15 mandibular posteriorcase ll near & angular corrections
TRANSCRIPT
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Guide Right™
Mandibular Posterior Linear & Angular Corrections
BLONS 2.2013
■ Preop Evaluation using Software
■ Correction using Guide Right Components
Invivo5 Anatomage
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Straight Guide Posts
Cylindrical Guide Sleeves
Replacing 28 ▪ 29 ▪ 30
Fabrication of DIAGNOSTIC Guide
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3 mm x 8 mm guide posts placed in holes in the cast.
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Triad® Gel added to form
the DIAGNOSTIC guide.
3 mm DIAGNOSTIC guide sleeves
(1 cleat)
placed on 3 mm guide posts
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Invivo5 Anatomage
Pre-op Software Evaluation
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axial cross sectional
tangential volumetric
▪ Initial Alignment ▪
Invivo5 Anatomage
# 29
DIAGNOSTIC Guide securely seated in patient for X-ray
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cross sectional
Lingual
1st Angular Correction: 1st Linear Correction:
0.5 mm Offset to the Lingual ▪ 7° Bend to the Lingual
Invivo5
tangential
# 29
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Invivo5 Anatomage
2nd Angular Correction: 2nd Linear Correction 14º Bend mesial 0.5 mm Offset distal
axial cross sectional
tangential volumetric
Invivo5 Anatomage
# 29
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tangential
# 29 CLOSE UP indication for 14º Angular Correction
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# 30 Initial Alignment
▪ 4.1 X 8 mm virtual implant ▪
Invivo5 Anatomage
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# 30
▪ Angular Correction: 7° Bend to the Mesial ▪
axial cross sectional
tangential view volumetric
Invivo5 Anatomage Invivo5
Anatomage
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tangential
# 30 CLOSE UP indication for 7° Angular Correction
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Invivo5 Anatomage
# 31
Initial Alignment
axial cross sectional
tangential volumetric
Invivo5 Anatomage
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# 31 Angular Correction: 26° Bend to the Lingual
axial cross sectional
tangential volumetric
Invivo5 Anatomage
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cross section
# 31 CLOSE UP indication for 26° Lingual Correction
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Review of Pre-op Corrections
#29
LINEAR CORRECTIONS
#30
1st : 0.5 mm Offset toward the Lingual
2nd : 0.5 mm Offset toward the Distal
ANGULAR CORRECTIONS
1st : 14° bend Mesial
2st : 7° bend to the Lingual
Cosine is applied to determine correction data.
* see Pythagorean Theorem - COSINE CALCULATION slideshow
ANGULAR CORRECTIONS
7° Bend to the Mesial
# 31
ANGULAR CORRECTIONS
26° Bend to the Lingual
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3 mm magnetic guide posts showing angle corrections
# 31 - 26° # 30 - 7° # 29 - 14°
3 mm magnetic guide posts 3 mm X 0.5 mm offset
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Magnetic Guide Posts
Open Guide Sleeves
Fabrication of SURGICAL Guide
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Corrected 3 mm magnetic guide posts in prospective positions
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Initial cast
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Corrected 3 mm guide posts in cast
26° 7° 14°
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Buccal view of SURGICAL guide with 3.3 mm open guide sleeves
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4.8 mm 4 4.1 mm 4.1 mm
Final Implant Placement
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Final implant placement
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Final Implant Placement
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Healing Abutments
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Stage 2
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Final Restoration
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Guide Right™
Products shown in this case
1 - 3/32” drill
3 - 3 mm Guide Post
3 - 3 mm Guide Sleeve
1 - 3 mm X 0.5 mm Magnetic Offset Guide Post
3 - 3.3 mm Open Guide Sleeve
Generation ll ▪ Guide Post Bending Tool
Triad® Gel
1.800.314.0065 • www.deplaque.com
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Guide Right™
Generation ll Bending Tool
For more information on use of the bending tool go to
www.deplaque.com ▪ Guide Right™ Generation ll Bending Tool
10° example
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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™
GENERATION II ▪ 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™
GENERATION II ▪ GUIDE POST BENDING TOOL
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A System of Components
for the fabrication and correction of diagnostic & surgical templates
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
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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