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5 single implant case osteotomy prgression in open guide sleeves

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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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5 single implant case osteotomy prgression in open guide sleeves

  1. 1. # 23 SINGLE IMPLANT CASE Osteotomy Progression in Open Guide Sleeves Featuring 3 x1 mm Magnetic Offset Guide Post Open Guide Sleeve Utilizing Cosine Rule Generation ll Bending Tool GALAXIS Software Evaluaton Invivo5 Software Evaluation Drill series in SURGICAL Guide TUIT
  2. 2. Fabrication of DIAGNOSTIC Guide
  3. 3. A 3/32” hole is drilled in the cast
  4. 4. Buccal view
  5. 5. 2 mm guide post Generation ll straight guide post2 mm guide sleeve showing 4 flat sides & marker dot.
  6. 6. A 2 mm guide post with 2 mm guide sleeve (used in narrow spaces) is placed in the hole.
  7. 7. Triad® Gel was added to capture the cleats of the guide sleeve to form the DIAGNOSTIC guide
  8. 8. GALAXIS Cone Beam Images PRE-operative Evaluation
  9. 9. GALAXIS #23 Panoramic view
  10. 10. cross sectional view indications Close up NOTE: distance between yellow & green lines = angular correction of 20° GALAXIS necessary to correctly place implant virtual implant should be repositioned 1 mm toward the lingual & positioned in the center of the bone axis should be bent toward the lingual # 23
  11. 11. # 23 Tangential View Indications: Implant could be repositioned 6° Angle bent toward the mesial (left) Implant centered between the roots of the adjacent teeth 6° angular correction is necessary to correctly place implant GALAXIS
  12. 12. Invivo5 Software AnatomagePRE-operative Evaluation # 23
  13. 13. ALIGNMENT of guide sleeve with long axis of implant FIRST BEND 20° correction to the lingual # 23 axial cross sectional (bucco-lingual) Invivo5 Anatomage tangential (mesio-distal) volumetric
  14. 14. # 23 Evaluation Plane : yellow line which should be (is) a bucco-lingual orientationInvivo5Anatomage axial view Explanation re: Evaluation Plane see slide show ►“Use of Pythagorean Theorem #9 Single Implant Case” slide # 27
  15. 15. Invivo5Anatomage ALIGNMENT (bucco-lingual) Indication: 20° Angular Correction to the Lingual is needed For FIRST BEND An angle is measured by intersection of the line passing thru the long axis of the implant and the long axis of the guide sleeve. In this case, 20° cross sectional view
  16. 16. 3 mm magnetic guide post with 1.0 mm offset in bending block to be bent 20°
  17. 17. Initially, the stylus over the unbent offset guide post should point to zero.
  18. 18. FIRST BEND: 20º
  19. 19. # 23 ALIGNMENT (mesio-distal) SECOND BEND 6° Angular Correction axial cross sectional Invivo5 Anatomage tangential volumetric image
  20. 20. # 23 PRE-OP ALIGNMENT Indication: 6° Angular Correction NecessaryInvivo5 axial viewAnatomage
  21. 21. # 23 Pre-opIndication: 6° Correction toward Mesial is needed For SECOND BEND Invivo5 Anatomage tangential view
  22. 22. # 23 Pre-opGuide Post needs 6° Angular Correction to the Mesial Invivo5 Anatomage cross sectional view
  23. 23. SECOND BEND: 6°
  24. 24. Generation ll (4 sided lower portion of post) 3 mm X 1 mm offset Magnetic Offset Guide Post with 20º bend toward the lingual 6º bend toward the mesial
  25. 25. Corrected3 mm X 1 mm offset magnetic guide post with open guide sleeve
  26. 26. Fabrication of Surgical Guide
  27. 27. Bent 1 mm offset guide post in cast
  28. 28. 3 mm open guide sleeve positioned over 3 mm x 1 mm offset post with cleats to the lingual.
  29. 29. SURGICAL Guidewith corrected offset magnetic guide post
  30. 30. SURGICAL guide in place with initial 2 mm drill
  31. 31. Periapical X-raywith DIAGNOSTIC guide post to check the placement.
  32. 32. 2 mm drill
  33. 33. 2.5 mm drill
  34. 34. Implant carrier
  35. 35. Cover screw
  36. 36. Final placement
  37. 37. Guide Right™ Products shown in this case 1 - 3/32” drill 1 - 2 mm Guide Post 1 - 2 mm Guide Sleeve 1 - 3 mm X 1 mm offset Magnetic Offset Guide Post 1 - 3 mm Open Guide Sleeve Generation ll ▪ Guide Post Bending Tool Triad® Gel 1.800.314.0065 • www.deplaque.com
  38. 38. 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.
  39. 39. 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.
  40. 40. A System of Componentsfor the fabrication and correction of diagnostic & surgical guide 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
  41. 41. Guide Right™ by DéPlaqueStart With Precision. Place With Confidence. 1.800.314.0065 • www.deplaque.com

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