# 23 SINGLE IMPLANT CASEOsteotomy Progression in Open Guide Sleeve

Featuring

3 x1.0 mm Magnetic Offset Guide Post

Open Guide Sleeve

Utilizing Cosine Rule

Generation ll Bending Tool

GALAXIS Software Evaluation

Invivo5 Software Evaluation

Drill series in SURGICAL Guide

TUIT 2013

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 cleat of the guide sleeve

to form the DIAGNOSTIC guide

GALAXIS Cone Beam Images

PRE-operative Evaluation

#23 Panoramic viewGALAXIS

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

1st angle correction must be deleted before 2nd angle correction can be made.

Preview of Corrections

2nd BEND: 6 toward the mesial

ANGULAR CORRECTION

#23

LINEAR CORRECTION

1 mm offset toward the lingual

1st BEND: 20 toward the lingual

Invivo5Anatomage

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

Invivo5Anatomage

Evaluation Plane : yellow line

which should be (is) a bucco-lingual / cross sectional orientation

axial view

Invivo5Anatomage

# 23

Each time a change is made in the Invivo5 software go back to the initial line up

view and calculate the angle in the 2nd plane.

axial view

evaluation plane

# 23 Axial view should always be adjusted

to the 90 cross sectional plane of the alveolar ridge.

When the correction of the angle

of a Guide Right guide sleeve is

made with the Invivo5 software

rotation tool in one plane

(tangential, for example)

the other plane (cross sectional

plane) is no longer visible after

about a 10° rotation.

Therefore, it is necessary to go

back to the initial alignment

view (implant screen) and make

changes in the other plane.

ALIGNMENT (bucco-lingual) Indication: 20 Angular Correction to the Lingual is needed

cross sectional view

FIRST BEND

Invivo5Anatomage

An angle is measured

where the line passing

thru the long axis of the

implant and the long axis

of the guide sleeve

intersect.

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

Invivo5Anatomage

ALIGNMENT of guide sleeve with long axis of implantSECOND BEND: 6 Angular Correction toward the mesial

# 23

# 23 PRE-OP initial ALIGNMENT

axial view

Indication: 6 Angular Correction Necessary

Invivo5Anatomage

Indication: 6 Correction toward mesial is needed

tangential view

# 23 Pre-op

SECOND BEND

Invivo5Anatomage

# 23

INITIAL ALIGNMENT: guide post with virtual implant

cross sectional viewInvivo5Anatomage

ALIGNMENT (bucco-lingual) Indication: 20 Angular Correction to the Lingual is needed

cross sectional view

For FIRST BEND

Invivo5Anatomage

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

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 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 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 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

Guide Right™ Surgical Guide System

Start With Precision. Place With Confidence.™

1.800.314.0065 • www.deplaque.com

fabricate evaluate correct verify place

DéPlaque