use of 2 piece guide post for single implant case with linear & angular corrections 9.2016 jb

BLAND 3.28.15

in

Single Implant Casewith

Linear & Angular Corrections

Featuring

2-Piece Guide Post

Diagnostic & Surgical Guide

Software

Cone Beam X-rays

Bending Tool Corrections

A Geometric Approach to In-office Guided Implant Placement

DéPlaque

▪ fabricate diagnostic guide

▪ evaluate▪ correct ▪ re-fabricate surgical guide▪ verify▪ place

Guide Right™ Surgical Guide System

Method Used

Guide Right™ Surgical Guide System

fabricate ▪ evaluate ▪ correct ▪ verify ▪ place

Fabricate DIAGNOSTIC guide

Cone beam X-ray taken with DIAGNOSTIC guide in place

Evaluate linear & angular position of guide

Corrections: linear & angular

Verify

Fabricate SURGICAL guide

Surgical placement using corrected surgical guide

DéPlaque

▪ fabricate diagnostic guide

▪ evaluate▪ correct ▪ re-fabricate surgical guide▪ verify▪ place

Guide Right™ Surgical Guide System

3/32” drill used to drill prosthetically planned # 4 site.

A 3 mm straight guide post is placed in the prospective osteotomy site.

The cast is lubricated, Triad® gel applied to guide sleeve & adjacent

teeth capturing cleats to form the Diagnostic Guide

DéPlaque

▪ fabricate diagnostic guide

▪ evaluate ▪ correct ▪ re-fabricate surgical guide▪ verify▪ place

Guide Right™ Surgical Guide System

# 4Angle Correction: 10° to buccal

Implant: 11.5 x 4.5 mm

axial cross sectional

tangential volumetric

Invivo5

# 4

Angle Correction: 10.2° to buccal ▪ hard sharp setting

axial cross sectional

tangential volumetric

# 4

Linear Correction: 1 mm – 1.5 mm offset to the buccal

axial cross sectional

tangential volumetric

# 4

HOME POSITION: DIAGNOSTIC GUIDE

Setting: “hard sharpened” setting is used

axial cross sectional

tangential volumetric

DéPlaque

▪ fabricate

▪ evaluate

▪ correct ▪ re-fabricate [surgical guide]▪ verify▪ place

Guide Right™ Surgical Guide SystemGuide Right™ Surgical Guide System

2-Piece Straight Guide Post in Bending Tool Block

Guide Right™

Bending Tool

10°

10° correction made to the 1 mm offset guide post using the bending tool

Guide Right™

GUIDE POST BENDING TOOL

Steps to SINGLE BEND

Step 1 Place bending tool plate on a secure flat surface with the degree increments at the top & the stainless steel bar at the bottom.

Step 2 Locate the two 3/32” holes in the top of the stainless steel bar. The hole closest to the plate is used for all guide posts up to 3.0 mm offsets. The front hole is used for offsets 3.5 mm or larger. Place the bottom half of the guide post to be bent into the appropriate hole. Position the offset guide post in the hole determined by the planned direction of the correction. Tighten the set screw.

Step 3 Select the appropriate stylus to fit over the top half of the guide post.

Step 4 Fit the stylus over the guide post securely with the point directed at 0 ° & the bottom of the stylus in contact with the platform of 2-piece guide post or if no platform on post, in contact with block.

Step 5 Using the stylus as a lever, bend the guide post to the degree of angle ofcorrection. You may need to ease the point of the stylus beyond the point of the desired degree.

Step 6 Remove the stylus. Loosen screw to remove the guide post bent to the desired angle.

Steps to COMPOUND BEND

Guide Right™

GUIDE POST BENDING TOOL

Step 1 Position a straight or offset guide post in the bending plate, tightening the set screw against one of the 8 flat surfaces on the lower half of the guide post.

Step 2 The 1st bend can be made to the right or left direction.

Step 3 The set screw is loosened & the guide post is rotated 90° next flat surface.

Step 4 The 2nd bend in the 2nd plane is made after rotating the guide post up away from the surface of the bending plate to register the stylus point back at 0º.

Step 5 Slide the stylus support bar down under the stylus until it supports the stylus. Tighten the side screws before making the 2nd bend.

Step 6 The 2nd bend can be made in either direction according to the X-ray.

Step 7 Remove the stylus and place the guide post back in the cast with the appropriate side indicated by a mark with a felt tip pen facing the buccal

or lingual surface. Be sure the post is in the correct position.

Linear Corrections, using an offset guide post, must be determined & made before Angle Corrections.

Offset 2-Piece Guide Posts available in the 3 mm guide post: 0.5,1, 1.5, 2.0, 2.5 & 3.0 mm.

DéPlaque

▪ fabricate [diagnostic guide]

▪ evaluate

▪ correct

▪ re-fabricate [surgical guide]

▪ verify▪ place

Guide Right™ Surgical Guide SystemGuide Right™ Surgical Guide System

placed back in the cast with angle toward the buccal.

Straight Guide Post

bent 10°

3.8 mm guide sleeve

over 10° bent guide post

guide post with sleeve positioned in the cast hole

with cleat toward the lingual surface.

• Cast is lubricated & undercuts blocked out with yellow wax

• Triad® gel applied to guide sleeve capturing cleat & adjacent teeth

to form the Surgical Guide

Checking alignment of surgical guide

Guide Right™ Surgical Guide System

DéPlaque

▪ fabricate [diagnostic guide]

▪ evaluate

▪ correct

▪ re-fabricate [surgical guide]

▪ verify

▪ place

Final Implant Placement

Final abutment placement indicating use of straight abutment

Straight abutment

Occlusal View

Final Restoration

Final Restoration

Tangential View

Articulated View

Clinical Occlusal View

Final Restoration

Radiograph taken after the restoration is placed

Start With Precision. Place With Confidence.™

1.800.314.0065 • www.deplaque.com

DéPlaque

Guide Right™ Surgical Guide System

fabricate ▪ evaluate ▪ correct ▪ verify ▪ place

A Geometric Approach to Guided Surgery