 10. Correction based on the calculations from the Pythagorean TheoremTo move the position of the guide sleeve 1.4 mm both mesially & buccally: ► use a 3 mm X 1.5 mm offset guide post ► and direct the offset 45º facially and buccally. Cosine: 1.5 mm X 0.71 = 1.06 mm see Slideshow > Use of Pythagorean Theorem in #9 Single Implant Case
  11. 11. A= cosine of 45º X 1.5(0.707 X 1.5 mm = 1.06 mm
  12. 12. PRE-OPERATIVEInvivo5 Software EvaluationAnatomage
  13. 13. LINEAR CORRECTIONIndicates guide sleeve should be moved 1 mm distally # 12 occlusal view cross sectional view Invivo5 Anatomage Invivo5 Anatomage volumetric tangential view
  14. 14. # 12 axial view: wrong plane Axial view should always be adjusted to the 90° cross sectional plane of the alveolar ridge.Invivo5Anatomage
  15. 15. Invivo5 #12 axial plane rotated to about 90°Anatomage
  16. 16. # 12 cross sectional view tangential viewInvivo5Anatomage by rotating a 1.5 mm offset guide post 45 ° The guide sleeve is moved 1 mm toward the buccal and 1 mm to the distal(Pythagorean Theorem)
  17. 17. # 14 LINEAR CORRECTIONmove guide sleeve 1 mm mesially axial view cross sectional view Invivo5 Anatomage tangential view volumetric
  18. 18. #14Invivo5Anatomage Axial view should always be adjusted to the 90° cross sectional plane of the alveolar ridge.
  19. 19. tangential #14 moving the position of the guide sleeve 1 mm mesiallyInvivo5 will require a 1 mm offset guide postAnatomage
  20. 20. 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
  21. 21. #14To calculate the 1 mm linear movement ofthe guide sleeve► The distance from the orange linedrawn through the long axis of the virtualimplant to the green line drawn throughthe center axis of the guide sleeve ismeasured. tangential Invivo5 Anatomage
  22. 22. Review of Pre-op Corrections #12 LINEAR CORRECTION1st : 1 mm toward the buccal2nd : 1 mm distally using a 1.5 mm offset guide post rotated 45 ° #14 LINEAR CORRECTION 1 mm toward the mesial using1 mm offset guide post Cosine is applied to determine correction data. * see next 3 slide
  23. 23. Fabrication of SURGICAL Guide
  24. 24. Magnetic Offset Guide Posts in Place:#12: 1.5 mm distally  # 14: 1 mm to anterior.
  25. 25. Positioned 4 mm short open guide sleeveon magnetic offset guide posts with cleats to the palatal
  26. 26. Placement of open guide sleevesNOTE: 3 mm Diagnostic guide sleeve on #14 guide post used to increase post size to accommodate a 4 mm guide sleeve on distal guide post for larger drill.
  27. 27. SURGICAL Guide • buccal view
  28. 28. Completed SURGICAL Guide
  29. 29. Final view at stage 2 surgery
  30. 30. Final Restoration [mirror shot]
  31. 31. Magnetic Guide Posts Straight 3.0 mm od Offset 3.0 od X 0.5 mm os 3.0 od X 1.0 mm os 3.0 od X 1.5 mm os 3.0 od X 2.0 mm os 3.0 od X 2.5 mm os 3.0 od X 3.0 mm os
  32. 32. Open Magnetic Guide Sleeve sets 3.0 mm x 5.0 mm Open Guide Sleeve (short) 3.0 mm x 8.0 mm Open Guide Sleeve (long) 3.0 mm Magnetic Guide Post Straight 3.0 mm x 1.0 mm Offset Magnetic Guide Post 2.0 mm x 8.5 mm Pilot Drills 2.0 mm x10.0 mm Pilot Drill 4.0 mm x 5.0 mm Open Guide Sleeve (short) 4.0 mm x 8.0 mm Open Guide Sleeve (long) 4.0 mm Magnetic Guide Posts Straight 4.0 mm x 1.0 mm Offset Magnetic Guide Post 2.0 x 5.0 mm Pilot Drill 2.0 x 10.0 mm Pilot Drill
  33. 33. Guide Right™ Products shown in this case 1 - 3/32” Drill 2 - 3.0 mm x 5.0 mm Open Guide Sleeve (short) 2 - 3.0 mm Guide Sleeve 1 - 3 mm X 1.5 mm Offset Magnetic Guide Posts 1 - 3 mm X 1.0 mm Offset Magnetic Guide Posts 1 - 4 mm od. Spacer (fits over the 3 mm guide post) 1 - 3 mm X 0.5 mm Magnetic Offset Guide Post 2 - 3 mm Open Guide Sleeve Guide Post Bending Tool Triad® Gel 1.800.314.0065 • www.deplaque.com
  34. 34. Guide Right™ GUIDE POST BENDING TOOL SINGLE BEND reviewStep 1 Place bending tool plate on a secure flat surface with the degree increments at the top & the stainless steel bar with the v-cut at the bottom.Step 2 Locate 3/32” hole in the center of the v-cut and place the bottom half of the guide post into the hole. Tighten the set screw.Step 3 Locate the hole in the bottom of the stylus that you will use that will fit over the top half of the guide post (3.0 mm, 4.0 mm or 5.0 mm).Step 4 Fit the stylus over the guide post securely with the point directed at zero degrees and the bottom of the stylus in contact with the V 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 Loosen screw and remove guide post and the stylus to find the guide post bent to the desired angle.
  35. 35. Guide Right™ GUIDE POST BENDING TOOL COMPOUND BEND overviewStep 1 Position a straight or offset guide post in the bending plate, tightening the set screw against one of the 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 and the guide post is rotated 90 ° next flat surface.Step 4 The 2nd bend in the second plane is made after rotating the guide post up away from the surface of the bending plate to register the stylus point back at 0 degrees.Step 5 Slide the stylus support bar down under the stylus until it supports the stylus. Tighten the side screws before making the second bend.Step 6 The second 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 facing the buccal or lingual surface. Be sure the post is in the correct position. If the post needs to be corrected by a linear movement an offset guide post can be used. Off sets available in the 3 mm guide post: 0.5,1,1.5, 2.0 ,or 3.0 mm.
  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 ▪ place Start With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com

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