CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service for advanced 3D planning and guided surgery of dental implants

1. CrystalGuide – the flat feesurgical guide No matterhowmany implants per arch – flat fee of $350 forpremiumservice Dr. Michael Gross Implantologist and internationallecturer Scientificconsultantfor dental implantindustry

2. Lectureprogram Classicprotocol : dual scantechnique Guided surgery and immediateloading Simplifiedinstrumentationforexpandedindication Triple scantechnique and case scenarios Clinicalsupport and education

3. Lectureprogram Classicprotocol : dual scantechnique Guided surgery and immediateloading Simplifiedinstrumentationforexpandedindication Triple scantechnique and case scenarios Clinicalsupport and education

4. 3D Scan of patient bone wearing radiographic denture with x-ray markers 3D scan of radiographic denture alone and alignment on 3D scan of patient bone 3D planning with visualization of radiographic denture

5. Precise 3D planning of position and angulation of implants and guide pins 3D relation between planned implant positions and radiographic denture File transfer over internet of planning data Fabrication of surgical guide converting radiographic denture

10. Radiographic markers in denture included with guttapercha or Cavit

21. Lectureprogram Classicprotocol : dual scantechnique Guided surgery and immediateloading Simplifiedinstrumentationforexpandedindication Triple scantechnique and case scenarios Clinicalsupport and education

22. Guided surgery and immediateloading Dual scanprotocolwasdevelopedforedentulous cases withimmediateloading Promotedforteeth-in-a-daywithprefabricatedrestoration Thisrequiresimplantplacementoversurgical guide and thereforetitaniumsleeves in surgical guide Thisrequiresdevelopment of guided surgery kit withmanycomponents – costs – Ifnotallplanned implants haverequiredprimarystability, prefabricatedrestorationisuseless

23. Lectureprogram Classicprotocol : dual scantechnique Guided surgery and immediateloading Simplifiedinstrumentationforexpandedindication Triple scantechnique and case scenarios Clinicalsupport and education

24. Simplifiedinstrumentationforexpandedindication Reducedinstrumentationforcompatibility Eliminatingtheneed of implantspecificsurgical guide kit – universal guidance of 2mm and 3 mm drillwithdepth stop Eliminatingtheneed of titaniumsleeves – use of titaniumdrill guide handle 2mm and 3mm whichisintroduced in surgical guide Thisexpandsindicationbecausecollision of titaniumsleeveswithcloseorinclinated implants iseliminated In extremelynarrowsituations use of 2mm guide sleevesfor use with 2mm drills

25. Simplifiedinstrumentationforexpandedindication Reducedinstrumentationforcompatibility Total inventoryneeded: 1 drill guide handle 2mm / 3mm 1 drill 2mm short withdepth stop 1 drill 2mm long with depth stop 1 drill 3mm short with depth stop 1 drill 3mm long with depth stop Costs: total only 700 US$ including shipping

26. Lectureprogram Classicprotocol : dual scantechnique Guided surgery and immediateloading Simplifiedinstrumentationforexpandedindication Triple scantechnique and case scenarios Clinicalsupport and education

27. Triple scantechnique Most of implant cases are partiallyedentulous Radiographicpartialdenturefor dual scan has disadvantages Fixationon residual teethpoorifnot extended overthem Visibility of residual teethcompromisedifcoveringthem Gingival contour of neighboringteeth and edentulousareas can only be estimated as underside of denture

28. Triple scantechnique Solutionforpartialedentulous cases CT or CBCT scan of patientwithoutanyappliance in open occlusion Opticalscan of master cast (can be modified and imported at any time after CT or CBCT) Optical scan of master cast with diagnostic wax-up (can be modified and imported at any time after CT or CBCT) Alignment of both optical scans with 3D model of bone

29. Triple scantechnique Solution for partial edentulous cases Implants can be backward-planned on cast with diagnostic wax-up with visualization of available bone, excellent details of teeth and soft tissue Relation of implant and soft tissue depth can be verified with visualization of master cast without wax-up, excellent details of teeth and soft tissue Relation of implant to crestal bone can be verified with visualization of bone without cast Fabrication of tooth-supported surgical guide over master cast without wax-up

31. Dual scantechnique Indicationfortotallyedentulous cases

32. Dual scantechnique Indicationfortotallyedentulous cases

33. Dual scantechnique Indicationfortotallyedentulous cases

34. Dual scantechnique Indicationfortotallyedentulous cases

35. Dual scantechnique Indicationfortotallyedentulous cases

36. Dual scantechnique appliedforpartiallyedentulous cases

37. Dual scantechnique appliedforpartiallyedentulous cases

38. Dual scantechnique appliedforpartiallyedentulous cases

39. Dual scantechnique appliedforpartiallyedentulous cases

40. Dual scantechnique appliedforpartiallyedentulous cases

41. Dual scantechnique appliedforpartiallyedentulous cases

42. Triple scantechnique appliedforpartiallyedentulous cases

43. Triple scantechnique appliedforpartiallyedentulous cases

44. Triple scantechnique Implants plannedonwax-up cast

45. Triple scantechnique Implants relationtosofttissue

46. Triple scantechnique Implants relationtobone

47. Triple scantechnique Tooth-supportedsurgical guide

48. Triple scantechnique Extraction case, modifiedcast

49. Triple scantechnique Extraction case, modifiedcast

50. Triple scantechnique Extraction case, modifiedcast

51. Triple scantechnique Extraction case, angulationneededbecause of proximitycanalisincisivus

52. Triple scantechnique Extraction case, would be collisionwith master sleeves, no problemwithdrill guide handle

53. Triple scantechnique Multiplechangesoncastafter CT scan, extractions and rootcanals done, plannedextractions

54. Triple scantechnique Multiplechangesoncastafter CT scan, extractions and rootcanals done, plannedextractions

55. Triple scantechnique Multiplechangesoncastafter CT scan, extractions and rootcanals done, plannedextractions

56. Triple scantechnique Multiplechangesoncastafter CT scan, extractions and rootcanals done, plannedextractions

57. Triple scantechnique Multiplechangesoncastafter CT scan, extractions and rootcanals done, plannedextractions

58. 2 mm guide multipleextraction case withtooth-supported guide over 3 teeth as strategicsupport

71. Lectureprogram Classicprotocol : dual scantechnique Guided surgery and immediateloading Simplifiedinstrumentationforexpandedindication Triple scantechnique and case scenarios Clinicalsupport and education

72. Clinicalsupport CrystalGuide– flat fee complete servicefor 3D planning and fabrication of surgicalguides withfastturnaround time (3 days) Providesurgicalinstruments at low-cost Online helpwith skype and teamviewer Simple data transfer overdropbox No physicalshippingneeded Free premiumplanningand viewingsoftware

73. Clinicalsupport CrystalGuide- Complete servicefor 3D planning and fabrication of surgicalguides at flat fee of $350 Turn-around time for guide fabrication3 businessdaysafter final approval of planning Secure online paymentoverPayPal

74. Clinicalsupport CrystalGuide- Complete servicefor 3D planning and fabrication of surgical guides Youalready are using a guided surgery kit foryourimplantbrand – weindividualizeyour software and adapttoit You are new to guided surgery – weprovide universal guided surgerytoolsforguiding up to 3mm drills, final sitepreparationwithyourimplant kit

75. Contact: Dr. Michael Gross CrystalGuide www.crystalguide.us dds.michael.gross@gmail.com