3 serial guide technique
TRANSCRIPT
Serial Guide Technique
Featuring: #30
DWYER 2.2013
Fabrication of DIAGNOSTIC Guide using:
5.3 Wide Guide Sleeve
Serial Guide Sleeve Inserts
Fabrication Insert (FABIN)
Insert Removal Tool (IRT)
SURGICAL Guide in place
Serial Inserts Kits are available
Clinical view of proposed surgery site
Wax set up of #30 tooth
Hole drilled with 3/32” drill through wax up
3/32” drill in cast indicates the planned prosthetic axis.
The drill is replaced with a 3 mm guide post.
Undercuts blocked out.
Lubricating cast with petroleum jelly prior to adding Triad® Gel
5.3 Fabrication Insert (FABIN) used to center the 5.3 guide sleeve on the guide post and to prevent Triad® Gel from entering sleeve.
Lingual view of FABIN in 5.3 mm guide sleeve with guide sleeve cleats positioned toward the lingual surface.
Appropriate lubrication of lingual and occlusal surfaces is required before applying Triad® Gel.
Cure each layer of Triad® Gel
2nd layer of gel extended over several of the adjacent teeth
Buccal view illustrating gel added to just cover occlusal & lingual surface of teeth.
Fabrication insert removed leaving 5.3 mm guide sleeve
Buccal view5.3 mm wide guide sleeve
Axial view 5.3 guide sleeve is centered over the 3/32” hole
2.25 mm insert is used for initial 2 mm drill
IRT (insert removal tool) used to remove insert from guide sleeve.
SURGICAL guide with 5.3 guide sleeve is placed over IRT Set on a firm surface and tapped with downward pressure to remove inserts.
5.3 wide guide sleeve is used with appropriate inserts for drill sizes. Shown here with 4 mm insert
Appropriate inserts are used for each drill size 2.0 mm insert, for 1.8 mm drill ■ 2.7 mm insert for 2.5 mm drill …etc.
Completing the osteotomy with Astra 3.8 mm twist drill plus 5.0 mm conical drill used in 5.3 mm sleeve without an insert.
SURGICAL guide in place
Peri-apical X-ray of SURGICAL guide alignment.
Final X-ray
Guide Right™ Products shown in this case
3/32” drill 5.3 Wide Guide Sleeve Series of Inserts for 5.3 Guide Sleeve *next slide 5.3 Fabrication Insert (FABIN) 3 mm Guide Post Guide Sleeve Inserts for 5.3 Guide sleeve Insert Removal Tool (IRT) Petroleum Jelly Triad® Gel Recommended Kits: 4.5 / 5.3 Serial Guide Kit
1.800.314.0065 • www.deplaque.com
Serial INSERTS for 5.3 Guide Sleeves
2.25 mm2.6 mm2.75 mm 3.0 mm 3.6 mm 4.0 mm 4.2 mm 4.6 mm
Guide Right™
Individual Insert Sizes Available
Order directly from > www.deplaque.com
Serial INSERTS for 4.5 Guide Sleeves
Insert Removal Tool
Fabrication InsertFABIN INSERTS FOR 4.5 Guide Sleeve
Guide Right™
Order directly from > 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