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Simple Bend Requiring Correction in One Plane Oakl I nvi vo5 Anatomage Vacuform Shell Offset Guide Posts Open Guide Sleeves Evaluation using software

21 simple bend requiring correction in 2 planes

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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.

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Page 1: 21 simple bend requiring correction in 2 planes

Simple Bend Requiring Correction in One Plane

Oakl

Invivo5 Anatomage

Vacuform Shell

Offset Guide Posts

Open Guide Sleeves

Evaluation using software

Page 2: 21 simple bend requiring correction in 2 planes

Fabrication of DIAGNOSTIC Guide

Page 3: 21 simple bend requiring correction in 2 planes

Cast is made of the patient

Page 4: 21 simple bend requiring correction in 2 planes

Vacuform shell on cast made with drilled holes exiting the incisal edge

Indicating the preferred axis holes for the implants.

Page 5: 21 simple bend requiring correction in 2 planes

Vacuform shell with holes removed from the cast.

Page 6: 21 simple bend requiring correction in 2 planes

The vacuform shell is placed on a cast with missing teeth.

Proposed sites are marked on the cast in black.

Page 7: 21 simple bend requiring correction in 2 planes

Holes are drilled through the plastic shell into the marked spots with 3/32” drills.

Page 8: 21 simple bend requiring correction in 2 planes

The vacuform shell can be removed and drills are placed back in the holes.

Page 9: 21 simple bend requiring correction in 2 planes

Another view of the alignment of the drills.

Page 10: 21 simple bend requiring correction in 2 planes

The drills are removed and replaced with three short 3 mm guide posts.

Page 11: 21 simple bend requiring correction in 2 planes

3 mm straight guide sleeves are placed on the guide

posts with cleats positioned on the palatal surface.

Page 12: 21 simple bend requiring correction in 2 planes

Another vacuform shell is made capturing the guide sleeves on the short

guide posts. This DIAGNOSTIC guide is used for the cone beam imaging

Page 13: 21 simple bend requiring correction in 2 planes

A final vacuform with just the 3 guide sleeves indicating the

DIAGNOSTIC guide is ready for the Cone beam X-ray

Page 14: 21 simple bend requiring correction in 2 planes

Invivo5

Anatomage

Pre-op Software Evaluation

Page 15: 21 simple bend requiring correction in 2 planes

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

Page 16: 21 simple bend requiring correction in 2 planes

FIRST

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

# 6

Invivo5 tangential view

Page 17: 21 simple bend requiring correction in 2 planes

# 6 site ▪ 2 mm offset guide post ▪ 8° bend

Page 18: 21 simple bend requiring correction in 2 planes

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

Page 19: 21 simple bend requiring correction in 2 planes

Invivo5

Anatomage

axial cross sectional

tangential volumetric

# 8 Pre-op Software Evaluation

▪ initial guide sleeve alignment in 2 planes ▪

Page 20: 21 simple bend requiring correction 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

Page 21: 21 simple bend requiring correction in 2 planes

cross sectional Invivo5

# 8

# 8 close up

▪ Indication: ANGULAR CORRECTION 8º to the buccal ▪

Page 22: 21 simple bend requiring correction in 2 planes

Invivo5

# 8

The guide sleeve has been lined up with the virtual implant

NO CORRECTION NEEDED

tangential view

Page 23: 21 simple bend requiring correction in 2 planes

# 8 site ▪ 9° bend

Page 24: 21 simple bend requiring correction in 2 planes

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

Page 25: 21 simple bend requiring correction in 2 planes

Invivo5 Anatomage

▪ indicating 7º angular correction ▪

occlusal cross sectional

tangential view volumetric

Invivo5

Anatomage

#10 alignment of the 3 mm open guide sleeve

Page 26: 21 simple bend requiring correction in 2 planes

FIRST

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

#10

Invivo5

Page 27: 21 simple bend requiring correction in 2 planes

#10 site ▪ correction requiring 7° bend is made using bending tool

Page 28: 21 simple bend requiring correction in 2 planes

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

Page 29: 21 simple bend requiring correction in 2 planes

Magnetic Guide Posts

Open Guide Sleeves

Fabrication of SURGICAL Guide

Page 30: 21 simple bend requiring correction in 2 planes

Corrected 3.0 mm magnetic guide posts inserted in cast.

2.0 mm offset position is visible in # 6 position.

Page 31: 21 simple bend requiring correction in 2 planes

Three 3 mm open guide sleeves are placed.

Page 32: 21 simple bend requiring correction in 2 planes

Completed SURGICAL guide.

Page 33: 21 simple bend requiring correction in 2 planes

Implant carrier in position # 6 site

Page 34: 21 simple bend requiring correction in 2 planes

Implant carrier in position # 8 site

Page 35: 21 simple bend requiring correction in 2 planes

Implant carriers in position #10 site

Page 36: 21 simple bend requiring correction in 2 planes

Final X-rays

# 8 # 10 # 6

Page 37: 21 simple bend requiring correction in 2 planes

Restoration

Page 38: 21 simple bend requiring correction in 2 planes

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

Page 39: 21 simple bend requiring correction in 2 planes

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

Page 40: 21 simple bend requiring correction in 2 planes

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

Page 41: 21 simple bend requiring correction in 2 planes

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

Page 42: 21 simple bend requiring correction in 2 planes

Close up of Offset Guide Posts in bending block

Guide Right™

Generation ll Bending Tool

Page 43: 21 simple bend requiring correction in 2 planes

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

Page 44: 21 simple bend requiring correction in 2 planes

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

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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

Page 46: 21 simple bend requiring correction in 2 planes

1.800.314.0065 • www.deplaque.com

Start With Precision. Place With Confidence. ™

Guide Right™ by DéPlaque