Digital Guided Implantation

OsstemGuideTM

I. Digitalization of Implant Surgery

II. OsstemGuide Workflow

III. OsstemGuide Contents

IV. OsstemGuide Surgical Procedure

V. Comparison of Guided Surgery Systems

1. Digitalization of Implant Surgery

OSSTEM IMPLANT Co.,Ltd.

Experience and Intuition of Dentist Computer Simulation Surgical Template

① Treatment plan② Place & diameter of im

plant ③③③③ Length & angle of

implant

Treatment plan which is used 3D images by CT and S/W

Surgery according to plan ���� place, Path, depthPossibility of immediate loading

� Personal limitation: 0.5mm� Difficulty of reappearance

� Difficulty of surgeryaccording to plan

� limitation of final esthetic���� improvement of precision

Model Based 2-D Planning

Analog Digital

Computer Aided 3-D Planning

Guided Surgery& Immediate Loading

OSSTEM IMPLANT Co.,Ltd.

1. Digitalization of Implant Surgery

OSSTEM IMPLANT Co.,Ltd.

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OsstemGDigital guided implantation

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II. OsstemGuide Workflow

OSSTEM IMPLANT Co.,Ltd.

진단Digital

planningGuide제작 수술

보철

Setting보철제작

진단 수술보철

Setting보철제작

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OSSTEM IMPLANT Co.,Ltd.

Implant planning

CT scan

Surgical Guide Fabrication

Guided Surgery & Prosthesis

II. OsstemGuide Workflow

II. OsstemGuide Workflow

Stone mStone modelodel

Vacuum IndexVacuum Index

CTCT Stone CTStone CT

PlanningPlanning

MakingMakingprovisionalprovisionalprosthesisprosthesis

of of

SurgerySurgery

Radiographic GuiRadiographic Gui(RG Guide) dede (RG Guide)

Radiographic IndexRadiographic Index

Stone mStone modelodel

환자환자 CTCT 촬영 촬영RG Guide CTRG Guide CT

PlanningPlanning Surgical IndexSurgical Index

MakingMakingprovisionalprovisionalprosthesisprosthesis

of of

SurgerySurgery

Partially Edentulous Case Fully Edentulous

Case

Radiographic GuiRadiographic Gui(RG Guide) dede (RG Guide)

OSSTEM IMPLANT Co.,Ltd.

First visiting at hospital: Diagnosis, Treatment Planning and Impression Taking

II. OsstemGuide Workflow

OSSTEM IMPLANT Co.,Ltd.

Making of Radiographic Guide for CT Scan Registration Point

II. OsstemGuide Workflow

OSSTEM IMPLANT Co.,Ltd.

1

Second visiting: CT Scan (2 time)

- Scanning of the patient's oral cavity with Radiographic Guide- Scanning of the Radiographic Guide

II. OsstemGuide Workflow

OSSTEM IMPLANT Co.,Ltd.

1

DICOM Data Import, Surface Registration and Implantation Planning using S/W

II. OsstemGuide Workflow

OSSTEM IMPLANT Co.,Ltd.

1

Surgical Guide Order

II. OsstemGuide Workflow

OSSTEM IMPLANT Co.,Ltd.

1

Order of Implants and Components ���� Acceptance of order & surgical Guide information by Osstem Server

II. OsstemGuide Workflow

OSSTEM IMPLANT Co.,Ltd.

1

Making Surgical Guide using Cybermed RP (Order+ 4days) Delivery to the dentist including of Osstem products

II. OsstemGuide Workflow

OSSTEM IMPLANT Co.,Ltd.

1

Making of Prosthesis using Surgical Guide before Surgery

II. OsstemGuide Workflow

OSSTEM IMPLANT Co.,Ltd. 1

Surgery & Temporary Prosthesis Setting using Surgical Guide and Osstem Guide Kit

II. OsstemGuide Workflow

OSSTEM IMPLANT Co.,Ltd. 1

1. CBCT &1. CBCT &1. CBCT &1. CBCT & Image CenterImage CenterImage CenterImage Center

III. OsstemGuide Contents

2. OsstemGuide S/W2. OsstemGuide S/W2. OsstemGuide S/W2. OsstemGuide S/W

3. OsstemGuide Surgical Kit3. OsstemGuide Surgical Kit3. OsstemGuide Surgical Kit3. OsstemGuide Surgical Kit

4. OsstemGuide Surgical Stent4. OsstemGuide Surgical Stent4. OsstemGuide Surgical Stent4. OsstemGuide Surgical Stent

5. Provisional Prosthesis5. Provisional Prosthesis5. Provisional Prosthesis5. Provisional Prosthesis---- Making using StentMaking using StentMaking using StentMaking using Stent---- Custom ABT (Custom Custom ABT (Custom Custom ABT (Custom Custom ABT (Custom ––––Made)Made)Made)Made)

