Mandibular Non-parallel Implant Placement

Featuring:

DEMA

Invivo5 Anatomage

2 implants: # 29 & # 30

magnetic guide posts

open guide sleeves

Software Evaluation

axial cross sectional

tangential volumetric

Pre-op Software Evaluation

▪ Initial alignment of guide sleeve with virtual implant ▪

Invivo5 Anatomage

# 29

Fabrication of DIAGNOSTIC Guide

Cast with planned implant sites marked and drilled with 3/32” drill

3 mm guide posts placed in holes indicate the planned implant trajectory

Buccal view of guide posts in place

3 mm guide posts with 3 mm DIAGNOSTIC guide sleeves [1 cleat]

lingual view

Triad® Gel added to form DIAGNOSTIC guide

Pre-operative Evaluation

axial ▪ tangential ▪ cross sectional

Invivo5 Anatomage

Software

axial cross sectional

tangential volumetric

Pre-op Software Evaluation

▪ Initial alignment of guide sleeve with virtual implant ▪

Invivo5 Anatomage

# 29

Invivo5 Anatomage

Axial view should always be adjusted to the 90°

cross sectional plane of the alveolar ridge.

# 29

indication: reposition the implant, 4 x 9 mm

tangential cross sectional

INITIAL ALIGNMENT: in both planes # 29

Invivo5 Anatomage

Invivo5

Anatomage Software Analysis

# 29

ANGULAR CORRECTION needed: 29° toward the lingual

Invivo5 Anatomage

Invivo5

Anatomage # 29 29° angle is drawn for planned correction toward the lingual

Invivo5 Anatomage

ANGULAR CORRECTION: to reposition the implant,(4 mm x 9 mm)

Invivo5

Anatomage Software Analysis

# 29

Checking the ANGULAR CORRECTION: 29° toward the lingual

Invivo5 Anatomage

ANGULAR CORRECTIONS are made with the

Guide Right™

Guide Post Bending Tool

Step by step instructions at end of slideshow

Single Bend corrections in one plane

Guide Right™

Generation ll / Guide Post Bending Tool

Invivo5

Anatomage

# 29 ANGULAR CORRECTION:

29 ° - 30 ° BEND to the lingual

axial cross sectional

tangential volumetric

Pre-op Software Analysis

▪ Initial alignment of guide sleeve with virtual implant ▪

Invivo5 Anatomage

# 30

Invivo5 Anatomage

Invivo5 Anatomage

Axial view adjusted to the 90°

cross sectional plane of the alveolar ridge.

# 30

Initial line up shows originally planned implant placement

for the DIAGNOSTIC guide sleeve

tangential cross sectional

INITIAL ALIGNMENT: in both planes # 30

Invivo5 Anatomage

Invivo5

Anatomage

# 30

ANGULAR CORRECTION: 28° - 30°

Invivo5

Anatomage

# 30 ANGULAR CORRECTION: 30° angle highlighted

Invivo5

Anatomage

# 30

ANGULAR CORRECTION: 28-30°

Invivo5

Anatomage

# 30 ANGULAR CORRECTION: 28 - 31° BEND to the lingual

Type here. Invivo5

Anatomage

Corrected 3 mm Magnetic Guide Posts

# 29

30°

#30

30°

Fabrication of SURGICAL Guide

Corrected 3 mm magnetic guide posts in cast

# 30

30°

# 29

30°

▪ 3 mm magnetic guide posts

▪ 1 mm spacer has been added to accommodate

the 4 mm open guide sleeve on the distal post.

▪ 3 mm guide post is used on the mesial post.

SURGICAL guide

SURGICAL guide

buccal view

Final Implant Placement

Implant with SUGICAL Guide in place

Guide Right™

Products shown in this case

3/32” drill

3 mm Guide Post

3 mm Guide Sleeve

1.5 mm Offset Magnetic Guide Post

3 mm Open Guide Sleeve

2 mm Direction Indicator

Generation ll / Guide Post Bending Tool

Petroleum Jelly

Triad® Gel

1.800.314.0065 • www.deplaque.com

Guide Right™ Surgical Guide System

Start With Precision. Place With Confidence.™

1.800.314.0065 • www.deplaque.com

fabricate ▪ evaluate ▪ correct ▪ verify ▪ place

DéPlaque