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20 mandibular non parallel implant placement

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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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20 mandibular non parallel implant placement

  1. 1. Mandibular Non-parallel Implant Placement Featuring:  2 implants: # 29 & # 30  magnetic guide posts  open guide sleeves  Invivo5 Software Evaluation AnatomageDEMA
  2. 2. # 29 Pre-op Software Evaluation ▪ Initial alignment of guide sleeve with virtual implant ▪ axial cross sectional Invivo5 Anatomage tangential volumetric
  3. 3. Fabrication of DIAGNOSTIC Guide
  4. 4. Cast with planned implant sites marked and drilled with 3/32” drill
  5. 5. 3 mm guide posts placed in holes indicate the planned implant trajectory
  6. 6. Buccal view of guide posts in place
  7. 7. 3 mm guide posts with 3 mm DIAGNOSTIC guide sleeves [1 cleat]
  8. 8. lingual viewTriad® Gel added to form DIAGNOSTIC guide
  9. 9. Pre-operative Evaluation Invivo5 Software Anatomage axial ▪ tangential ▪ cross sectional
  10. 10. # 29 Pre-op Software Evaluation ▪ Initial alignment of guide sleeve with virtual implant ▪ axial cross sectional Invivo5 Anatomage tangential volumetric
  11. 11. Axial view should always be adjusted to the 90° cross sectional plane of the alveolar ridge. # 29Invivo5Anatomage indication: reposition the implant, 4 x 9 mm
  12. 12. # 29 INITIAL ALIGNMENT: in both planes tangential cross sectionalInvivo5Anatomage
  13. 13. Invivo5# 29 Software Analysis Anatomage ANGULAR CORRECTION needed: 29° toward the lingual Invivo5 Anatomage
  14. 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. 15. Invivo5# 29 Software Analysis Anatomage Checking the ANGULAR CORRECTION: 29° toward the lingualInvivo5Anatomage
  16. 16. ANGULAR CORRECTIONS are made with the Guide Right™ Guide Post Bending ToolStep by step instructions at end of slideshow
  17. 17. Single Bend corrections in one plane Guide Right™Generation ll / Guide Post Bending Tool
  18. 18. Invivo5 ANGULAR CORRECTION:# 29 Anatomage 29 ° - 30 ° BEND to the lingual
  19. 19. # 30 Pre-op Software Analysis ▪ Initial alignment of guide sleeve with virtual implant ▪ axial cross sectional Invivo5 Invivo5 Anatomage Anatomage tangential volumetric
  20. 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 sleeveInvivo5Anatomage
  21. 21. # 30 INITIAL ALIGNMENT: in both planes tangential cross sectionalInvivo5Anatomage
  22. 22. Invivo5# 30 Anatomage ANGULAR CORRECTION: 28° - 30°
  23. 23. Invivo5# 30 Anatomage ANGULAR CORRECTION: 30° angle highlighted
  24. 24. Invivo5# 30 Anatomage ANGULAR CORRECTION: 28-30°
  25. 25. Invivo5# 30 ANGULAR CORRECTION: 28 - 31° BEND to the lingual Anatomage
  26. 26. Type here. Invivo5 Anatomage Corrected 3 mm Magnetic Guide Posts # 29 #30 30° 30°
  27. 27. Fabrication of SURGICAL Guide
  28. 28. # 30 # 2930° 30° Corrected 3 mm magnetic guide posts in cast
  29. 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.
  30. 30. SURGICAL guide
  31. 31. buccal viewSURGICAL guide
  32. 32. Final Implant PlacementImplant with SUGICAL Guide in place
  33. 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. 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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