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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.
Citation preview
Simple Bend Requiring Correction in One Plane
Oakl
Invivo5 Anatomage
Vacuform Shell
Offset Guide Posts
Open Guide Sleeves
Evaluation using software
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
Cone beam image showing alignment of the guide sleeve in the #6 position.
A 7º correction is needed for this site.
Invivo5 Anatomage
#6 Alignment of the Guide Sleeve
▪ Indication: 7º correction ▪
axial cross sectional
tangential view volumetric
FIRST
The guide sleeve has been lined up with the virtual implant.
# 6
Invivo5 tangential view
# 6 site ▪ 2 mm offset guide post ▪ 8° bend
8°
actual 3.0 X 2.0 mm offset guide post placed on image
▪ 8º correction ▪
The angular correction visualized by placing the guide post over the cone beam image.
computer image cross sectional view
actual offset guide post placed on virtual image
# 6
Invivo5
Invivo5
Anatomage
axial cross sectional
tangential volumetric
# 8 Pre-op Software Evaluation
▪ initial guide sleeve alignment in 2 planes ▪
Cone beam image showing alignment of the guide sleeve in the # 8 position.
Invivo5 Anatomage
# 8 Pre-op Software Evaluation
▪ Indication: ANGULAR CORRECTION 8º to the buccal ▪
axial cross sectional
tangential volumetric
cross sectional Invivo5
# 8
# 8 close up
▪ Indication: ANGULAR CORRECTION 8º to the buccal ▪
Invivo5
# 8
The guide sleeve has been lined up with the virtual implant
NO CORRECTION NEEDED
tangential view
# 8 site ▪ 9° bend
9°
Invivo5
Anatomage
# 8 computer image cross sectional view
actual bent guide post placed on virtual image Invivo5
actual 3 mm bent guide post
placed on software image to verify 9º correction
Invivo5 Anatomage
▪ indicating 7º angular correction ▪
occlusal cross sectional
tangential view volumetric
Invivo5
Anatomage
#10 alignment of the 3 mm open guide sleeve
FIRST
The guide sleeve has been lined up with the virtual implant.
#10
Invivo5
#10 site ▪ correction requiring 7° bend is made using bending tool
7°
Invivo5
Anatomage
actual 3 mm guide post
placed on software image to verify 7º correction #10
computer image cross sectional view
actual guide post placed on virtual image Invivo5
Magnetic Guide Posts
Open Guide Sleeves
Fabrication of SURGICAL Guide
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
Final X-rays
# 8 # 10 # 6
Restoration
Guide Right™
Products shown in this case
DWY
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
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
For more information on use of the bending tool go to
www.deplaque.com ▪ Guide Right™ Generation ll Bending Tool
10 ° example
Close up of Offset Guide Posts in bending block
Guide Right™
Generation ll Bending Tool
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
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 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 BENDING TOOL
1.800.314.0065 • www.deplaque.com
Start With Precision. Place With Confidence. ™
Guide Right™ by DéPlaque