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. Guide Right™
Immediate Placement ■ Immediate Load
Linear & Angular Corrections
Featuring
CROSS SECTION of CAST
FABRICATION of
DIAGNOSTIC Guide: straight guide posts · ceramic guide sleeves
SURGICAL Guide: magnetic offset guide post · open guide sleeve
COMPARING: GALAXIS & Invivo5 Software Evaluations
Anatomage
SMIT 3..2013

2. Fabrication of DIAGNOSTIC GUIDE
Using:
 3 X 30 mm straight guide posts

 3 mm cylindrical ceramic guide sleeve

3. An impression was taken and a cast was made
with the existing deciduous tooth in place
#11
A cast is made of patient to replace A hole is drilled through the deciduous
the deciduous maxillary left cuspid. tooth with a 3/32” drill.

4. The deciduous tooth was removed from A ceramic guide sleeve is placed
the cast leaving the previously drilled hole. on the 3 mm guide post.
A 3 mm x 30 mm guide post is placed in the
hole in the cast.

5. #11
Triad® Gel was used to capture the cleat on the ceramic guide sleeve and
adjacent teeth to fabricate the DIAGNOSTIC guide. It is now ready to be
securely seated in the patient for the cone beam X-ray so that the long axis
of the proposed osteotomy can be evaluated.

6. PREview of Pre-op Corrections
#11
LINEAR CORRECTION
1st : 1 mm toward the buccal
2nd: 1 mm toward the distal
Accomplished by using a 1.5 mm offset guide post rotated 45° in the
bending tool block
ANGULAR CORRECTION
10° toward the distal
Cosine is applied to determine correction data.
See slide show:
Pythagorean Theorem: COSINE Calculations for Guide Right™ Guides

7. PRE-OPERATIVE
GALAXIS
Cone Beam Images
Software Calculations

8. Yellow planned axis of guide sleeves Green: ideal axis of virtual implant in bone.
cross sectional view tangential view
#11
A better position appears to be a 21° angular correction The mesio-distal axis can also be
toward the buccal with linear movement of the guide sleeve corrected 10° - 11° toward the distal
1.5 mm toward the buccal from the present axis of the according to the image.
ceramic guide sleeve in the DIAGNOSTIC guide.

9. Magnetic Offset Guide Post
3.0 X 1.5 offset

10. Preparing for 1st BEND
A 1.5 mm offset guide post is placed in the bending tool. The offset
positioned toward the buccal is rotated in the bending tool block with the
depression mark positioned toward the right.

11. 1st BEND
The stylus is placed over the guide post and bent 20° - 21°
which will reposition the guide sleeve angle
away from the apex of the adjacent distal tooth.

12. 2nd BEND
The slide support bar is positioned beneath the stylus
to maintain the 20° angle of the 1st bend.
The 2nd bend will be 10° toward the distal
to avoid hitting the root of the distal tooth.

13. Fabrication of SURGICAL Guide
Illustrated with cross-sectioned models

14. The DIAGNOSTIC guide sleeve shows
the original planned axis of the DIAGNOSTIC SLEEVE

15. Cast showing the guide removed

16. Straight magnetic guide post in place first.

17. 1.5 mm offset magnetic guide post with 20° bend toward the buccal

18. Facial view of 20° corrected 1.5 mm magnetic offset guide post
bent toward the buccal with open guide sleeve.

19. Occlusal / axial view of corrected guide post and sleeve in actual case model.

20. Fabrication of the SURGICAL Guide

21. Triad® Gel has been added to capture the cleat on the ceramic
guide sleeve & adjacent teeth to fabricate the SURGICAL guide.

22. #10 Evaluation using: Invivo5
Anatomage
SOFTWARE

23. #10
▪ Virtual implant initial alignment ▪
axial cross section
Invivo5
Anatomage
tangential volumetric

24. #10
▪ Applying the grid allows you to make more accurate measurements ▪
axial cross section
Invivo5
Anatomage
tangential volumetric

25. 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

26. #11
21º ANGULAR CORRECTION toward the facial
► measured with the Invivo5 software angle tool ◄
axial cross sectional
Invivo5
Anatomage
tangential volumetric

27. #11
ANGULAR CORRECTION: 21º bend toward the distal
cross sectional view
Invivo5
Anatomage

28. #11
RETURN TO THE INITIAL ALIGNMENT
► to make angle change in next plane ◄
Invivo5
Anatomage
tangential view evaluation

29. #11
ANGULAR CORRECTION: 10º bend toward the distal
tangential view
Invivo5
Anatomage

30. Magnetic Offset Guide Post
3.0 X 1.5 offset

31. A 1.5 mm offset guide post is placed in the bending tool. The offset post
which will be toward the buccal is rotated in the bending tool with the
depression toward the right.

32. The stylus is placed over the guide post and bent 20° which will reposition
the guide sleeve angle away from the apex of the adjacent distal tooth.

33. The slide support bar is positioned beneath the stylus to maintain
The 20° angle of the first bend. The 2nd bend will be 10° toward the distal
to avoid hitting the root of the distal tooth.

34. REview of Pre-op Corrections
#11
LINEAR CORRECTION
1st : 1 mm toward the buccal
2nd: 1 mm toward the distal
Accomplished by:
using a 1.5 mm offset post rotated 45° in the bending tool block
ANGULAR CORRECTION
10° toward the distal
Cosine is applied to determine correction data.
See slide show:
Pythagorean Theorem: COSINE Calculations for Guide Right™ Guides

35. Immediately placed temporary restoration

36. Guide Right™
GUIDE POST BENDING TOOL
SINGLE BEND review
Step 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.

37. Guide Right™
GUIDE POST BENDING TOOL
COMPOUND BEND overview
Step 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.

38. Guide Right™
Products shown in this case
 1 - 3/32” drill
 1 - 3 X 30 mm Straight Guide Posts
 1 - 3 mm Cylindrical Ceramic Guide Sleeves
 1 - 2 mm Guide Post
 1 - 3.0 X 1.5 offset Magnetic Offset Guide Post
 1 - 3 mm Open Guide Sleeve
 Guide Post Bending Tool
 Triad® Gel
1.800.314.0065 • www.deplaque.com

39. A System of Components
for the fabrication and correction of
diagnostic & surgical guide
in two or three 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

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