1.
Serial Guide Technique Featuring: #30 Fabrication of DIAGNOSTIC Guide using:  5.3 Wide Guide Sleeve  Serial Guide Sleeve Inserts  Fabrication Insert (FABIN)  Insert Removal Tool (IRT) SURGICAL Guide in place Serial Inserts Kits are availableDWYER 2.2013

2.
Clinical view of proposed surgery site

3.
Wax set up of #30 tooth

4.
Hole drilled with 3/32” drill through wax up

5.
3/32” drill in cast indicates the planned prosthetic axis.

6.
The drill is replaced with a 3 mm guide post.

7.
Undercuts blocked out.

8.
Lubricating cast with petroleum jelly prior to adding Triad® Gel

9.
5.3 Fabrication Insert (FABIN) used to center the 5.3 guide sleeveon the guide post and to prevent Triad® Gel from entering sleeve.

10.
Lingual view of FABIN in 5.3 mm guide sleeve withguide sleeve cleats positioned toward the lingual surface.

11.
Appropriate lubrication of lingual and occlusalsurfaces is required before applying Triad® Gel.

12.
Cure each layer of Triad® Gel

13.
2nd layer of gel extended over several of the adjacent teeth

14.
Buccal viewillustrating gel added to just cover occlusal & lingual surface of teeth.

15.
Fabrication insert removed leaving 5.3 mm guide sleeve

16.
Buccal view5.3 mm wide guide sleeve

17.
Axial view5.3 guide sleeve is centered over the 3/32” hole

18.
2.25 mm insert is used for initial 2 mm drill

19.
IRT (insert removal tool) used to remove insert from guide sleeve.

20.
 SURGICAL guide with 5.3 guide sleeve is placed over IRT Set on a firm surface and tapped with downward pressure to remove inserts.

21.
5.3 wide guide sleeve is used with appropriate inserts for drill sizes. Shown here with 4 mm insert

22.
SURGICAL guide in place Appropriate inserts are used for each drill size2.0 mm insert, for 1.8 mm drill ■ 2.7 mm insert for 2.5 mm drill …etc. Completing the osteotomy with Astra 3.8 mm twist drill plus 5.0 mm conical drill used in 5.3 mm sleeve without an insert.

23.
Peri-apical X-ray of SURGICAL guide alignment.

24.
Final X-ray

25.
Guide Right™Products shown in this case 3/32” drill 5.3 Wide Guide Sleeve Series of Inserts for 5.3 Guide Sleeve *next slide 5.3 Fabrication Insert (FABIN) 3 mm Guide Post Guide Sleeve Inserts for 5.3 Guide sleeve Insert Removal Tool (IRT) Petroleum Jelly Triad® Gel Recommended Kits: 4.5 / 5.3 Serial Guide Kit 1.800.314.0065 • www.deplaque.com

26.
Serial INSERTS for 5.3 Guide Sleeves Guide Right™ Individual Insert Sizes Available 2.25 mm 2.6 mm 2.75 mm 3.0 mm 3.6 mm 4.0 mm 4.2 mm 4.6 mmOrder directly from > www.deplaque.com

27.
Serial INSERTS for 4.5 Guide Sleeves Guide Right™ Fabrication Insert INSERTS FOR 4.5 Guide Sleeve FABIN Insert Removal ToolOrder directly from > www.deplaque.com

28.
DéPlaqueGuide Right™ Surgical Guide System fabricate ▪ evaluate ▪ correct ▪ verify ▪ placeStart With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com