MANDIBULAR ANTERIOR CASE SURGICAL Guide in Place ► Showing Drill Progression

Featuring:

SCHA 2.2013

2 Implants: # 27 ▪ # 23 Magnetic Guide Posts ▪ Open Guide Sleeves Invivo5 software evaluation

Fabrication of DIAGNOSTIC GUIDE

3 mm straight guide posts

3 x 8 mm cylindrical guide sleeves

Two 3 mm guide posts placed in the holes.

The angles of the guide posts were made semi-parallel to the adjacent

natural teeth. However, the angles are not too critical for the

DIAGNOSTIC guide, as they most likely will need to be corrected.

3 x 8 mm guide sleeves are placed over the guide posts.

Occlusal view

Facial view

Undercuts were blocked out and petroleum jelly was used to lubricate the cast.

Triad® Gel was added to the brackets of the guide sleeves and the adjacent

teeth to form the body of the DIAGNOSTIC guide.

Facial view of fabricated template.

The DIAGNOSTIC guide is now ready to be

placed in the patient for a Cone Beam X-ray.

Preview of Pre-op Corrections

#27 LINEAR CORRECTION

6° correction toward the lingual

#23LINEAR CORRECTION

10° correction toward the buccal

Invivo5

Anantomage

PRE-OP Software Evaluation

axial

# 23 Initial Alignment Software Evaluation

cross sectional

volumetrictangential

Invivo5 Anatomage Invivo5 Anatomage

NOTE Each time a change is made in the software go back to the Initial alignment view and calculate the angle in the 2nd plane.

cross sectional view tangential view

#23 CLOSE UP with software grid Invivo5 Anatomage

requires no correction toward the distal

requires a 10° correction toward the buccal

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

2.5 mm

5 mm

Invivo5

axial

# 27 Evaluation with Software Grid

cross sectional

volumetrictangential

Invivo5 Anatomage Invivo5 Anatomage

occlusal view

#27

Invivo5Anatomage

axial view

Bucco-lingual plane

Axial view should always be adjusted to the 90° cross sectional plane of the alveolar ridge.

cross sectional view tangential view

#27 CLOSE UP LINEAR & ANGULAR Evaluation

Invivo5 Anatomage

guide sleeve requires no correction away from the adjacent tooth

guide sleeve requires a 6° correction toward the lingual (left)

#27

LINEAR CORRECTION: 1.0 mm to the buccal

ANGULAR CORRECTION6° bend BEND to the lingual.

#23

LINEAR CORRECTION 0.5 mm to the lingual

Preview of Pre-op Corrections

#27 correction: 1.0 mm offset guide post to the buccal & bent 6° to the lingual. #23 correction: 0.5 mm offset guide post to the lingual / no change in the angle

Occlusal view

Buccal view

3.3 mm open guide sleeves placed on offset magnetic guide posts.

Occlusal view

Buccal view

Occlusal view

SURGICAL guide

Buccal view of 3.3 mm open guide sleeves in SURGICAL guide.

Ready to be placed in the patient for surgery.

Surgical site

SURGICAL GUIDE in Place

surgical drill sequence

with 3.3 mm open guide sleeves

2 mm drills placed with 3 mm stop shaft

2.5 and 2.85 mm drills in place

3.2 mm and 3.35 mm drills in place

Axial view of implant placement

Final X-rays

# 23 Post-op Cone Beam Evaluation

cross sectional view tangential view

# 23 virtual implant placed over actual implant to check alignment with guide sleeve

# 26 virtual implant placed over actual implant to check alignment with guide sleeve

tangential view cross sectional view

# 26 Post-op Evaluation

Invivo5Anatomage

Facial view of Atlantis abutments

Final restoration on master cast

Lingual view

Final Restoration

Guide Right™ Products shown in this case

1 - 3/32” Drill

2 - 3 mm Guide Post

2 - 3 mm cylindrical Guide Sleeve

1 - 3 mm x 0.5 mm Offset Magnetic Guide Post

1 - 3 mm x 1.0 mm Offset Magnetic Guide Post

2 - 3.3 mm Open Guide Sleeves

Generation ll Bending Tool

Triad® Gel

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