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Simple Bend
       Requiring Correction in One Plane




                   Vacuform Shell
                   Offset Guide Posts
                   Open Guide Sleeves
                   Evaluation using Invivo5 software
                                     Anatomage




Oakl
Fabrication of DIAGNOSTIC Guide
Cast is made of the patient
Vacuform shell on cast made with drilled holes exiting the incisal edge
        Indicating the preferred axis holes for the implants.
Vacuform shell with holes removed from the cast.
The vacuform shell is placed on a cast with missing teeth.
     Proposed sites are marked on the cast in black.
Holes are drilled through the plastic shell into the marked spots with 3/32” drills.
The vacuform shell can be removed and drills are placed back in the holes.
Another view of the alignment of the drills.
The drills are removed and replaced with three short 3 mm guide posts.
3 mm straight guide sleeves are placed on the guide
posts with cleats positioned on the palatal surface.
Another vacuform shell is made capturing the guide sleeves on the short
guide posts. This DIAGNOSTIC guide is used for the cone beam imaging
A final vacuform with just the 3 guide sleeves indicating the
DIAGNOSTIC guide is ready for the Cone beam X-ray
Invivo5
 Anatomage
Pre-op Software Evaluation
#6 Alignment of the Guide Sleeve

                 ▪ Indication: 7º correction ▪

       axial                                         cross sectional




                                       Invivo5
                                      Anatomage




       tangential view                                    volumetric

Cone beam image showing alignment of the guide sleeve in the #6 position.
                A 7º correction is needed for this site.
#6




   Invivo5               tangential view


                         FIRST
The guide sleeve has been lined up with the virtual implant.
8°




# 6 site ▪ 2 mm offset guide post ▪ 8° bend
actual 3.0 X 2.0 mm offset guide post placed on image
                               ▪ 8º correction ▪

computer image cross sectional view # 6




Invivo5                              actual offset guide post placed on virtual image
The angular correction visualized by placing the guide post over the cone beam image.
# 8 Pre-op Software Evaluation
▪ initial guide sleeve alignment in 2 planes ▪


axial                               cross sectional




                        Invivo5
                       Anatomage




tangential                               volumetric
# 8 Pre-op Software Evaluation
   ▪ Indication: ANGULAR CORRECTION 8º to the buccal ▪
       axial                                          cross sectional




                                       Invivo5
                                      Anatomage




       tangential                                          volumetric

Cone beam image showing alignment of the guide sleeve in the # 8 position.
# 8 close up
  #8
▪ Indication: ANGULAR CORRECTION 8º to the buccal ▪




Invivo5             cross sectional
The#guide sleeve has been lined up with the virtual implant
    8
               NO CORRECTION NEEDED




 Invivo5               tangential view
9°




# 8 site ▪ 9° bend
Invivo5
                   actual 3 mmAnatomageguide post
                                bent
          placed on software image to verify 9º correction

computer image cross sectional view   #8




Invivo5                                    actual bent guide post placed on virtual image
#10 alignment of the 3 mm open guide sleeve

       ▪ indicating 7º angular correction ▪

occlusal                              cross sectional




                          Invivo5
                           Invivo5
                          Anatomage
                          Anatomage




tangential view                            volumetric
#10




Invivo5


                         FIRST
The guide sleeve has been lined up with the virtual implant.
7°




#10 site ▪ correction requiring 7° bend is made using bending tool
Invivo5
                      actual 3 mm guide post
#10                             Anatomage
          placed on software image to verify 7º correction


computer image cross sectional view




Invivo5                               actual guide post placed on virtual image
Fabrication of SURGICAL Guide


       Magnetic Guide Posts
       Open Guide Sleeves
Corrected 3.0 mm magnetic guide posts inserted in cast.
    2.0 mm offset position is visible in # 6 position.
Three 3 mm open guide sleeves are placed.
Completed SURGICAL guide.
Implant carrier in position # 6 site
Implant carrier in position # 8 site
Implant carriers in position #10 site
#6     #8           # 10

