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.

1. Using 3 mm Implants in Narrow Spaces
ANGULAR & LINEAR CORRECTIONS
 3 Implants #7 ▪ #10 ▪ #11
 Magnetic Guide Posts & Open Sleeves
 Generation ll ▪ Guide Post Bending Tool
 Invivo5 Software Evaluation
Anatomage
QUATE 2.2013

2. DIAGNOSTIC Guide
fabrication not shown
The initial treatment plan was:
▪ to place a 3 mm implant in the #7 position
▪ to place a 4 mm implant in the #11 position
▪ with a mesial cantilever in the #10 position.
However a cantilever would not fit on a 3 mm implant.
Therefore 2 different size guide sleeves were used for
the final treatment plan.

3. `
Initial Treatment Plan
DIAGNOSTIC guide with two guide sleeves in proposed sites :
2 mm guide sleeve #7 site ▪ 3 mm guide sleeve #11 with mesial cantilever

4. Preview of Pre-op Corrections
#7
LINEAR CORRECTION
1 mm offset toward the buccal
#11
LINEAR CORRECTION
3 mm offset toward the buccal
ANGULAR CORRECTION
12° bend toward the distal

5. PRE OPERATIVE
Invivo5 Software Evaluation
Anatomage

6. #7 INITIAL ALIGNMENT
in 2 planes: mesio-distal & bucco-lingual
axial view cross sectional view
`
Invivo5
Anatomage
tangential view volumetric view

7. #7 LINEAR ALIGNMENT
axial view cross sectional view
`
Invivo5
Anatomage
tangential view volumetric view

8. #7 Virtual implant in position.
tangential view cross sectional view
Invivo5
Anatomage

9. #7 LINEAR CORRECTION
3 mm post X 1.5 mm offset correction toward the buccal required
cross sectional view
Invivo5
Anatomage

10. #7
`
1.5 mm offset
is measured & requires a 1.5 mm offset placement toward the buccal

11. `
3 mm X 1.5 mm Offset Magnetic Guide Post required for #7 buccal correction.

12. #10 ALIGNMENT
axial view cross sectional view
Invivo5
Anatomage
tangential view volumetric view

13. tangential view # 10 cross sectional view
# 10 did not initially have a guide sleeve in the DIAGNOSTIC guide because
originally a mesial cantilever was anticipated from the implant in the #11 position.
Invivo5
Anatomage

14. `
3 mm Straight Magnetic Guide Post for #10

15. #11 INITIAL ALIGNMENT
of virtual implant and guide sleeve
axial view cross sectional view
Invivo5
Anatomage
tangential view volumetric view

16. #11 LINEAR CORRECTION: 3 mm offset
ANGULAR CORRECTION: 12° bend toward the distal
axial view cross sectional view
Invivo5
Anatomage
tangential view volumetric view

17. #11 LINEAR CORRECTION
The guide post/sleeve must be moved 3 mm toward the buccal.
axial view cross sectional view
Invivo5
Anatomage
tangential view

18. #11 LINEAR CORRECTION
The guide post/sleeve must be moved 3 mm toward the buccal.
tangential view cross sectional view
3 mm offset guide post is required for correction
Invivo5
Anatomage

19. Understanding Invivo5 Grid Measurements
SOFTWARE GRID
 each square: 5 X 5 mm
 each side of the square: 5 mm
 center mark is 2.5 mm
tangential

20. #11 3 mm offset is measured using the Invivo5 software grid
`

21. #11 ANGULAR CORRECTION
12° bend toward the distal is needed.
Invivo5
Anatomage tangential view

22. `
A 3 mm offset guide post is required for #11 correction

23. `
12°
3 mm X 3 mm offset guide post bent 12° toward the distal

24. Fabrication of SURGICAL Guide
 Magnetic Guide Posts
 Open Guide Sleeves

25. 5.0 mm apart on center
`
Corrected Magnetic Guide Posts in cast
A hole was drilled at the #10 site parallel to #11 (5.0 mm apart on center).

26. `
Open Guide Sleeves placed on Magnetic Guide Posts
and positioned with cleats to the palatal.

27. `
Triad® Gel is added to form the SURGICAL guide in two sections

28. Review of Pre-op Corrections
#7
LINEAR CORRECTION
1.5 mm offset toward the buccal
#10
NO CORRECTION
#11
LINEAR CORRECTION
3 mm offset toward the buccal
ANGULAR CORRECTION
12° bend toward the distal

29. A direction indicator is used in #7 site to check alignment
after the 2 mm drill is used.

30. # 7 3mm X 13 mm implant placement.

31. `
2 mm direction indicator is placed in the #11 position

32. `
Final placement for implants in #10 and #11 positions.

33. `
Atlantis abutments are inserted.

34. `
Final restorations

35. Guide Right™
Products used in this presentation
1 - 3/32” Drill
1 – 2 mm Drill or #46 Drill
1 - 2 mm Guide Post
1 – 3 mm Guide Post
1 – 2 mm Guide Sleeve
1- 3 mm Guide Sleeve
1 - 3 mm Magnetic Guide Post
1 - 3 X 3.0 mm Offset Magnetic Guide Post
1 - 3 X 1.0 mm Offset Magnetic Guide Post
3 - 3 mm Open Guide Sleeve
Triad® Gel
Generation ll ▪ Guide Post Bending Tool
1.800.314.0065 • www.deplaque.com

36. A System of Components
for 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

37. DéPlaque
Guide Right™ Surgical Guide System
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
Start With Precision. Place With Confidence.™
1.800.314.0065 • www.deplaque.com