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Immediate Placement ■ Immediate Load
Linear & Angular Corrections
Featuring
CROSS SECTION of CAST
FABRICATION of
DIAGNOSTIC Guide: straight guide posts · ceramic guide sleeves
SURGICAL Guide: magnetic offset guide post · open guide sleeve
COMPARING: GALAXIS & Software Evaluations
SMIT 3..2013
Invivo5 Anatomage
Guide Right™
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Using:
3 X 30 mm straight guide posts
3 mm cylindrical ceramic guide sleeve
Fabrication of DIAGNOSTIC GUIDE
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An impression was taken and a cast was made
with the existing deciduous tooth in place
A cast is made of patient to replace
the deciduous maxillary left cuspid.
A hole is drilled through the deciduous
tooth with a 3/32” drill.
#11
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The deciduous tooth was removed from
the cast leaving the previously drilled hole.
A 3 mm x 30 mm guide post is placed in the
hole in the cast.
A ceramic guide sleeve is placed
on the 3 mm guide post.
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Triad® Gel was used to capture the cleat on the ceramic guide sleeve and
adjacent teeth to fabricate the DIAGNOSTIC guide. It is now ready to be
securely seated in the patient for the cone beam X-ray so that the long axis
of the proposed osteotomy can be evaluated.
#11
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PREview of Pre-op Corrections
ANGULAR CORRECTION
10° toward the distal
#11
LINEAR CORRECTION
1st : 1 mm toward the buccal
2nd: 1 mm toward the distal
Accomplished by using a 1.5 mm offset guide post rotated 45° in the
bending tool block
Cosine is applied to determine correction data.
See slide show:
Pythagorean Theorem: COSINE Calculations for Guide Right™ Guides
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PRE-OPERATIVE
GALAXIS Cone Beam Images
Software Calculations
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A better position appears to be a 21° angular correction
toward the buccal with linear movement of the guide sleeve
1.5 mm toward the buccal from the present axis of the
ceramic guide sleeve in the DIAGNOSTIC guide.
The mesio-distal axis can also be
corrected 10° - 11° toward the distal
according to the image.
Yellow planned axis of guide sleeves Green: ideal axis of virtual implant in bone.
tangential view cross sectional view #11
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Magnetic Offset Guide Post
3.0 X 1.5 offset
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A 1.5 mm offset guide post is placed in the bending tool. The offset
positioned toward the buccal is rotated in the bending tool block with the
depression mark positioned toward the right.
Preparing for 1st BEND
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The stylus is placed over the guide post and bent 20° - 21°
which will reposition the guide sleeve angle
away from the apex of the adjacent distal tooth.
1st BEND
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The slide support bar is positioned beneath the stylus
to maintain the 20° angle of the 1st bend.
The 2nd bend will be 10° toward the distal
to avoid hitting the root of the distal tooth.
2nd BEND
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Fabrication of SURGICAL Guide Illustrated with cross-sectioned models
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The DIAGNOSTIC guide sleeve shows
the original planned axis of the DIAGNOSTIC SLEEVE
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Cast showing the guide removed
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Straight magnetic guide post in place first.
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1.5 mm offset magnetic guide post with 20° bend toward the buccal
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Facial view of 20° corrected 1.5 mm magnetic offset guide post
bent toward the buccal with open guide sleeve.
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Occlusal / axial view of corrected guide post and sleeve in actual case model.
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Fabrication of the SURGICAL Guide
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Triad® Gel has been added to capture the cleat on the ceramic
guide sleeve & adjacent teeth to fabricate the SURGICAL guide.
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Invivo5 Anatomage
SOFTWARE
#10 Evaluation using:
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#10
▪ Virtual implant initial alignment ▪
Invivo5 Anatomage
axial cross section
tangential volumetric
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#10
▪ Applying the grid allows you to make more accurate measurements ▪
Invivo5 Anatomage
axial cross section
tangential volumetric
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tangential
SOFTWARE GRID
each square: 5 X 5 mm
each side of the square: 5 mm
center mark is 2.5 mm
Understanding Grid Measurements Invivo5
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cross sectional
tangential
axial
volumetric
Invivo5 Anatomage
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21º ANGULAR CORRECTION toward the facial
► measured with the Invivo5 software angle tool ◄
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cross sectional view
Invivo5 Anatomage
#11 ANGULAR CORRECTION: 21º bend toward the distal
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tangential view evaluation
#11
RETURN TO THE INITIAL ALIGNMENT ► to make angle change in next plane ◄
Invivo5 Anatomage
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tangential view
Invivo5 Anatomage
#11
ANGULAR CORRECTION: 10º bend toward the distal
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Magnetic Offset Guide Post
3.0 X 1.5 offset
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A 1.5 mm offset guide post is placed in the bending tool. The offset post
which will be toward the buccal is rotated in the bending tool with the
depression toward the right.
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The stylus is placed over the guide post and bent 20° which will reposition
the guide sleeve angle away from the apex of the adjacent distal tooth.
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The slide support bar is positioned beneath the stylus to maintain
The 20° angle of the first bend. The 2nd bend will be 10° toward the distal
to avoid hitting the root of the distal tooth.
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REview of Pre-op Corrections
ANGULAR CORRECTION
10° toward the distal
#11
LINEAR CORRECTION
1st : 1 mm toward the buccal
2nd: 1 mm toward the distal
Accomplished by:
using a 1.5 mm offset post rotated 45° in the bending tool block
Cosine is applied to determine correction data.
See slide show:
Pythagorean Theorem: COSINE Calculations for Guide Right™ Guides
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Immediately placed temporary restoration
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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™
GUIDE POST BENDING TOOL
SINGLE BEND review
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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™
GUIDE POST BENDING TOOL
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Guide Right™
Products shown in this case
1 - 3/32” drill
1 - 3 X 30 mm Straight Guide Posts
1 - 3 mm Cylindrical Ceramic Guide Sleeves
1 - 2 mm Guide Post
1 - 3.0 X 1.5 offset Magnetic Offset Guide Post
1 - 3 mm Open Guide Sleeve
Guide Post Bending Tool
Triad® Gel
1.800.314.0065 • www.deplaque.com
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A System of Components for the fabrication and correction of
diagnostic & surgical guide
in two or three 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
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Guide Right™ Surgical Guide System
Start With Precision. Place With Confidence.™
1.800.314.0065 • www.deplaque.com
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
DéPlaque