     Final X-rays
Restoration
Guide Right™
      Products shown in this case

        3 - 3/32” drill
        3 - 3 mm Guide Post
        3 - 3 mm Guide Sleeve
        1 – 3 X 2.0 mm Offset Magnetic Guide Post
        3 - 3 mm Open Guide Sleeve
        Triad® Gel
        Generation ll Bending Tool

         1.800.314.0065    •   www.deplaque.com


DWY
Open Magnetic Guide Sleeve sets
   3.0 mm x 5.0 mm Open Guide Sleeve (short)
   3.0 mm x 8.0 mm Open Guide Sleeve (long)
   3.0 mm Magnetic Guide Post Straight
   3.0 mm x 1.0 mm Offset Magnetic Guide Post
   2.0 mm x 8.5 mm Pilot Drills
   2.0 mm x10.0 mm Pilot Drill


   4.0 mm x 5.0 mm Open Guide Sleeve (short)
   4.0 mm x 8.0 mm Open Guide Sleeve (long)
   4.0 mm Magnetic Guide Posts Straight
   4.0 mm x 1.0 mm Offset Magnetic Guide Post
   2.0 x 5.0 mm Pilot Drill
   2.0 x 10.0 mm Pilot Drill
Magnetic 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 2.0 mm os
 3.0 od X 3.0 mm os
Guide Right™
              Generation ll Bending Tool


                                               10 ° example




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

Close up of Offset Guide Posts in bending block
Guide Right™
Products shown in this case

 3/32” Drills
   3 mm Guide Posts (short)
   3 mm Guide Sleeves
   3 mm X 2.0 mm Offset Magnetic Guide Post
   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
Guide Right™
                 GENERATION II 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.
Guide Right™
                 GENERATION II 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.
Guide Right™             by DéPlaque


Start With Precision. Place With Confidence. ™




     1.800.314.0065   •   www.deplaque.com

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21 simple bend requiring correction in 2 planes

