crystalguide flat fee surgical guide and triple scan - a new and effective protocol for 3d planning...
TRANSCRIPT
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CrystalGuide – the flat fee surgical guide
No matter how many implants per arch
– flat fee of $350 for premium service
Dr. Michael Gross
Implantologist and international lecturer
Scientific consultant for dental implant industry
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Lecture program
• Classic protocol : dual scan technique
• Guided surgery and immediate loading
• Simplified instrumentation for expanded
indication
• Triple scan technique and case scenarios
• Clinical support and education
![Page 3: CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service](https://reader034.vdocument.in/reader034/viewer/2022042817/55a23d2c1a28ab256e8b45b0/html5/thumbnails/3.jpg)
Lecture program
• Classic protocol : dual scan technique
• Guided surgery and immediate loading
• Simplified instrumentation for expanded
indication
• Triple scan technique and case scenarios
• Clinical support and education
![Page 4: CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service](https://reader034.vdocument.in/reader034/viewer/2022042817/55a23d2c1a28ab256e8b45b0/html5/thumbnails/4.jpg)
3D planning with visualization of radiographic denture
3D scan of radiographic denture alone and alignment on 3D scan of patient bone
3D Scan of patient bone wearing radiographic denture with x-ray markers
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File transfer over internet of planning data
Precise 3D planning of position and angulation of implants and guide pins
3D relation between planned implant positions and radiographic denture
Fabrication of surgical guide converting radiographic denture
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Radiographic markers in denture included with guttapercha or Cavit
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Lecture program
• Classic protocol : dual scan technique
• Guided surgery and immediate loading
• Simplified instrumentation for expanded
indication
• Triple scan technique and case scenarios
• Clinical support and education
![Page 22: CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service](https://reader034.vdocument.in/reader034/viewer/2022042817/55a23d2c1a28ab256e8b45b0/html5/thumbnails/22.jpg)
Guided surgery and immediate loading
• Dual scan protocol was developed for
edentulous cases with immediate loading• Promoted for teeth-in-a-day with prefabricated
restoration
• This requires implant placement over surgical
guide and therefore titanium sleeves in surgical
guide
• This requires development of guided surgery kit
with many components – costs –
• If not all planned implants have required primary
stability, prefabricated restoration is useless
![Page 23: CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service](https://reader034.vdocument.in/reader034/viewer/2022042817/55a23d2c1a28ab256e8b45b0/html5/thumbnails/23.jpg)
Lecture program
• Classic protocol : dual scan technique
• Guided surgery and immediate loading
• Simplified instrumentation for expanded
indication
• Triple scan technique and case scenarios
• Clinical support and education
![Page 24: CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service](https://reader034.vdocument.in/reader034/viewer/2022042817/55a23d2c1a28ab256e8b45b0/html5/thumbnails/24.jpg)
Simplified instrumentation for expanded indication
• Reduced instrumentation for compatibility• Eliminating the need of implant specific surgical
guide kit – universal guidance of 2mm and 3
mm drill with depth stop
• Eliminating the need of titanium sleeves – use of
titanium drill guide handle 2mm and 3mm
which is introduced in surgical guide
• This expands indication because collision of
titanium sleeves with close or inclinated implants is
eliminated
• In extremely narrow situations use of 2mm guide
sleeves for use with 2mm drills
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Simplified instrumentation for expanded indication
• Reduced instrumentation for compatibility• Total inventory needed:
1.1 drill guide handle 2mm / 3mm
2.1 drill 2mm short with depth stop
3.1 drill 2mm long with depth stop
4.1 drill 3mm short with depth stop
5.1 drill 3mm long with depth stop
Costs: total only 700 US$ including shipping
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Lecture program
• Classic protocol : dual scan technique
• Guided surgery and immediate loading
• Simplified instrumentation for expanded
indication
• Triple scan technique and case scenarios
• Clinical support and education
![Page 27: CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service](https://reader034.vdocument.in/reader034/viewer/2022042817/55a23d2c1a28ab256e8b45b0/html5/thumbnails/27.jpg)
Triple scan technique
• Most of implant cases are partially
edentulous
• Radiographic partial denture for dual scan
has disadvantages– Fixation on residual teeth poor if not extended over
them
– Visibility of residual teeth compromised if covering
them
– Gingival contour of neighboring teeth and edentulous
areas can only be estimated as underside of denture
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Triple scan technique
• Solution for partial edentulous cases
1. CT or CBCT scan of patient without any appliance
in open occlusion
2. Optical scan of master cast (can be modified and
imported at any time after CT or CBCT)
3. Optical scan of master cast with diagnostic wax-up
(can be modified and imported at any time after CT
or CBCT)
4. Alignment of both optical scans with 3D model of
bone
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Triple scan technique
• Solution for partial edentulous cases
1. Implants can be backward-planned on cast with
diagnostic wax-up with visualization of available
bone, excellent details of teeth and soft tissue
2. Relation of implant and soft tissue depth can be
