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15 mandibular posteriorcase ll near & angular 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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15 mandibular posteriorcase ll near & angular corrections

  1. 1. Guide Right™Mandibular Posterior Linear & Angular Corrections Invivo5 ■ Preop Evaluation using Anatomage Software ■ Correction using Guide Right ComponentsBLONS 2.2013
  2. 2. Fabrication of DIAGNOSTIC Guide  Straight Guide Posts  Cylindrical Guide Sleeves  Replacing 28 ▪ 29 ▪ 30
  3. 3. 3 mm x 8 mm guide posts placed in holes in the cast.
  4. 4. 3 mm DIAGNOSTIC guide sleeves (1 cleat) placed on 3 mm guide postsTriad® Gel added to formthe DIAGNOSTIC guide.
  5. 5. Invivo5 AnatomagePre-op Software Evaluation
  6. 6. # 29 ▪ Initial Alignment ▪DIAGNOSTIC Guide securely seated in patient for X-rayaxial cross sectional Invivo5 Anatomagetangential volumetric
  7. 7. 1st Angular Correction: # 29 1 st Linear Correction:0.5LingualOffset to the Lingual ▪ mm 7° Bend to the Lingual tangential cross sectional Invivo5
  8. 8. # 292nd Angular Correction: 2 nd Linear Correction14º Bend mesial 0.5 mm Offset distal axial cross sectional Invivo5 Anatomage Invivo5 Anatomage tangential volumetric
  9. 9. # 29 CLOSE UP indication for 14º Angular Correction tangential
  10. 10. # 30 Initial Alignment▪ 4.1 X 8 mm virtual implant ▪ Invivo5 Anatomage
  11. 11. # 30▪ Angular Correction: 7° Bend to the Mesial ▪ axial cross sectional Invivo5 Invivo5 Anatomage Anatomage tangential view volumetric
  12. 12. # 30 CLOSE UP indication for 7° Angular Correction tangential
  13. 13. # 31 Initial Alignmentaxial cross sectional Invivo5 Invivo5 Anatomage Anatomagetangential volumetric
  14. 14. # 31 Angular Correction: 26° Bend to the Lingual axial cross sectional Invivo5 Anatomage tangential volumetric
  15. 15. # 31 CLOSE UP indication for 26° Lingual Correction cross section
  16. 16. Review of Pre-op Corrections #29 #30LINEAR CORRECTIONS ANGULAR CORRECTIONS1st : 0.5 mm Offset toward the Lingual 7° Bend to the Mesial2nd : 0.5 mm Offset toward the Distal # 31ANGULAR CORRECTIONS ANGULAR CORRECTIONS1st : 14° bend Mesial 26° Bend to the Lingual2st : 7° bend to the Lingual Cosine is applied to determine correction data. * see Pythagorean Theorem - COSINE CALCULATION slideshow
  17. 17. # 31 - 26° # 30 - 7° # 29 - 14° 3 mm magnetic guide posts 3 mm X 0.5 mm offset3 mm magnetic guide posts showing angle corrections
  18. 18. Fabrication of SURGICAL Guide  Magnetic Guide Posts  Open Guide Sleeves
  19. 19. Corrected 3 mm magnetic guide posts in prospective positions
  20. 20. Initial cast
  21. 21. 26° 7° 14°Corrected 3 mm guide posts in cast
  22. 22. Buccal view of SURGICAL guide with 3.3 mm open guide sleeves
  23. 23. 4.8 mm 4 4.1 mm 4.1 mm Final Implant Placement
  24. 24. Final implant placement
  25. 25. Final Implant Placement
  26. 26. Healing Abutments
  27. 27. Stage 2
  28. 28. Final Restoration
  29. 29. Guide Right™Products shown in this case 1 - 3/32” drill 3 - 3 mm Guide Post 3 - 3 mm Guide Sleeve 1 - 3 mm X 0.5 mm Magnetic Offset Guide Post 3 - 3.3 mm Open Guide Sleeve Generation ll ▪ Guide Post Bending Tool Triad® Gel 1.800.314.0065 • www.deplaque.com
  30. 30. Guide Right™ Generation ll Bending Tool 10° example For more information on use of the bending tool go towww.deplaque.com ▪ Guide Right™ Generation ll Bending Tool
  31. 31. Guide Right™ GENERATION II ▪ 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.
  32. 32. Guide Right™ GENERATION II ▪ 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.
  33. 33. A System of Componentsfor the fabrication and correction of diagnostic & surgical templates 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
  34. 34. 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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