OSSTEM IMPLANT Co.,Ltd. 1

Requirements for Requirements for Requirements for Requirements for S/WS/WS/WS/W Installation and OperatingInstallation and OperatingInstallation and OperatingInstallation and Operating

1. CT : FOV Size which is possible Full arch scan1. CT : FOV Size which is possible Full arch scan1. CT : FOV Size which is possible Full arch scan1. CT : FOV Size which is possible Full arch scan

2. CPU : More than 2.1 GHz Dual Core2. CPU : More than 2.1 GHz Dual Core2. CPU : More than 2.1 GHz Dual Core2. CPU : More than 2.1 GHz Dual Core

3. RAM : More than 3 GB3. RAM : More than 3 GB3. RAM : More than 3 GB3. RAM : More than 3 GB

4. VGA : More than Geforce 6600 , Radeon X7004. VGA : More than Geforce 6600 , Radeon X7004. VGA : More than Geforce 6600 , Radeon X7004. VGA : More than Geforce 6600 , Radeon X700

III. OsstemGuide Contents- S/W

OSSTEM IMPLANT Co.,Ltd. 1

OsstemOsstemOsstemOsstem Taper Fixture & Taper Fixture & Taper Fixture & Taper Fixture & HiossenHiossenHiossenHiossen Taper Fixture Taper Fixture Taper Fixture Taper Fixture OsstemOsstemOsstemOsstem Taper Fixture & Taper Fixture & Taper Fixture & Taper Fixture & HiossenHiossenHiossenHiossen Taper Fixture Taper Fixture Taper Fixture Taper Fixture

US IIISS IIIGS III TS III OsstemGuideSurgical Kit

= Taper Fixture Kit

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 2

Surgical Procedure Surgical Procedure Surgical Procedure Surgical Procedure Surgical Procedure Surgical Procedure Surgical Procedure Surgical Procedure

▶ ΦΦΦΦ3.5 Fixture

▶ ΦΦΦΦ4.0 Fixture▶ ΦΦΦΦ4.5 Fixture

▶ ΦΦΦΦ5.0 Fixture

Specified

Drill

Specified Sleeve Mount

Tissue Punch Initial Drill Twist Drill Cortical Drill

Mount

Guide

Tissue

Bone

SleeveDrillGuide

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 2

F4.5

Tissue Punch

Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 )

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 2

F3.5

F4.0

F4.5

F5.0

F3.5 F4.0 F4.5F4.5

Tissue Punch

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 2

F4.0 / F4.5

Initial Drill

Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 )

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 2

F3.5

F4.0

F4.5

F5.0

F3.5 F4.0 / F4.5 F4.5

Initial Drill

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 2

Ø2.0 � Ø3.0 � Ø3.8

11.5mm Twist Drill

Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 )

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 2

8.5mm

10mm

11.5mm

13mm

8.5+L 10+L 13+L11.5+L

L: Guide + Tissue Height

Ø2.0 Twist Drill

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 2

8.5mm

10mm

11.5mm

13mm

8.5+L 10+L 13+L11.5+L

L: Guide + Tissue Height

Ø3.0 Twist Drill

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 2

8.5mm

10mm

11.5mm

13mm

8.5+L 10+L 13+L11.5+L

L: Guide + Tissue Height

Ø3.8 Twist Drill

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 2

F4.5

III Cortical Drill

Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 )

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 3

F3.5 F4.0 F4.5 F5.0

III Cortical Drills

F3.5 F4.0 F4.5F4.5

IV. OsstemGuide Surgical Procedure

OSSTEM IMPLANT Co.,Ltd. 3

F4.5*11.5mm

GS III Fixture

Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 ) Surgical Procedure (F4.5 )

IV. OsstemGuide Surgical Procedure