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Mandibular Non-parallel Implant Placement


       Featuring:


      2 implants: # 29 & # 30
      magnetic guide posts
      open guide sleeves
      Invivo5 Software Evaluation
       Anatomage




DEMA
# 29              Pre-op Software Evaluation
 ▪     Initial alignment of guide sleeve with virtual implant    ▪

          axial                                cross sectional




                                    Invivo5
                                   Anatomage




          tangential                                volumetric
Fabrication of DIAGNOSTIC Guide
Cast with planned implant sites marked and drilled with 3/32” drill
3 mm guide posts placed in holes indicate the planned implant trajectory
Buccal view of guide posts in place
3 mm guide posts with 3 mm DIAGNOSTIC guide sleeves [1 cleat]
lingual view

Triad® Gel added to form DIAGNOSTIC guide
Pre-operative Evaluation
    Invivo5         Software
     Anatomage




    axial ▪ tangential ▪ cross sectional
# 29              Pre-op Software Evaluation
 ▪     Initial alignment of guide sleeve with virtual implant    ▪

          axial                                cross sectional




                                    Invivo5
                                   Anatomage




          tangential                                volumetric
Axial view should always be adjusted to the 90°
              cross sectional plane of the alveolar ridge.

    # 29




Invivo5
Anatomage    indication: reposition the implant, 4 x 9 mm
# 29          INITIAL ALIGNMENT: in both planes




            tangential                 cross sectional

Invivo5
Anatomage
Invivo5
# 29                      Software Analysis
                                    Anatomage

              ANGULAR CORRECTION needed: 29° toward the lingual




  Invivo5
  Anatomage
Invivo5
                   29° angle is drawn for planned correction toward the lingual
# 29                                      Anatomage

              ANGULAR CORRECTION: to reposition the implant,(4 mm x 9 mm)




  Invivo5
  Anatomage
Invivo5
# 29                       Software Analysis
                                     Anatomage

            Checking the ANGULAR CORRECTION: 29° toward the lingual




Invivo5
Anatomage
ANGULAR CORRECTIONS
         are made with the
            Guide Right™
   Guide Post Bending Tool


Step by step instructions at end of slideshow
Single Bend
    corrections in one plane
              Guide Right™
Generation ll / Guide Post Bending Tool
Invivo5
        ANGULAR CORRECTION:
# 29                  Anatomage
       29 ° - 30 ° BEND to the lingual
# 30                    Pre-op Software Analysis
       ▪    Initial alignment of guide sleeve with virtual implant       ▪


           axial                                       cross sectional




                                         Invivo5
                                        Invivo5
                                        Anatomage
                                        Anatomage




           tangential                                       volumetric
Axial view adjusted to the 90°
                           cross sectional plane of the alveolar ridge.

            # 30




                   Initial line up shows originally planned implant placement
                   for the DIAGNOSTIC guide sleeve

Invivo5
Anatomage
# 30          INITIAL ALIGNMENT: in both planes




            tangential                  cross sectional

Invivo5
Anatomage
Invivo5
# 30               Anatomage
       ANGULAR CORRECTION: 28° - 30°
Invivo5
# 30                       Anatomage
       ANGULAR CORRECTION: 30° angle highlighted
Invivo5
# 30              Anatomage
       ANGULAR CORRECTION: 28-30°
Invivo5
# 30   ANGULAR CORRECTION: 28 - 31° BEND to the lingual
                         Anatomage
Type here.            Invivo5
                     Anatomage
    Corrected 3 mm Magnetic Guide Posts




 # 29                    #30
 30°                     30°
Fabrication of SURGICAL Guide
# 30                                                 # 29
30°                                                  30°
       Corrected 3 mm magnetic guide posts in cast
▪ 3 mm magnetic guide posts
▪ 1 mm spacer has been added to accommodate
  the 4 mm open guide sleeve on the distal post.
▪ 3 mm guide post is used on the mesial post.
SURGICAL guide
buccal view
SURGICAL guide
Final Implant Placement




