This document summarizes a case using the Guide Right surgical guide system to place two dental implants. A diagnostic guide was fabricated with guide posts and sleeves to evaluate the planned implant positions using CT scans. The guide was adjusted based on the evaluation, with one post offset lingually by 0.5mm and one bent 6 degrees lingually with a 1mm buccal offset. A surgical guide was then fabricated and used to drill and place the implants, which were verified to match the planned positions on follow-up CT scans. The case demonstrates the Guide Right system's ability to accurately plan and place dental implants.

1. MANDIBULAR ANTERIOR CASE
SURGICAL Guide in Place ► Showing Drill Progression
Featuring:
 2 Implants: # 27 ▪ # 23
 Magnetic Guide Posts ▪ Open Guide Sleeves
 Invivo5 software evaluation

SCHA 2.2013

2. Fabrication of DIAGNOSTIC GUIDE
 3 mm straight guide posts
 3 x 8 mm cylindrical guide sleeves

3. Two 3 mm guide posts placed in the holes.

4. The angles of the guide posts were made semi-parallel to the adjacent
natural teeth. However, the angles are not too critical for the
DIAGNOSTIC guide, as they most likely will need to be corrected.

5. Occlusal view
Facial view
3 X 8 mm guide sleeves are placed over the guide posts.

6. Undercuts were blocked out and petroleum jelly was used to lubricate the cast.
Triad® Gel was added to the brackets of the guide sleeves and the adjacent
teeth to form the body of the DIAGNOSTIC guide.

7. Facial view of fabricated template.
The DIAGNOSTIC guide is now ready to be
placed in the patient for a Cone Beam X-ray.

8. Preview of Pre-op Corrections
#23
LINEAR CORRECTION
10° correction toward the buccal
#27
LINEAR CORRECTION
6° correction toward the lingual

9. PRE-OP
Invivo5 Software Evaluation
Anantomage

10. # 23 Initial Alignment
Software Evaluation
axial cross sectional
Invivo5
Invivo5
Anatomage
Anatomage
tangential volumetric
NOTE Each time a change is made in the software go back to the
initial alignment view and calculate the angle in the 2nd plane.

11. Invivo5
Anatomage #23 CLOSE UP with software grid
tangential view cross sectional view
requires no correction requires a 10° correction
toward the distal toward the buccal

12. # 27
Evaluation with Software Grid
axial cross sectional
Invivo5
Invivo5
Anatomage
Anatomage
tangential volumetric

13. #27 Axial view should always be adjusted to the 90°
cross sectional plane of the alveolar ridge.
axial view
occlusal view
Bucco-lingual plane
Invivo5
Anatomage

14. #27 CLOSE UP LINEAR & ANGULAR Evaluation
tangential view cross sectional view
guide sleeve requires no correction guide sleeve requires a 6°
away from the adjacent tooth correction toward the lingual
(left)
Invivo5
Anatomage

15. Preview of Pre-op Corrections
#27
LINEAR CORRECTION:
1.0 mm to the buccal
ANGULAR CORRECTION
6° bend BEND to the lingual.
#23
LINEAR CORRECTION
0.5 mm to the lingual

16. Occlusal view
Buccal view
#27 correction: 1.0 mm offset guide post to the buccal & bent 6° to the lingual.
#23 correction: 0.5 mm offset guide post to the lingual / no change in the angle

17. Occlusal view
Buccal view
3.3 mm open guide sleeves placed on offset magnetic guide posts.

18. SURGICAL guide
Occlusal view

19. Buccal view of 3.3 mm open guide sleeves in SURGICAL guide.
Ready to be placed in the patient for surgery.

20. Surgical site

21. SURGICAL GUIDE in Place
surgical drill sequence
with 3.3 mm open guide sleeves

22. 2 mm drills placed with 3 mm stop shaft

23. 2.5 and 2.85 mm drills in place

24. 3.2 mm and 3.35 mm drills in place

25. Axial view of implant placement

26. Final X-rays

27. # 23 Post-op Cone Beam Evaluation
tangential view cross sectional view
# 23 virtual implant placed over actual implant to check alignment with guide sleeve

28. # 26 Post-op Evaluation
Invivo5
tangential view Anatomage cross sectional view
# 26 virtual implant placed over actual implant to check alignment with guide sleeve

29. Facial view of Atlantis abutments

30. Final restoration on master cast

31. Lingual view

32. Final Restoration

33. Guide Right™
Products shown in this case
 1 - 3/32” Drill
 2 - 3 mm Guide Post
 2 - 3 mm cylindrical Guide Sleeve
 1 - 3 mm x 0.5 mm Offset Magnetic Guide Post
 1 - 3 mm x 1.0 mm Offset Magnetic Guide Post
 2 - 3.3 mm Open Guide Sleeves
 Generation ll ▪ Guide Post Bending Tool
 Triad® Gel
1.800.314.0065 • www.deplaque.com

34. DéPlaque
Guide Right™ Surgical Guide System
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
Start With Precision. Place With Confidence.™
1.800.314.0065 • www.deplaque.com