Post on 11-Apr-2017
IMMEDIATE PLACEMENT ▪ IMMEDIATE LOAD# 7
Guide Right™
Bone Graft2-Piece Offset Guide Posts
Invivo5 SoftwareTriad® gel Application Sequence
Bending Tool
HLM 2016
Guide Right™ Surgical Guide System
Start With Precision. Place With Confidence.™
1.800.314.0065 • www.deplaque.com
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
DéPlaque
Guide Right™ Surgical Guide Systemfabricate ▪ evaluate ▪ correct ▪ re-fabricate ▪ verify ▪ place
A Geometric Approach to Guided Implant Placement
Initial X-ray
A full thickness flap was reflected
A periosteal elevator used to reflect the flap to a depth of 12 mm
Elevator positioned to indicate the 12 mm depth
Puros & Infuse Bone Graft (BMP2)
Site was closed with resorbable sutures
Graft was completed 6 months before implant placement
Guide Right™ Surgical Guide System
DéPlaque
▪ fabricate [diagnostic guide]▪ evaluate ▪ correct ▪ re-fabricate ▪ verify▪ place
Start With Precision. Place With Confidence.™
3/32” pilot drill used to drill initial hole with proposed implant trajectory in cast
3/32” hole drilled in cast
3 mm straight guide post in 3/32” holein preparation for fabrication of DIAGNOSTIC GUIDE
3 mm guide sleeve placed on 3 mm guide post with cleat positioned to the palate.
Triad® gel applied to the guide sleeve to capture the cleat & several of the adjacent teeth. Light cured to form the DIAGNOSTIC GUIDE
Guide Right™ Surgical Guide System
DéPlaque
▪ fabricate [diagnostic guide]
▪ evaluate ▪ correct ▪ re-fabricate ▪ verify▪ place
Guide Right™ Surgical Guide SystemStart With Precision. Place With Confidence.™
Invivo5 Anatomage
Cone Beam Analysis Software
axial cross sectional
tangential
4
volumetric
ANGULAR CORRECTION: 32° toward facial
virtual implant
#7
cross sectional high magnification
ANGULAR CORRECTION: 32° toward facial
4
# 7
axial cross sectional
HOME POSITION
tangential
4
volumetric
#7
cross sectional
HOME POSITION high magnification
4
Invivo5 Software
Navigating the System
For better understanding of use of Invivo5 software
view slide show at www.deplaque.com
Steps to Making & Correcting a Surgical Guide Steps to using Invivo5 for Evaluation
Using Invivo5 SoftwareSTART from the HOME POSITION ► the AXIAL view
► the view showing a virtual implant aligned with the image of the DIAGNOSTIC guide sleeve in Invivo5 software.
3 PLANES are viewed in the AXIAL view (A) the bucco-lingual / cross sectional plane may / may not display as a line intersecting the alveolar bone/ridge at 90º diagonally
(B) the mesio-distal plane / tangential plane (HOME POSITION)
(C) The IDEAL POSITION shown in the AXIAL PLANE is when the line intersecting the alveolar bone is 90º indicating the direction of the bucco-lingual plane being viewed.
STEP by STEP Evaluation
DéPlaque
▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ re-fabricate [surgical guide]▪ verify▪ place
Guide Right™ Surgical Guide SystemStart With Precision. Place With Confidence.™
ANGULAR CORRECTIONS are made with the
Guide Right™ Bending Tool
Step by step instructions at end of slideshow
• Stylus placed over 2.5 mm
offset guide post
• Stylus used as a lever to gently bend the post to 32°
Guide Right™ Bending Tool
• Closeup: 2.5 mm offset guide post in bending tool block
Guide Right™ Surgical Guide System
DéPlaque
▪ fabricate [diagnostic guide]▪ evaluate ▪ correct ▪ re-fabricate [surgical guide]▪ verify▪ place
Start With Precision. Place With Confidence.™
2-Piece Lower-part 2.5 mm Offset Guide Post with angle correction of 32°
To begin preparation for fabrication of SURGICAL GUIDE:
2-Piece Lower-part guide post bent 32° is placed in the hole in the cast
Side View
3 mm guide sleeve added to 2.5 mm offset guide post
Buccal View
2.5 mm offset guide post with 3 mm guide sleeve
Drop of sticky wax applied in 2 applications to secure 3 mm guide post during Triad® application
1st drop
2nd drop
1ST application of Triad® gel to offset guide post capturing cleat to begin forming the SURGICAL GUIDE
Application sequence of Triad® gel to offset guide sleeve & adjacent teeth to form the SURGICAL GUIDE
• each application cured for 10 seconds & final application for required time •
Facial View
SURGICAL GUIDE
Guide Right™ 2-Piece 2.5 mm offset guide post corrected 32° in 3 mm guide sleeve.
