Rx guide and scan protocol for partially edentulous cases (Dr. Gross)

Cast with LEGO bricks

Cast with LEGO bricks and wax up

Rx guide made of VOCO curable custom tray material

Rx guide made of VOCO curable custom tray material

Radiographic markers in rx guide made from composite material

Rx guide and scan protocol for partially edentulous cases (Dr. Gross)

1. Optical scan of cast with 3 LEGO bricks

2. Wax-up on this cast optically scanned

3. Removal of wax-up, fabrication of rx guide out of e.g VOCO curable custom tray material

4. 6 radiographic markers by indenting with small round bur, distributed on rxguide, filled with radio-opaque material like guttapercha, Cavit or composite material

CT or CBCT scan protocol for partially edentulous cases (Dr. Gross)

1. Scan of patient with rx guide in mouth

2. Scan of rx guide on original cast with LEGO bricks (of which optical scan was performed before)

This way we achieve a perfect alignment of intraoral situation and planned tooth

position, very easy but extremely effective

CrystalGuide – laser sintered metal surgical guides –a case report

Clinical pictures: courtesy of Dr. Danny Domingue

Preoperative CBCT scan in occlusion, metal artefacts

Radiographic guide aligned

Optical scan of master cast aligned to visible tooth structure

Master cast with radiographic guide aligned on CBCT scan

3D view of radiographic guide on cast in implant planning program

Bone surface visualization in implant planning program, knife-like ridge in frontal area

Planned implant 13, implant-centric view with outline of cast and radiographic guide

Planned implant 23, implant-centric view with outline of cast and radiographic guide

Planned implant 24, implant-centric view with outline of cast and radiographic guide

Planned implant 25, implant-centric view with outline of cast and radiographic guide

Planned implants in 3D bone surface view

Planned implants in 3D cast surface view

Occlusal 3D view of planned implants in relation to soft tissue (cast)

Frontal 3D view of planned implants in relation to radiographic guide on cast

3D view of planned implants in relation to radiographic guide

Design of CrystalGuide on cast – free surgical field to enable sight and cooling, as well as to allow for flapped surgery

3D view right side of designed guide, open design for maximum access

3D view right side of designed guide, tooth covering bridge-like for perfect fit and optimal control

3D view of guide design occlusal

3D view of guide design underside

3D view of guide design in relation to implants

CrystalGuide intraoral positioned, stable fit and free access

Drill guiding tubes inserted in CrystalGuide, yellow 2 mm, blue 3 mm

2 mm guiding tube inserted at position 13

2 mm drills with guiding tubes regio 24 and 25

Implant insertion regio 13

Implant insertion regio 13

Situation immediately after insertion of all 4 implants, healing caps in place

Postoperative CBCT scan of implant regio 25, note the perfect positioning according planning next to recessus

of maxillary sinus

Postoperative CBCT scan of implant regio 24, positioned as planned. Flapless surgery was choosen

without grafting, vestibular plate intact

Postoperative CBCT scan of implant regio 23

Postoperative CBCT scan of implant regio 13

CrystalGuidelaser sintered

metal surgical guides

•A real advance in guided surgery

•Open access for optimal sight

•Open access for optimal cooling

•Rigidity and stable fit

•Can be sterilized

CrystalGuidelaser sintered

metal surgical guides

•CAD/CAM fabricated with advanced technology

•DMLS laser sintered CoCr in Germany

•Ultra-thin design possible

•Bone supported reduction guides / drill guides available

•Metal guides for edentulous cases with anchor pins

CrystalGuidelaser sintered

metal surgical guides

•No or minimal upfront costs

•Planning software provided at no cost

•Online support and training

•Compatible with all guided surgery kits

•Low-cost standard tools available if no kit is used

CrystalGuidelaser sintered

metal surgical guides

•Flat fee EUR 280 regardless number of implants

•Distribution by Hess Medizintechnik GmbH/Germany

•www.crystalguide.us (english)

•www.cristalguide.com (deutsch)

•www.cristalguide.net (español)