  • 1. Simple Bend Requiring Correction in One Plane  Vacuform Shell  Offset Guide Posts  Open Guide Sleeves  Evaluation using Invivo5 software Anatomage Oakl
  • 3. Cast is made of the patient
  • 4. Vacuform shell on cast made with drilled holes exiting the incisal edge Indicating the preferred axis holes for the implants.
  • 5. Vacuform shell with holes removed from the cast.
  • 6. The vacuform shell is placed on a cast with missing teeth. Proposed sites are marked on the cast in black.
  • 7. Holes are drilled through the plastic shell into the marked spots with 3/32” drills.
  • 8. The vacuform shell can be removed and drills are placed back in the holes.
  • 9. Another view of the alignment of the drills.
  • 10. The drills are removed and replaced with three short 3 mm guide posts.
  • 11. 3 mm straight guide sleeves are placed on the guide posts with cleats positioned on the palatal surface.
  • 12. Another vacuform shell is made capturing the guide sleeves on the short guide posts. This DIAGNOSTIC guide is used for the cone beam imaging
  • 13. A final vacuform with just the 3 guide sleeves indicating the DIAGNOSTIC guide is ready for the Cone beam X-ray
  • 15. #6 Alignment of the Guide Sleeve ▪ Indication: 7º correction ▪ axial cross sectional Invivo5 Anatomage tangential view volumetric Cone beam image showing alignment of the guide sleeve in the #6 position. A 7º correction is needed for this site.
  • 16. #6 Invivo5 tangential view FIRST The guide sleeve has been lined up with the virtual implant.
  • 17. 8° # 6 site ▪ 2 mm offset guide post ▪ 8° bend
  • 18. actual 3.0 X 2.0 mm offset guide post placed on image ▪ 8º correction ▪ computer image cross sectional view # 6 Invivo5 actual offset guide post placed on virtual image The angular correction visualized by placing the guide post over the cone beam image.
  • 19. # 8 Pre-op Software Evaluation ▪ initial guide sleeve alignment in 2 planes ▪ axial cross sectional Invivo5 Anatomage tangential volumetric
  • 20. # 8 Pre-op Software Evaluation ▪ Indication: ANGULAR CORRECTION 8º to the buccal ▪ axial cross sectional Invivo5 Anatomage tangential volumetric Cone beam image showing alignment of the guide sleeve in the # 8 position.
  • 21. # 8 close up #8 ▪ Indication: ANGULAR CORRECTION 8º to the buccal ▪ Invivo5 cross sectional
  • 22. The#guide sleeve has been lined up with the virtual implant 8 NO CORRECTION NEEDED Invivo5 tangential view
  • 23. 9° # 8 site ▪ 9° bend
  • 24. Invivo5 actual 3 mmAnatomageguide post bent placed on software image to verify 9º correction computer image cross sectional view #8 Invivo5 actual bent guide post placed on virtual image
  • 25. #10 alignment of the 3 mm open guide sleeve ▪ indicating 7º angular correction ▪ occlusal cross sectional Invivo5 Invivo5 Anatomage Anatomage tangential view volumetric
  • 26. #10 Invivo5 FIRST The guide sleeve has been lined up with the virtual implant.
  • 27. 7° #10 site ▪ correction requiring 7° bend is made using bending tool
  • 28. Invivo5 actual 3 mm guide post #10 Anatomage placed on software image to verify 7º correction computer image cross sectional view Invivo5 actual guide post placed on virtual image
  • 29. Fabrication of SURGICAL Guide  Magnetic Guide Posts  Open Guide Sleeves
  • 30. Corrected 3.0 mm magnetic guide posts inserted in cast. 2.0 mm offset position is visible in # 6 position.
  • 31. Three 3 mm open guide sleeves are placed.
  • 33. Implant carrier in position # 6 site
  • 34. Implant carrier in position # 8 site
  • 35. Implant carriers in position #10 site
  • 36. #6 #8 # 10 Final X-rays
  • 38. Guide Right™ Products shown in this case  3 - 3/32” drill  3 - 3 mm Guide Post  3 - 3 mm Guide Sleeve  1 – 3 X 2.0 mm Offset Magnetic Guide Post  3 - 3 mm Open Guide Sleeve  Triad® Gel  Generation ll Bending Tool 1.800.314.0065 • www.deplaque.com DWY
  • 39. Open Magnetic Guide Sleeve sets  3.0 mm x 5.0 mm Open Guide Sleeve (short)  3.0 mm x 8.0 mm Open Guide Sleeve (long)  3.0 mm Magnetic Guide Post Straight  3.0 mm x 1.0 mm Offset Magnetic Guide Post  2.0 mm x 8.5 mm Pilot Drills  2.0 mm x10.0 mm Pilot Drill  4.0 mm x 5.0 mm Open Guide Sleeve (short)  4.0 mm x 8.0 mm Open Guide Sleeve (long)  4.0 mm Magnetic Guide Posts Straight  4.0 mm x 1.0 mm Offset Magnetic Guide Post  2.0 x 5.0 mm Pilot Drill  2.0 x 10.0 mm Pilot Drill
  • 40. Magnetic 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 2.0 mm os  3.0 od X 3.0 mm os
  • 41. Guide Right™ Generation ll Bending Tool 10 ° example For more information on use of the bending tool go to www.deplaque.com ▪ Guide Right™ Generation ll Bending Tool
  • 42. Guide Right™ Generation ll Bending Tool Close up of Offset Guide Posts in bending block
  • 43. Guide Right™ Products shown in this case  3/32” Drills  3 mm Guide Posts (short)  3 mm Guide Sleeves  3 mm X 2.0 mm Offset Magnetic Guide Post  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
  • 44. Guide Right™ GENERATION II 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.
  • 45. Guide Right™ GENERATION II 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.
  • 46. Guide Right™ by DéPlaque Start With Precision. Place With Confidence. ™ 1.800.314.0065 • www.deplaque.com