4 case corrections in 2 planes+ demo of triad gel application
Case Corrections in 2 Planes mesio▪distal & bucco▪lingual Featuring #18 ▪ #19 DIAGNOSTIC Guide SURGICAL GuideANAN 2.2013
Fabrication of DIAGNOSTIC Guide 3 mm Guide Posts 3 mm Ceramic Guide Sleeves Generation ll Bending Tool
An impression was taken and a cast was made.Two holes are drilled in the cast with a Two 3 mm guide posts are placed in3/32” drill. the holes.
Ceramic guide sleeves are placed on the Triad® Gel was used to capture the3 mm guide post. cleat on the ceramic guide sleeve and adjacent teeth to fabricate the DIAGNOSTIC guide.The DIAGNOSTIC guide is ready to be securely seated in the patient for the conebeam X-ray so that the long axis of the proposed osteotomies can be evaluated.
GALAXIS #18 panoramic view A better position appears to be angled mesially from the existing axis of the ceramic guide sleeve in the DIAGNOSTIC guide.
# 18 L B tangential view cross sectional viewGALAXIS 11° bend to the mesial 14° bend to the lingual
#18 11° FIRST BEND 11°. The stylus is placed over the straight 3 mm guide post. The set screw is tightened and the guide post is bent 11°WHY to the LEFT? Easier to follow when bending to the mesial as in slide above.
#18 11° Guide post in bending tool block with 11° bend.
#18 PREPARATION for 2nd BENDWith the stylus still on the guide post, the set screw is loosenedand the stylus on the guide post is rotated 90° back to the 0° mark.This causes the stylus to raise up off the bending plate.NOTE the shadows on both sides of the stylus
#18 stylus support bar wing screw The sliding support bar is positioned beneath the stylus to maintain the 11° angle of the 1st bend.
#18 14° SECOND BENDThe wing screws are tightened to secure the stylus for the 2nd bend of 14°toward the lingual (left) to avoid hitting the root of the distal tooth.
#19 panoramic viewGALAXIS A better position appears to be angled toward the mesial from the existing axis of the ceramic guide sleeve in the DIAGNOSTIC guide.
# 19 L B tangential view cross sectional viewGALAXIS 9° bend to the mesial 15° bend to the lingual
Review of Pre-op Corrections # 18 #19 ANGULAR CORRECTIONS ANGULAR CORRECTION1st bend: 11° bend to the mesial 9° bend to the mesial2nd bend: 14° bend to the lingual 15° bend to the lingual Cosine is applied to determine correction data.* see Pythagorean Theorem - COSINE CALCULATION slideshow
Fabrication of SURGICAL Guide 4 mm Magnetic Guide Posts 4 mm Open Guide Sleeves Adding Triad® Gel in Layers
Wax added to buccal surface to stabilize position of 4 mm open guide sleevesand guide posts prior to adding gel to the cleats on lingual surface.
Occlusal view of 4 mm magnetic guide sleeves stabilized with red wax.Then 4 mm open guide posts are removed.
First layer of clear Triad® Gel added to adjacent tooth on lingual surface.
Second layer of Triad® Gel extended to adjacent teeth in arch for greater stability and cured to form the SURGICAL guide.
Last layer of clear Triad® Gel added to captureocclusal surface of teeth and cured
Completed SURGICAL guideready for cold sterilization and placement.
Guide Right™Products shown in this case presentation 2 - 3 mm Stainless Guide Posts 2 - 3 mm Ceramic Guide Sleeves 2 - 4 mm Magnetic Guide Posts 2 - 4 mm Open Guide Sleeves 1 - 3/32” drill Generation ll ▪ Bending Tool Triad® Gel Not shown but used: 2 mm pilot drill / 4mm stop shaft NOTE: either stainless or ceramic guide sleeves could be used 1.800.314.0065 • www.deplaque.com
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.
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.
A System of Componentsfor the fabrication and correction of DIAGNOSTIC & SURGICAL guides in one or two dimensions In-office or lab fabrication Evaluate with 2D & 3D imaging Allows linear and angular correction Enables precision implant placement Cost effective 1.800.314.0065 • www.deplaque.com
DéPlaqueGuide Right™ Surgical Guide System fabricate ▪ evaluate ▪ correct ▪ verify ▪ placeStart With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com