Post on 11-Jul-2015
Guide Right™
Immediate Placement & Immediate Load
WHITEHO 2.2013
■ Correction using Guide Right Components
• 15 bend toward the facial
■ Generation ll Bending Tool
■ Pre-op evaluation using softwareInvivo5 Anatomage
Featuring:
Fabrication of DIAGNOSTIC Guide
3 mm Guide Post
3 mm Diagnostic Guide Sleeve (1 cleat)
#11 has internal root resorption on palatal surface
Treatment Plan:
Replacement of #11 with immediate placement & temporary restoration
3/32” drill through the existing tooth on the cast
3 mm guide post & 3 mm diagnostic guide sleeve (1 cleat)
with existing tooth remaining for the DIAGNOSTIC guide
Red wax added to tooth if cast should break when drilling
to allow the DIAGNOSTIC guide to fit for the cone beam X-ray
Palatal view of beading wax added
Triad® Gel applied to capture guide sleeve cleats and adjacent teeth
to form the DIAGNOSTIC guide
Invivo5
Anatomage
Pre-op
Software Evaluation
Invivo5 Anatomage
Initial Alignment
axial cross sectional
tangential view volumetric
Invivo5Anatomage
# 11
NOTE:
Each time a change is made in the software go back to the
initial line up view and calculate the angle in the 2nd plane.
Initial Alignment of guide sleeve with virtual implant
Invivo5Anatomage
cross sectional view
# 11
tangential
SOFTWARE GRID
each square: 5 X 5 mm
each side of the square: 5 mm
center mark is 2.5 mm
Understanding Grid MeasurementsInvivo5
# 11 CLOSE UP
If the implant is placed with the guide sleeve in this position
the facial wall of the bone will be violated.
Therefore the axis of the guide sleeve needs to be changed
Invivo5 Anatomage
# 11 indication ANGULAR CORRECTION: 15º bend toward the facial
axial cross sectional
tangential volumetric
Invivo5 Anatomage
cross sectionaltangential
Invivo5 Anatomage
CLOSE UP
ANGULAR CORRECTION: 15 to the facial
# 11
ANGULAR CORRECTIONS are made with the
Guide Right™
Generation ll Bending Tool
Step by step instructions at end of slideshow
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
3 mm stylus placed over 3 mm guide post to make the 15 bend
One bend to correct # 11
15
Image showing 15 difference in virtual implant correction
Invivo5
# 11
cross sectional views
Before After
# 11 actual guide post placed on image of virtual guide post and corrected guide in place
to verify 15º magnetic guide post correction
Invivo5 Anatomage
One method of checking the
guide post after the bend is to
place the bent guide post over
a print out of the view observed
in the software.
Review of Pre-op Corrections
#11
ANGULAR CORRECTION
15º bend toward the facial
Fabrication of SURGICAL Guide
3 mm Magnetic Guide Post
3 mm Open Guide Sleeve
Existing restoration removed from cast before making SURGICAL guide
Straight magnetic 3 mm guide post in planned osteotomy hole
Corrected 3 mm magnetic guide post with 15 bend toward facial
3 mm bent magnetic guide post showing 15 correction
Occlusal view of corrected 3 mm magnetic guide post and open guide sleeve
Initial Triad® Gel applied to capture the cleats of
the open guide sleeve to form the SURGICAL guide.
Final application of gel to form the SURGICAL guide
Clinical view of implant placement
Placement of 15 angled abutment for temporary restoration
Final implant placement
Temporary restoration
Temporary restoration 2 days later
Guide Right™
Products shown in this case
1 - 3/32” drill
1 - 3 mm Guide Post
1 - 3 mm Diagnostic Guide Sleeve (1 cleat)
1 - 3 mm Magnetic 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 2nd bend can be made in either direction according to the x-ray.
Guide Right™
GENERATION II BENDING TOOL
In-office or lab fabrication
Evaluate with 2D & 3D imaging
Allows linear and angular correction
Enables precision implant placement
Cost effective
A System of Components for the fabrication and correction of DIAGNOSTIC & SURGICAL guides
in one or two dimensions
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