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8 use of pythagorean theorem # 9 single implant case

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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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8 use of pythagorean theorem # 9 single implant case

  1. 1. Guide Right ™ Use of Pythagorean Theorem in #9 Single Implant Case Featuring: LINEAR CORRECTIONS DIAGNOSTIC Guide  3 mm X 30 mm guide post  3 mm guide sleeve SURGICAL Guide  3 mm X 1.5 mm offset guide post  3 mm open guide sleeve  Pythagorean Theorem ► Cosine  Invivo5 software analysis AnatomageBEL 2.2013
  2. 2. Fabrication of DIAGNOSTIC guide
  3. 3. facial viewLine marked on teeth to position original axisfor initial 3/32” drill mm & 3 mm guide post.
  4. 4. 3 mm X 30 mm guide post in 3/32” hole
  5. 5. 3 mm guide sleeve placed on the 3 mm guide post and cast lubricated with petroleum jelly
  6. 6. Initial layer of Triad® Gel added to the guide sleeve cleatsand cured to stabilize the guide sleeve.
  7. 7. DIAGNOSTIC Guideshowing the 3 mm guide sleeve attached to the cured acrylicready to be placed for cone beam X-ray.
  8. 8. Additional and final layer of Triad® Gelextended to lingual and incisal surfaces of adjacent teeth
  9. 9. PRE-OPERATIVE Invivo5 AnatomageSoftware Evaluation
  10. 10. INITIAL EVALUATION of DIAGNOSTIC guide sleeve position axial plane cross sectional plane · buccal-lingual#9 Invivo5 Invivo5 Anatomage Anatomage tangential plane · mesial-distal 3D volume
  11. 11. Axial Plane Greater accuracy in implant placement is achieved when the line representing the bucco-lingual plane is set at 90° to the buccal surface of the arch.Yellow line passing through the axis of the implant creates theview seen in the cross sectional view (next slide). Dragging the yellow line in the software will change the cross sectional view as the line rotates about the axis of the implant. The markings on the concentric circles are 5 mm apart allowing measurements to be calculated. virtual implant Invivo5 #9 Anatomage
  12. 12. #9 preferred implant placement cross sectional plane · bucco-lingualImages from software evaluated in 3 planes: axial, mesio-distal & bucco-lingual axial plane cross sectional plane · bucco-lingual Invivo5 Anatomage tangential plane · mesio-distal 3D Volume
  13. 13. #9 LINEAR CORRECTION Illustrating preferred implant placement position (bucco-lingual) The virtual implant is moved parallel & facial 1.3 mm to the location of the DIAGNOSTIC guide sleeve. Yellow line passing through the axis of the implant. virtual implant 5 mm grid intervals to allow measurements to be calculated.actual guide sleeve Invivo5 Anatomage cross sectional view.
  14. 14. #9 LINEAR CORRECTION Illustrating preferred implant placement position (mesio-distal) Illustrating the preferred implant placement in the tangential view The center of the virtual implant is located 1 mm mesial to the center of the DIAGNOSTIC guide sleeve. virtual implant 5 mm grid intervals to allow measurements to be calculated.actual guide sleeve Invivo5 Anatomage tangential view
  15. 15. preferred implant placement tangential plane · mesio-distalImages from software evaluated in 3 planes: axial, mesio-distal & bucco-lingual axial plane cross sectional plane · bucco-lingual Invivo5 Anatomage tangential plane · mesio-distal 3D Volume
  16. 16. Review of Pre-op Corrections #9 LINEAR CORRECTION1.5 mm offset guide post rotated 45º toward the mesial & facial. Cosine is applied to determine correction data. * see next 3 slide
  17. 17. Pythagorean TheoremCOSINE Calculations for Guide Right™ Guides The cosine of 45° is recommended for Guide Right corrections BECAUSE rotating the offset guide post half way between 2 adjacent planes (90° apart) is 45°.
  18. 18. Correction based on the calculations from the Pythagorean TheoremTo move the position of the guide sleeve 1 mm both mesially & buccally: ► use a 1.5 mm offset guide post ► and rotate the offset guide post 45º to a mesio-buccal position. Cosine of 45° X 1.5 mm = 0.71 X 1.5 mm = 1.06 mm
  19. 19. A= cosine of 45º X 1.5 (0.707 X 1.5 mm = 1.06 mm mesial 1.06 mm 45° 45° facial 1.06 mmguide post center
  20. 20. A= cosine of 45º X 1.5(0.707 X 1.5 mm = 1.06 mm
  21. 21. Fabrication of SURGICAL guide
  22. 22. palatal view1.5 mm offset guide post rotated 45º toward the mesial & facial.
  23. 23. Initial application of Triad® Gelto capture the cleats on the open guide sleeve to form the SURGICAL guide.
  24. 24. Additional Triad® Gel added to adjacent teeth
  25. 25. Final SURGICAL guide
  26. 26. SURGICAL guide (facial view)
  27. 27. POST-operative RESULTSInvivo5 Software AnalysisAnatomage
  28. 28. # 9 POST-OP RESULTS showing actual implant placement. axial plane cross sectional plane · bucco-lingual Invivo5 Anatomagetangential plane · mesio-distal 3D Volume
  29. 29. # 9 POST-OP results Axial Plane Greater accuracy in implant placement is achieved when the line representing the bucco-lingual plane is set at 90° to the buccal surface of the arch.Yellow line passing through the axis of the implant creates theview seen in the cross sectional view (next slide). virtual implant The markings on the concentric circles are 5 mm apart allowing measurements to be calculated. Dragging the yellow line in the software will change the cross sectional view as the line rotates about the axis of the implant. Invivo5 Anatomage
  30. 30. # 9 POST-OP results Cross Section (bucco-lingual) Yellow line passing through the axis of the implant. virtual implant superimposed over actual implant 5 mm grid intervals to allow measurements to be calculated. actual open guide sleeve Only one wall of Invivo5 Anatomageopen guide sleeve is visible.
  31. 31. # 9 POST-OP result Tangential (mesio-distal)virtual implantsuperimposed over 5 mm grid intervalsactual implant. to allow measurements to be calculated.actual guide sleeve Invivo5 Anatomage
  32. 32. Guide Right™ Products shown in this case 1 - 3/32” drill 1 - 3 mm X 30 mm Guide Post 1- 3 mm Guide Sleeve 1 - 3 mm x 1.5 mm Offset Magnetic Guide Post 1 - 3 mm Open Guide Sleeve Guide Post Bending Tool Triad® Gel 1.800.314.0065 • www.deplaque.com
  33. 33. A System of Componentsfor the fabrication and correction of diagnostic & surgical templates 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
  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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