10 3 mm implants in narrow space angular & linear corrections
TRANSCRIPT
Using 3 mm Implants in Narrow Spaces
ANGULAR & LINEAR CORRECTIONS
3 Implants #7 ▪ #10 ▪ #11
Magnetic Guide Posts & Open Sleeves
Generation ll ▪ Guide Post Bending Tool
Software Evaluation
QUATE 2.2013
Invivo5 Anatomage
DIAGNOSTIC Guide
fabrication not shown
The initial treatment plan was:
▪ to place a 3 mm implant in the #7 position
▪ to place a 4 mm implant in the #11 position
▪ with a mesial cantilever in the #10 position.
However a cantilever would not fit on a 3 mm implant.
Therefore 2 different size guide sleeves were used for
the final treatment plan.
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Initial Treatment Plan
DIAGNOSTIC guide with two guide sleeves in proposed sites :
2 mm guide sleeve #7 site ▪ 3 mm guide sleeve #11 with mesial cantilever
Preview of Pre-op Corrections
#7
LINEAR CORRECTION
1 mm offset toward the buccal
3 mm offset toward the buccal
ANGULAR CORRECTION
12° bend toward the distal
#11
LINEAR CORRECTION
PRE OPERATIVE
Software Evaluation
Invivo5 Anatomage
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#7 INITIAL ALIGNMENT in 2 planes: mesio-distal & bucco-lingual
cross sectional view axial view
volumetric view tangential view
Invivo5 Anatomage
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# 7 LINEAR ALIGNMENT
cross sectional view axial view
volumetric view tangential view
Invivo5 Anatomage
cross sectional view tangential view
Virtual implant in position. # 7
Invivo5 Anatomage
cross sectional view
3 mm post X 1.5 mm offset correction toward the buccal required LINEAR CORRECTION # 7
Invivo5 Anatomage
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1.5 mm offset
is measured & requires a 1.5 mm offset placement toward the buccal
# 7
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3 mm X 1.5 mm Offset Magnetic Guide Post required for #7 buccal correction.
#10 ALIGNMENT
cross sectional view axial view
volumetric view tangential view
Invivo5 Anatomage
cross sectional view tangential view
# 10 did not initially have a guide sleeve in the DIAGNOSTIC guide because
originally a mesial cantilever was anticipated from the implant in the #11 position.
Invivo5 Anatomage
# 10
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3 mm Straight Magnetic Guide Post for #10
#11 INITIAL ALIGNMENT
of virtual implant and guide sleeve
cross sectional view axial view
volumetric view tangential view
Invivo5 Anatomage
cross sectional view axial view
volumetric view tangential view
LINEAR CORRECTION: 3 mm offset
ANGULAR CORRECTION: 12° bend toward the distal
Invivo5 Anatomage
#11
cross sectional view axial view
tangential view
#11 LINEAR CORRECTION
The guide post/sleeve must be moved 3 mm toward the buccal.
Invivo5 Anatomage
cross sectional view tangential view
#11 LINEAR CORRECTION The guide post/sleeve must be moved 3 mm toward the buccal.
3 mm offset guide post is required for correction
Invivo5 Anatomage
tangential
SOFTWARE GRID
each square: 5 X 5 mm
each side of the square: 5 mm
center mark is 2.5 mm
Understanding Grid Measurements Invivo5
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#11 3 mm offset is measured using the software grid Invivo5
tangential view
#11 ANGULAR CORRECTION
12° bend toward the distal is needed.
Invivo5 Anatomage
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A 3 mm offset guide post is required for #11 correction
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12°
3 mm X 3 mm offset guide post bent 12° toward the distal
Magnetic Guide Posts
Open Guide Sleeves
Fabrication of SURGICAL Guide
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Corrected Magnetic Guide Posts in cast
A hole was drilled at the #10 site parallel to #11 (5.0 mm apart on center).
5.0 mm apart on center
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Open Guide Sleeves placed on Magnetic Guide Posts
and positioned with cleats to the palatal.
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Triad® Gel is added to form the SURGICAL guide in two sections
Review of Pre-op Corrections
#7
LINEAR CORRECTION
1.5 mm offset toward the buccal
NO CORRECTION
3 mm offset toward the buccal
ANGULAR CORRECTION
12° bend toward the distal
#11
LINEAR CORRECTION
#10
A direction indicator is used in #7 site to check alignment
after the 2 mm drill is used.
# 7 3mm X 13 mm implant placement.
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2 mm direction indicator is placed in the #11 position
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Final placement for implants in #10 and #11 positions.
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Atlantis abutments are inserted.
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Final restorations
1 - 3/32” Drill
1 – 2 mm Drill or #46 Drill
1 - 2 mm Guide Post
1 – 3 mm Guide Post
1 – 2 mm Guide Sleeve
1- 3 mm Guide Sleeve
1 - 3 mm Magnetic Guide Post
1 - 3 X 3.0 mm Offset Magnetic Guide Post
1 - 3 X 1.0 mm Offset Magnetic Guide Post
3 - 3 mm Open Guide Sleeve
Triad® Gel
Generation ll ▪ Guide Post Bending Tool
Guide Right™
Products used in this presentation
1.800.314.0065 • www.deplaque.com
In-office or lab fabrication
Evaluate with 2D & 3D imaging
Allows linear and angular correction
Enables precision implant placement
Cost effective
A System of Components
for the fabrication and correction of DIAGNOSTIC & SURGICAL guides
in one or two dimensions
1.800.314.0065 • www.deplaque.com
Guide Right™ Surgical Guide System
Start With Precision. Place With Confidence.™
1.800.314.0065 • www.deplaque.com
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
DéPlaque