verified with visualization of master cast without
wax-up, excellent details of teeth and soft tissue
3. Relation of implant to crestal bone can be verified
with visualization of bone without cast
4. Fabrication of tooth-supported surgical guide over
master cast without wax-up
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Dual scan technique
• Indication for totally edentulous cases
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Dual scan technique
• Indication for totally edentulous cases
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Dual scan technique
• Indication for totally edentulous cases
![Page 34: CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service](https://reader034.vdocument.in/reader034/viewer/2022042817/55a23d2c1a28ab256e8b45b0/html5/thumbnails/34.jpg)
Dual scan technique
• Indication for totally edentulous cases
![Page 35: CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service](https://reader034.vdocument.in/reader034/viewer/2022042817/55a23d2c1a28ab256e8b45b0/html5/thumbnails/35.jpg)
Dual scan technique
• Indication for totally edentulous cases
![Page 36: CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service](https://reader034.vdocument.in/reader034/viewer/2022042817/55a23d2c1a28ab256e8b45b0/html5/thumbnails/36.jpg)
Dual scan technique
• applied for partially edentulous cases
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Dual scan technique
• applied for partially edentulous cases
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Dual scan technique
• applied for partially edentulous cases
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Dual scan technique
• applied for partially edentulous cases
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Dual scan technique
• applied for partially edentulous cases
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Dual scan technique
• applied for partially edentulous cases
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Triple scan technique
• applied for partially edentulous cases
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Triple scan technique
• applied for partially edentulous cases
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Triple scan technique
• Implants planned on wax-up cast
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Triple scan technique
• Implants relation to soft tissue
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Triple scan technique
• Implants relation to bone
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Triple scan technique
• Tooth-supported surgical guide
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Triple scan technique
• Extraction case, modified cast
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Triple scan technique
• Extraction case, modified cast
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Triple scan technique
• Extraction case, modified cast
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Triple scan technique
• Extraction case, angulation needed because of
proximity canalis incisivus
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Triple scan technique
• Extraction case, would be collision with master
sleeves, no problem with drill guide handle
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Triple scan technique
• Multiple changes on cast after CT scan, extractions
and root canals done, planned extractions
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Triple scan technique
• Multiple changes on cast after CT scan, extractions
and root canals done, planned extractions
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Triple scan technique
• Multiple changes on cast after CT scan, extractions
and root canals done, planned extractions
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Triple scan technique
• Multiple changes on cast after CT scan, extractions
and root canals done, planned extractions
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Triple scan technique
• Multiple changes on cast after CT scan, extractions
and root canals done, planned extractions
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2 mm guide multiple extractioncase with tooth-supported guide over 3 teeth as strategic support
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Lecture program
• Classic protocol : dual scan technique
• Guided surgery and immediate loading
• Simplified instrumentation for expanded
indication
• Triple scan technique and case scenarios
• Clinical support and education
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Clinical support
• CrystalGuide – flat fee complete service
for 3D planning and fabrication of surgical
guides with fast turnaround time (3 days)
• Provide surgical instruments at low-cost
• Online help with skype and teamviewer
• Simple data transfer over dropbox
• No physical shipping needed
• Free premium planning and viewing
software
![Page 73: CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service](https://reader034.vdocument.in/reader034/viewer/2022042817/55a23d2c1a28ab256e8b45b0/html5/thumbnails/73.jpg)
Clinical support
• CrystalGuide - Complete service for 3D
planning and fabrication of surgical guides
at flat fee of $350
• Turn-around time for guide fabrication 3
business days after final approval of
planning
• Secure online payment over PayPal
![Page 74: CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service](https://reader034.vdocument.in/reader034/viewer/2022042817/55a23d2c1a28ab256e8b45b0/html5/thumbnails/74.jpg)
Clinical support
• CrystalGuide - Complete service for 3D
planning and fabrication of surgical guides
• You already are using a guided surgery kit
for your implant brand – we individualize
your software and adapt to it
• You are new to guided surgery – we
provide universal guided surgery tools for
guiding up to 3mm drills, final site
preparation with your implant kit