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2 basic fabrication maxillary single implant


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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.

Published in: Health & Medicine
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2 basic fabrication maxillary single implant

  1. 1. Maxillary Single Implant Case Angular & Linear Correction in 2 Planes  Bending Tool ► 2 Bends Featuring:  Offset Guide Posts  Open Guide Sleeves  GALAXIS software #7MAY 2.2013
  2. 2. Fabrication of DIAGNOSTIC Guide
  3. 3. #7Initial wax up.
  4. 4. A hole is drilled through the prosthetically plannedlong axis of the implant into the cast with a 3/32” drill. A 3 mm guide post is placed in the hole.
  5. 5. A straight 3 mm guide sleeve is placed on the 3 mm guide post with the cleats positioned toward the palatal surface.
  6. 6. Close up showing guide sleeve cleats positioned to the palatal.
  7. 7. Lubricant is applied to cast prior to fabrication to enhance removal of guide fromcast. Triad® Gel is added to the guide sleeve to capture the cleats, includinglingual & incisal surfaces of several of the adjacent teeth,. After curing theDIAGNOSTIC guide & securely seating it in the patient, an X-ray is taken.
  8. 8. PRE-OPERATIVE EvaluationGALAXIS Cone Beam Images
  9. 9. Preview of Pre-op Corrections #7 LINEAR CORRETION 1.5 mm offset toward the palatal ANGULAR CORRECTION 1st Bend: 10° bend to the facial 2nd Bend: 5° bend toward the mesial
  10. 10. SURGICAL guide3.0 x 1.5 mm offset guide post toward the palatal is used
  11. 11. LINEAR CORRECTION: 1.5 mm toward the palatal1st ANGULAR CORRECTION: 10° toward the facial DIAGNOSTIC guide sleeve in place F F GALAXIS cross sectional views
  12. 12. Guide Right™Generation ll / Guide Post Bending Tool Single 10° bend in one plane
  13. 13. Guide Right™ Generation ll / Guide Post Bending Tool• A straight 3 mm magnetic guide post is placed in the bending tool.• The 3mm stylus is place over the post.• Pressure is applied to the point of the stylus to bend the post 9 ° according to the reading on the protractor.
  14. 14. 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.
  15. 15. 2nd ANGULAR CORRECTION: 5° toward the facial Tangential (mesio-distal) 5 ° correctionGALAXIS
  16. 16. 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.
  17. 17. 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 3.0od X 2.5 mm os 3.0 od X 3.0 mm os
  18. 18. Guide Right™ Generation ll / Guide Post Bending ToolShowing required 5° mesio-distal correction with stylus support bar in place. 2nd BEND
  19. 19. Fabrication of SURGICAL Guide
  20. 20. Palatal view: 1.5 mm offset guide post offset placed toward the facialFacial view:1.5 mm offset guide post in place
  21. 21. Facial view: guide sleeve in placeFacial view:Triad® Gel addedto form the SURGICAL guide
  22. 22. Direction Indicator placed Final implant placement.after 2 mm drill is used.
  23. 23. Guide Right™Products shown in this case  3/32” drill  3 mm Guide Post  3 mm Guide Sleeve  1.5 mm Offset Magnetic Guide Post  3 mm Open Guide Sleeve  2 mm Direction Indicator  Petroleum Jelly  Generation ll/ Guide Post Bending Tool  Triad® Gel 1.800.314.0065 •
  24. 24. DéPlaqueGuide Right™ Surgical Guide System fabricate ▪ evaluate ▪ correct ▪ verify ▪ placeStart With Precision. Place With Confidence.™ 1.800.314.0065 •