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21 simple bend requiring correction in 2 planes

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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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21 simple bend requiring correction in 2 planes

  1. 1. Simple Bend Requiring Correction in One Plane  Vacuform Shell  Offset Guide Posts  Open Guide Sleeves  Evaluation using Invivo5 software AnatomageOakl
  2. 2. Fabrication of DIAGNOSTIC Guide
  3. 3. Cast is made of the patient
  4. 4. Vacuform shell on cast made with drilled holes exiting the incisal edge Indicating the preferred axis holes for the implants.
  5. 5. Vacuform shell with holes removed from the cast.
  6. 6. The vacuform shell is placed on a cast with missing teeth. Proposed sites are marked on the cast in black.
  7. 7. Holes are drilled through the plastic shell into the marked spots with 3/32” drills.
  8. 8. The vacuform shell can be removed and drills are placed back in the holes.
  9. 9. Another view of the alignment of the drills.
  10. 10. The drills are removed and replaced with three short 3 mm guide posts.
  11. 11. 3 mm straight guide sleeves are placed on the guideposts with cleats positioned on the palatal surface.
  12. 12. Another vacuform shell is made capturing the guide sleeves on the shortguide posts. This DIAGNOSTIC guide is used for the cone beam imaging
  13. 13. A final vacuform with just the 3 guide sleeves indicating theDIAGNOSTIC guide is ready for the Cone beam X-ray
  14. 14. Invivo5 AnatomagePre-op Software Evaluation
  15. 15. #6 Alignment of the Guide Sleeve ▪ Indication: 7º correction ▪ axial cross sectional Invivo5 Anatomage tangential view volumetricCone beam image showing alignment of the guide sleeve in the #6 position. A 7º correction is needed for this site.
  16. 16. #6 Invivo5 tangential view FIRSTThe guide sleeve has been lined up with the virtual implant.
  17. 17. 8°# 6 site ▪ 2 mm offset guide post ▪ 8° bend
  18. 18. actual 3.0 X 2.0 mm offset guide post placed on image ▪ 8º correction ▪computer image cross sectional view # 6Invivo5 actual offset guide post placed on virtual imageThe angular correction visualized by placing the guide post over the cone beam image.
  19. 19. # 8 Pre-op Software Evaluation▪ initial guide sleeve alignment in 2 planes ▪axial cross sectional Invivo5 Anatomagetangential volumetric
  20. 20. # 8 Pre-op Software Evaluation ▪ Indication: ANGULAR CORRECTION 8º to the buccal ▪ axial cross sectional Invivo5 Anatomage tangential volumetricCone beam image showing alignment of the guide sleeve in the # 8 position.
  21. 21. # 8 close up #8▪ Indication: ANGULAR CORRECTION 8º to the buccal ▪Invivo5 cross sectional
  22. 22. The#guide sleeve has been lined up with the virtual implant 8 NO CORRECTION NEEDED Invivo5 tangential view
  23. 23. 9°# 8 site ▪ 9° bend
  24. 24. Invivo5 actual 3 mmAnatomageguide post bent placed on software image to verify 9º correctioncomputer image cross sectional view #8Invivo5 actual bent guide post placed on virtual image
  25. 25. #10 alignment of the 3 mm open guide sleeve ▪ indicating 7º angular correction ▪occlusal cross sectional Invivo5 Invivo5 Anatomage Anatomagetangential view volumetric
  26. 26. #10Invivo5 FIRSTThe guide sleeve has been lined up with the virtual implant.
  27. 27. 7°#10 site ▪ correction requiring 7° bend is made using bending tool
  28. 28. Invivo5 actual 3 mm guide post#10 Anatomage placed on software image to verify 7º correctioncomputer image cross sectional viewInvivo5 actual guide post placed on virtual image
  29. 29. Fabrication of SURGICAL Guide  Magnetic Guide Posts  Open Guide Sleeves
  30. 30. Corrected 3.0 mm magnetic guide posts inserted in cast. 2.0 mm offset position is visible in # 6 position.
  31. 31. Three 3 mm open guide sleeves are placed.
  32. 32. Completed SURGICAL guide.
  33. 33. Implant carrier in position # 6 site
  34. 34. Implant carrier in position # 8 site
  35. 35. Implant carriers in position #10 site
  36. 36. #6 #8 # 10 Final X-rays
  37. 37. Restoration
  38. 38. Guide Right™ Products shown in this case  3 - 3/32” drill  3 - 3 mm Guide Post  3 - 3 mm Guide Sleeve  1 – 3 X 2.0 mm Offset Magnetic Guide Post  3 - 3 mm Open Guide Sleeve  Triad® Gel  Generation ll Bending Tool 1.800.314.0065 • www.deplaque.comDWY
  39. 39. Open Magnetic Guide Sleeve sets 3.0 mm x 5.0 mm Open Guide Sleeve (short) 3.0 mm x 8.0 mm Open Guide Sleeve (long) 3.0 mm Magnetic Guide Post Straight 3.0 mm x 1.0 mm Offset Magnetic Guide Post 2.0 mm x 8.5 mm Pilot Drills 2.0 mm x10.0 mm Pilot Drill 4.0 mm x 5.0 mm Open Guide Sleeve (short) 4.0 mm x 8.0 mm Open Guide Sleeve (long) 4.0 mm Magnetic Guide Posts Straight 4.0 mm x 1.0 mm Offset Magnetic Guide Post 2.0 x 5.0 mm Pilot Drill 2.0 x 10.0 mm Pilot Drill
  40. 40. 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 3.0 od X 2.0 mm os 3.0 od X 3.0 mm os
  41. 41. 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
  42. 42. Guide Right™ Generation ll Bending ToolClose up of Offset Guide Posts in bending block
  43. 43. Guide Right™Products shown in this case 3/32” Drills 3 mm Guide Posts (short) 3 mm Guide Sleeves 3 mm X 2.0 mm Offset Magnetic Guide Post 3.3 mm Open Guide sleeves 4 mm Open Guide Sleeves 1.0 mm Offset Magnetic Guide Sleeve Triad® Gel 1.800.314.0065 • www.deplaque.com
  44. 44. Guide Right™ GENERATION II 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.
  45. 45. Guide Right™ GENERATION II 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.
  46. 46. Guide Right™ by DéPlaqueStart With Precision. Place With Confidence. ™ 1.800.314.0065 • www.deplaque.com

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