5 single implant case osteotomy prgression in open guide sleeves

SINGLE IMPLANT CASE Osteotomy Progression in Open Guide Sleeves

Featuring

3 x1 mm Magnetic Offset Guide Post

Open Guide Sleeve

Utilizing Cosine Rule

Generation ll Bending Tool

GALAXIS Software Evaluaton

Invivo5 Software Evaluation

Drill series in SURGICAL Guide

TUIT

# 23

Fabrication of DIAGNOSTIC Guide

A 3/32” hole is drilled in the cast

Buccal view

Generation ll straight guide post

showing 4 flat sides & marker dot. 2 mm guide post

2 mm guide sleeve

A 2 mm guide post with 2 mm guide sleeve (used in narrow spaces)

is placed in the hole.

Triad® Gel was added to capture the cleats of the guide sleeve

to form the DIAGNOSTIC guide

GALAXIS Cone Beam Images

PRE-operative Evaluation

#23 Panoramic view GALAXIS

cross sectional view indications

necessary to correctly place implant

# 23

GALAXIS

virtual implant should be repositioned 1 mm toward the lingual

& positioned in the center of the bone

axis should be bent toward the lingual

NOTE: distance between yellow & green

lines = angular correction of 20°

Close up

Tangential View Indications:

Implant could be repositioned 6°

Angle bent toward the mesial (left)

Implant centered between the

roots of the adjacent teeth

6° angular correction is necessary

to correctly place implant

# 23

GALAXIS

Software

PRE-operative Evaluation

Invivo5 Anatomage

# 23

ALIGNMENT of guide sleeve with long axis of implant

FIRST BEND 20° correction to the lingual

cross sectional (bucco-lingual)

tangential (mesio-distal) volumetric

axial # 23

Invivo5 Anatomage

Evaluation Plane : yellow line

which should be (is) a bucco-lingual orientation

axial view

Invivo5 Anatomage

# 23

Explanation re: Evaluation Plane see slide show ►

“Use of Pythagorean Theorem #9 Single Implant Case” slide # 27

ALIGNMENT (bucco-lingual)

Indication: 20° Angular Correction to the Lingual is needed

cross sectional view

For FIRST BEND

Invivo5 Anatomage

An angle is measured

by intersection of the line

passing thru the long axis

of the implant and the long

axis of the guide sleeve.

In this case, 20°

3 mm magnetic guide post with 1.0 mm offset in bending block to be bent 20°

Initially, the stylus over the unbent offset guide post should point to zero.

FIRST BEND: 20º

cross sectional

tangential volumetric image

axial

Invivo5 Anatomage

ALIGNMENT (mesio-distal)

SECOND BEND 6° Angular Correction

# 23

# 23 PRE-OP ALIGNMENT

axial view

Indication: 6° Angular Correction Necessary

Invivo5 Anatomage

Indication: 6° Correction toward Mesial is needed

tangential view

# 23 Pre-op

For SECOND BEND

Invivo5 Anatomage

# 23 Pre-op

Guide Post needs 6° Angular Correction to the Mesial

cross sectional view Invivo5 Anatomage

SECOND BEND: 6°

Generation ll (4 sided lower portion of post)

3 mm X 1 mm offset

Magnetic Offset Guide Post

with

20º bend toward the lingual

6º bend toward the mesial

Corrected

3 mm X 1 mm offset magnetic guide post

with open guide sleeve

Fabrication of Surgical Guide

Bent 1 mm offset guide post in cast

3 mm open guide sleeve positioned over 3 mm x 1 mm offset post

with cleats to the lingual.

SURGICAL Guide

with corrected offset magnetic guide post

SURGICAL guide in place with initial 2 mm drill

Periapical X-ray

with DIAGNOSTIC guide post to check the placement.

2 mm drill

2.5 mm drill

Implant carrier

Cover screw

Final placement

Guide Right™

Products shown in this case

1 - 3/32” drill

1 - 2 mm Guide Post

1 - 2 mm Guide Sleeve

1 - 3 mm X 1 mm offset Magnetic Offset Guide Post

1 - 3 mm Open Guide Sleeve

Generation ll ▪ Guide Post Bending Tool

Triad® Gel

1.800.314.0065 • www.deplaque.com

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 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 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 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.

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.

Guide Right™

GENERATION II ▪ GUIDE POST BENDING TOOL

SINGLE BEND review

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 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 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.

Step 3 The set screw is loosened and the guide post is rotated 90 ° next flat surface.

Step 2 The 1st bend can be made to the right or left direction.

Step 6 The second bend can be made in either direction according to the x-ray.

Guide Right™

GENERATION II ▪ GUIDE POST BENDING TOOL

A System of Components

for the fabrication and correction of diagnostic & surgical guide

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

Start With Precision. Place With Confidence.

1.800.314.0065 • www.deplaque.com

Guide Right™ by DéPlaque