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™
Fibular Graft Case
Featuring:
 # 29 and #30
 3 mm Guide Posts
 3 mm Diagnostic Guide Sleeves
 3 mm Magnetic Guide Posts
 3.3 and 4 mm Open Guide Sleeves
 Generation ll / Guide Post Bending Tool
 Invivo5 Software Evaluation
Anatomage
KARLS

2. This patient had a section of the mandible removed & grafted
with a vascular fibular graft 2 years prior to implant placement.

3. Fabrication of DIAGNOSTIC Guide

4.  3/32” holes were drilled in the cast in the positions of the 2nd bicuspid and 1st molar.
 The cast was lubricated with petroleum jelly.
 Two straight 3 mm guide posts were placed in the openings.

5. 3 mm cylindrical guide sleeves were placed on the guide posts
with cleats positioned toward the lingual surface.

6. Triad® Gel was added & cured to capture the cleats& form the DIAGNOSTIC
guide which was placed in the patient and a cone beam X-ray was taken.

7. Pre-op
Invivo5
Anatomage
Software Evaluation

8. # 29
Initial Alignment
axial cross sectional
Invivo5
Anatomage
tangential volumetric
The DIAGNAOSTIC guide sleeves viewed in the cone beam images were evaluated.
[ axial, tangential and cross sectional views ]

9. # 29
8° angular correction to the mesial is necessary
axial cross sectional
Invivo5
Anatomage
tangential volumetric

10. # 29
▪ close-up showing 8° bend toward the mesial needed ▪
tangential
Invivo5
Anatomage

11. # 29
ANGULAR CORRECTION: 5 ° toward the lingual
LINEAR CORRECTION: 1 mm offset
axial cross sectional
Invivo5
Anatomage
tangential volumetric

12. # 29 cross section
tangential
5° angular correction 1 mm offset linear correction
Invivo5
Anatomage

13. # 30
Initial Alignment
axial cross sectional
Invivo5
Invivo5
Anatomage
Anatomage
tangential volumetric

14. # 30
Shows initial alignment is NOT cross sectional
GOOD
cross sectional view
Invivo5
Anatomage

15. # 30
4.8 mm X 10 mm Straumann Implant (virtual image)
1 mm offset guide post > 15° bend toward lingual
axial cross sectional
Invivo5
Anatomage
tangential volumetric

16. # 30 shows a 15° angular correction is necessary for the
guide sleeve to line up with the position of thecross sectional
virtual implant
tangential view
Invivo5
Anatomage

17. Guide Right™
Generation ll ▪ Guide Post Bending Tool
10 ° example
For more information on use of the bending tool go to
www.deplaque.com ▪ Guide Right™ Generation ll Bending Tool

18. Preview of Pre-op Corrections
#29 #30
LINEAR CORRECTION LINEAR CORRECTION
1 mm offset 1 mm offset
ANGULAR CORRECTION ANGULAR CORRECTION
1ST BEND: 8° toward the mesial 1 BEND: 15° toward lingual
2nd BEND: 5° toward the lingual
Cosine is applied to determine correction data.
* see next 3 slide

19. # 29
Guide post positioned in the bending tool
with offset positioned forward.

20. # 29
BEND
8° toward the mesial

21. The 1 mm offset guide post with an 8 mm correction is rotated 90°
and placed back in the bending tool for the second 5° bend toward lingual.

22. # 29 5° correction

23. # 30
stylus over 1 mm offset guide post bent 15° toward lingual

24. tangential view cross sectional view
# 29 # 29
8° lingual bend 1 mm offset
5 ° bend

25. Offset magnetic guide posts in cast

26. Buccal view of magnetic guide post with open guide sleeve

27. Fabrication of SURGICAL Guide

28. Triad® Gel added to open guide sleeves to form the SURGICAL guide.

29. SURGICAL Guide

30. Ramus plate must be avoided

31. Post-op
Invivo5
Anatomage
Software Verification

32. #29
Note: implant placement
with virtual implants positioned over actual implants
axial cross sectional
Invivo5
Anatomage
tangential volumetric

33. #30
Post-op Implant Placement
axial cross sectional
Invivo5
Anatomage
tangential volumetric

34. Custom impression coping due to the depth of the fixture

35. Peri-apical X-ray to confirm seating of impression coping.

36. Custom Atlantis Abutments

37. Final restoration in master cast

38. Restoration on master cast

39. Atlantis Abutments in place

40. Final restoration

41. Magnetic Offset Guide Posts
Straight
 3.0 mm od
Offset
 3.0 od X 0.5 mm os
 3.0 od X 1.0 mm os
 3.0 od X 1.5 mm os
 3.0 od X 2.0 mm os
 3.0 od X 2.5 mm os
 3.0 od X 3.0 mm os

42. Guide Right™
Products shown in this case
 3/32” Drill
 3 mm Guide Posts
 3 mm Diagnostic Guide Sleeves
 3 mm Magnetic guide posts
 3.3 mm Open Guide sleeves
 4 mm Open Guide Sleeves
 1.0 mm Offset Magnetic Guide Sleeve
 Triad® Gel
1.800.314.0065 • www.deplaque.com

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