Implant with SUGICAL Guide in place
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
   Generation ll / Guide Post Bending Tool
   Petroleum Jelly
   Triad® Gel
  1.800.314.0065 •    www.deplaque.com
DéPlaque


Guide 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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20 mandibular non parallel implant placement

  • 1. Mandibular Non-parallel Implant Placement Featuring:  2 implants: # 29 & # 30  magnetic guide posts  open guide sleeves  Invivo5 Software Evaluation Anatomage DEMA
  • 2. # 29 Pre-op Software Evaluation ▪ Initial alignment of guide sleeve with virtual implant ▪ axial cross sectional Invivo5 Anatomage tangential volumetric
  • 4. Cast with planned implant sites marked and drilled with 3/32” drill
  • 5. 3 mm guide posts placed in holes indicate the planned implant trajectory
  • 6. Buccal view of guide posts in place
  • 7. 3 mm guide posts with 3 mm DIAGNOSTIC guide sleeves [1 cleat]
  • 8. lingual view Triad® Gel added to form DIAGNOSTIC guide
  • 9. Pre-operative Evaluation Invivo5 Software Anatomage axial ▪ tangential ▪ cross sectional
  • 10. # 29 Pre-op Software Evaluation ▪ Initial alignment of guide sleeve with virtual implant ▪ axial cross sectional Invivo5 Anatomage tangential volumetric
  • 11. Axial view should always be adjusted to the 90° cross sectional plane of the alveolar ridge. # 29 Invivo5 Anatomage indication: reposition the implant, 4 x 9 mm
  • 12. # 29 INITIAL ALIGNMENT: in both planes tangential cross sectional Invivo5 Anatomage
  • 13. Invivo5 # 29 Software Analysis Anatomage ANGULAR CORRECTION needed: 29° toward the lingual Invivo5 Anatomage
  • 14. Invivo5 29° angle is drawn for planned correction toward the lingual # 29 Anatomage ANGULAR CORRECTION: to reposition the implant,(4 mm x 9 mm) Invivo5 Anatomage
  • 15. Invivo5 # 29 Software Analysis Anatomage Checking the ANGULAR CORRECTION: 29° toward the lingual Invivo5 Anatomage
  • 16. ANGULAR CORRECTIONS are made with the Guide Right™ Guide Post Bending Tool Step by step instructions at end of slideshow
  • 17. Single Bend corrections in one plane Guide Right™ Generation ll / Guide Post Bending Tool
  • 18. Invivo5 ANGULAR CORRECTION: # 29 Anatomage 29 ° - 30 ° BEND to the lingual
  • 19. # 30 Pre-op Software Analysis ▪ Initial alignment of guide sleeve with virtual implant ▪ axial cross sectional Invivo5 Invivo5 Anatomage Anatomage tangential volumetric
  • 20. Axial view adjusted to the 90° cross sectional plane of the alveolar ridge. # 30 Initial line up shows originally planned implant placement for the DIAGNOSTIC guide sleeve Invivo5 Anatomage
  • 21. # 30 INITIAL ALIGNMENT: in both planes tangential cross sectional Invivo5 Anatomage
  • 22. Invivo5 # 30 Anatomage ANGULAR CORRECTION: 28° - 30°
  • 23. Invivo5 # 30 Anatomage ANGULAR CORRECTION: 30° angle highlighted
  • 24. Invivo5 # 30 Anatomage ANGULAR CORRECTION: 28-30°
  • 25. Invivo5 # 30 ANGULAR CORRECTION: 28 - 31° BEND to the lingual Anatomage
  • 26. Type here. Invivo5 Anatomage Corrected 3 mm Magnetic Guide Posts # 29 #30 30° 30°
  • 28. # 30 # 29 30° 30° Corrected 3 mm magnetic guide posts in cast
  • 29. ▪ 3 mm magnetic guide posts ▪ 1 mm spacer has been added to accommodate the 4 mm open guide sleeve on the distal post. ▪ 3 mm guide post is used on the mesial post.
  • 32. Final Implant Placement Implant with SUGICAL Guide in place
  • 33. 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  Generation ll / Guide Post Bending Tool  Petroleum Jelly  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