SINGLE IMPLANT CASE Osteotomy Progression in Open Guide Sleeves
Featuring
3 x1 mm Magnetic Offset Guide Post
Open Guide Sleeve
Utilizing Cosine Rule
Generation ll Bending Tool
GALAXIS Software Evaluaton
Invivo5 Software Evaluation
Drill series in SURGICAL Guide
TUIT
# 23
Fabrication of DIAGNOSTIC Guide
A 3/32” hole is drilled in the cast
Buccal view
Generation ll straight guide post
showing 4 flat sides & marker dot. 2 mm guide post
2 mm guide sleeve
A 2 mm guide post with 2 mm guide sleeve (used in narrow spaces)
is placed in the hole.
Triad® Gel was added to capture the cleats of the guide sleeve
to form the DIAGNOSTIC guide
GALAXIS Cone Beam Images
PRE-operative Evaluation
#23 Panoramic view GALAXIS
cross sectional view indications
necessary to correctly place implant
# 23
GALAXIS
virtual implant should be repositioned 1 mm toward the lingual
& positioned in the center of the bone
axis should be bent toward the lingual
NOTE: distance between yellow & green
lines = angular correction of 20°
Close up
Tangential View Indications:
Implant could be repositioned 6°
Angle bent toward the mesial (left)
Implant centered between the
roots of the adjacent teeth
6° angular correction is necessary
to correctly place implant
# 23
GALAXIS
Software
PRE-operative Evaluation
Invivo5 Anatomage
# 23
ALIGNMENT of guide sleeve with long axis of implant
FIRST BEND 20° correction to the lingual
cross sectional (bucco-lingual)
tangential (mesio-distal) volumetric
axial # 23
Invivo5 Anatomage
Evaluation Plane : yellow line
which should be (is) a bucco-lingual orientation
axial view
Invivo5 Anatomage
# 23
Explanation re: Evaluation Plane see slide show ►
“Use of Pythagorean Theorem #9 Single Implant Case” slide # 27
ALIGNMENT (bucco-lingual)
Indication: 20° Angular Correction to the Lingual is needed
cross sectional view
For FIRST BEND
Invivo5 Anatomage
An angle is measured
by intersection of the line
passing thru the long axis
of the implant and the long
axis of the guide sleeve.
In this case, 20°
3 mm magnetic guide post with 1.0 mm offset in bending block to be bent 20°
Initially, the stylus over the unbent offset guide post should point to zero.
FIRST BEND: 20º
cross sectional
tangential volumetric image
axial
Invivo5 Anatomage
ALIGNMENT (mesio-distal)
SECOND BEND 6° Angular Correction
# 23
# 23 PRE-OP ALIGNMENT
axial view
Indication: 6° Angular Correction Necessary
Invivo5 Anatomage
Indication: 6° Correction toward Mesial is needed
tangential view
# 23 Pre-op
For SECOND BEND
Invivo5 Anatomage
# 23 Pre-op
Guide Post needs 6° Angular Correction to the Mesial
cross sectional view Invivo5 Anatomage
SECOND BEND: 6°
Generation ll (4 sided lower portion of post)
3 mm X 1 mm offset
Magnetic Offset Guide Post
with
20º bend toward the lingual
6º bend toward the mesial
Corrected
3 mm X 1 mm offset magnetic guide post
with open guide sleeve
Fabrication of Surgical Guide
Bent 1 mm offset guide post in cast
3 mm open guide sleeve positioned over 3 mm x 1 mm offset post
with cleats to the lingual.
SURGICAL Guide
with corrected offset magnetic guide post
SURGICAL guide in place with initial 2 mm drill
Periapical X-ray
with DIAGNOSTIC guide post to check the placement.
2 mm drill
2.5 mm drill
Implant carrier
Cover screw
Final placement
Guide Right™
Products shown in this case
1 - 3/32” drill
1 - 2 mm Guide Post
1 - 2 mm Guide Sleeve
1 - 3 mm X 1 mm offset Magnetic Offset Guide Post
1 - 3 mm Open Guide Sleeve
Generation ll ▪ Guide Post Bending Tool
Triad® Gel
1.800.314.0065 • www.deplaque.com
Step 2 Locate 3/32” hole in the center of the v-cut and place the bottom half of the
guide post into the hole. Tighten the set screw.
Step 1 Place bending tool plate on a secure flat surface with the degree increments
at the top & the stainless steel bar with the v-cut at the bottom.
Step 3 Locate the hole in the bottom of the stylus that you will use that will fit over
the top half of the guide post (3.0 mm, 4.0 mm or 5.0 mm).
Step 5 Using the stylus as a lever, bend the guide post to the degree of angle of
correction. You may need to ease the point of the stylus beyond the
point of the desired degree.
Step 6 Loosen screw and remove guide post and the stylus to find the guide post
bent to the desired angle.
Step 4 Fit the stylus over the guide post securely with the point directed at
zero degrees and the bottom of the stylus in contact with the V block.
Guide Right™
GENERATION II ▪ GUIDE POST BENDING TOOL
SINGLE BEND review
COMPOUND BEND overview
Step 1 Position a straight or offset guide post in the bending plate, tightening the set
screw against one of the flat surfaces on the lower half of the guide post.
Step 4 The 2nd bend in the second plane is made after rotating the guide post up away
from the surface of the bending plate to register the stylus point back at 0 degrees.
Step 5 Slide the stylus support bar down under the stylus until it supports the stylus.
Tighten the side screws before making the second bend.
Step 7 Remove the stylus and place the guide post back in the cast with the
appropriate side indicated by a mark facing the buccal or lingual surface.
Be sure the post is in the correct position.
If the post needs to be corrected by a linear movement an offset guide post can be used.
Off sets available in the 3 mm guide post: 0.5,1,1.5, 2.0 ,or 3.0 mm.
Step 3 The set screw is loosened and the guide post is rotated 90 ° next flat surface.
Step 2 The 1st bend can be made to the right or left direction.
Step 6 The second bend can be made in either direction according to the x-ray.
Guide Right™
GENERATION II ▪ GUIDE POST BENDING TOOL
A System of Components
for the fabrication and correction of diagnostic & surgical guide
in one or two dimensions
In-office or lab fabrication
Evaluate with 2D & 3D imaging
Allows linear and angular correction
Enables precision implant placement
Cost effective
1.800.314.0065 • www.deplaque.com
Start With Precision. Place With Confidence.
1.800.314.0065 • www.deplaque.com
Guide Right™ by DéPlaque