SURGICAL GUIDE
2.5 mm offset guide post (corrected 32°) & 3 mm upper-part guide sleeve
DéPlaque
▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ re-fabricate [surgical guide]▪ verify▪ place
Guide Right™ Surgical Guide SystemStart With Precision. Place With Confidence.™
3 mm guide sleeve in SURGICAL GUIDE to place a 3.3 Straumann Implant
DéPlaque
POST OP
Temporary Crown
Guide Right™
GUIDE POST BENDING TOOL
Steps to SINGLE BEND
Step 1 Place bending tool plate on a secure flat surface with the degree increments at the top & the stainless steel bar at the bottom.
Step 2 Locate the two 3/32” holes in the top of the stainless steel bar. The hole closest to the plate is used for all guide posts up to 3.0 mm offsets. The front hole is used for offsets 3.5 mm or larger. Place the bottom half of the guide post to be bent into the appropriate hole. Position the offset guide post in the hole determined by the planned direction of the correction. Tighten the set screw.
Step 3 Select the appropriate stylus to fit over the top half of the guide post.
Step 4 Fit the stylus over the guide post securely with the point directed at 0 ° & the bottom of the stylus in contact with the platform of 2-piece guide post or if no platform on post, in contact with block.
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 Remove the stylus. Loosen screw to remove the guide post bent to the desired angle.
Steps to COMPOUND BEND
Guide Right™
GUIDE POST BENDING TOOL
Step 1 Position a straight or offset guide post in the bending plate, tightening the set screw against one of the 8 flat surfaces on the lower half of the guide post.
Step 2 The 1st bend can be made to the right or left direction.
Step 3 The set screw is loosened & the guide post is rotated 90° next flat surface.
Step 4 The 2nd bend in the 2nd plane is made after rotating the guide post up away from the surface of the bending plate to register the stylus point back at 0º.
Step 5 Slide the stylus support bar down under the stylus until it supports the stylus. Tighten the side screws before making the 2nd bend.
Step 6 The 2nd bend can be made in either direction according to the X-ray.
Step 7 Remove the stylus and place the guide post back in the cast with the appropriate side indicated by a mark with a felt tip pen facing the buccal or lingual surface. Be sure the post is in the correct position.
Linear Corrections, using an offset guide post, must be determined & made before Angle Corrections.Offset 2-Piece Guide Posts available in the 3 mm guide post: 0.5,1, 1.5, 2.0, 2.5 & 3.0 mm.
LINEAR CORRECTIONS
are made with the
Guide Right™ guide posts & guide sleeve components
VIEW: step by step instructions in this slideshow & instructive case example slideshows on www.deplaque.com
DéPlaque
Guide Right™ Surgical Guide System
Offset Guide Posts
2-Piece Guide Post Straight Lower Piece with Upper Removable Piece
The bottom half of all Lower Pieces of the 2-Piece Guide Post are designed with 4 flat sides corresponding with the mesial, distal, buccal & lingual surfaces of the tooth.
2-Piece Guide Post
Upper Removable Piece
2.7 mm
Other diameters available on request.
For basic instruction for use of 2-Piece Guide Posts
View Slideshow at www.deplaque.com
“2-Piece Guide Post with STEPS to Making a Surgical Guide
featuring
Invivo5 Software Analysis”
To make Guide Sleeve Corrections …Correct the Guide Post
Linear Correctionsuse offset guide posts
0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4 mm
Angular Corrections use Guide Right™ Bending Tool to correct
the angle of the guide posts & guide sleeve
view
Guide Right™
VIDEO Case HLM for actual site preparation & implant placement
www.deplaque.com
Featuring
2-Piece Offset Guide Posts Invivo5 Software
Triad® gel Application Sequence
Guide Right™ Surgical Guide System
Start With Precision. Place With Confidence.™
1.800.314.0065 • www.deplaque.com
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
DéPlaque
Guide Right™ Surgical Guide Systemfabricate ▪ evaluate ▪ correct ▪ re-fabricate ▪ verify ▪ place
A Geometric Approach to Guided Implant Placement