1 introduction to guide right componenets with single implant reduced size
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Guide Right™ Surgical Guide System INTRODUCTION use of Guide Right™ COMPONENTS use with a SINGLE IMPLANT CASE verification with PA X-ray includes: mesio-distal correction only (not bucco-lingual) 2.3013
Transcript of 1 introduction to guide right componenets with single implant reduced size
Guide Right™ Surgical Guide System
INTRODUCTION
use of Guide Right™ COMPONENTS
use with a SINGLE IMPLANT CASE
verification with PA X-ray
includes: mesio-distal correction only (not bucco-lingual)
2.3013
Challenges with Current 3D Surgical Guides
Most require off-site fabrication
Costly and time delay, several days to two weeks
May result in difficulty fitting the patient when placed at the
time of surgery
May require a 2nd cone beam X-ray of cast
Best Practices for Implant Success
Implants should be placed within the envelope of available bone to
increase clinical success.
Pre-surgical radiographs facilitate evaluation of the proposed angle of
the long axis of the guide sleeve and proposed implant placement.
3D Radiographs allow us to determine if planned implant placement
conflicts with the adjacent roots, the maxillary sinuses, nerves,
and if it is within the envelope of available bone.
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
Basic Fabrication & Correction
of
DIAGNOSTIC and SURGICAL Guides
Featuring
GUIDE RIGHT COMPONENTS
standard & magnetic guide posts cylindrical & open guide sleeves
GENERATION ll BENDING TOOL
angular correction linear correction
PERIAPICAL X-RAYS
FABRICATION OF
DIAGNOSTIC guideSURGICAL guide
Guide Right™ COMPONENTS
used in
Fabrication of DIAGNOSTIC & SURGICAL Guides
Guide Posts: standard · magnetic offset
Guide Sleeves: cylindrical · open
Drills
Pin-vice
Generation ll Bending Tool
Standard Guide Posts
Short Guide Post18 mm x 9 mm x 3/32 in.
Straight Guide Post 30 mm x 2.9 mm x 3/32 in.
Magnetic Guide Posts
Straight
3.0 mm od
Offset
3.0 od X 0.5 mm os
3.0 od X 1.0 mm os
3.0 od X 1.5 mm os
3.0 od X 2.0 mm os
3.0od X 2.5 mm os
3.0 od X 3.0 mm os
Cylindrical Guide Sleeves
Anterior
Straight Cut 3.0 mm x 10 mm
Posterior
Angle Cut 3.0 mm x 10 mm
Large Diameter
4.5 mm id x 5.0 mm
Large Diameter
5.3 mm id x 5.0 mm
Magnetic Guide Post & Open Guide Sleeve Set
4.0 mm Open Guide Sleeve (short)
4.0 mm Open Guide Sleeve (short)
4.0 mm x 10 Magnetic Guide Posts
4.0 mm x 1 mm Offset Magnetic Guide Post
2.0 mm x 5.0 mm Pilot Drill
2.0 mm x 10.0 mm Pilot Drill
Drillsused with straight hand piece
3/32”
5/64” drill
Pin vice may be used for more accurate placement
Magnetic Offset Guide Post
3.0 X 0.5 offset
Magnetic Offset Guide Post
3.0 X 1.0 offset
Magnetic Offset Guide Post
3.0 X 1.5 offset
3.0 X 2.0 offset
Magnetic Offset Guide Post
3.0 X 2.5 offset
Magnetic Offset Guide Post
3.0 X 3.0 offset
Magnetic Offset Guide Post
Single Bendcorrections in one plane
Guide Right™
Generation ll Bending Tool
Guide Right™
Single Implant Case
ALB 2.2013
single bend
use of protractor
use of bending tool
Fabrication of DIAGNOSTIC Guide
A pencil line can be drawn on the cast to guide a proposed osteotomy axis. (Not shown)
A hole is drilled through the prostheticly planned long axis of the implant into the cast with a 3/32” drill.
The drill is removed from 3/32” hole, the cast is lubricated with
petroleum jelly for easy removal and, if necessary, undercuts
are blocked out.
A 3 mm guide post is placed in the hole
A 3 mm guide sleeve is placed on the post and Triad® Gel is added to
capture the cleats on the sleeve and to lingual & incisal surfaces of
several of the adjacent teeth. After curing the DIAGNOSTIC guide &
securely seating it in the patient an X-ray is taken.
The radiograph taken with the initial DIAGNOSTIC guide indicates a
correction is needed to avoid hitting the root of the adjacent tooth with
the osteotomy / implant.
The Guide Right™ protractor is placed over the pre-op
DIAGNOSTIC X-ray to indicate the proposed correction of 9 . NOTE the relationship between the proposed guide sleeve with the adjacent root.
Guide Right™
Generation ll Bending Tool
• A straight 3 mm magnetic guide post is placed in the block of the bending tool.
• The 3 mm stylus is placed over the post.
• Pressure is applied to point of stylus moving it to the 9 correction indicated
according to the protractor reading.
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
The magnetic guide post is placed in the initially planned
prosthetic axis prior to correction.
The planned prosthetic axis is changed by bending
a straight magnetic guide post 9 .
Fabrication of SURGICAL Guide
To fabricate the final SURGICAL guide, a 3.3 mm open guide
sleeve is placed over the corrected guide post which was bent 9 .
Triad® Gel is added to capture the cleats
to form the final SURGICAL guide.
An X-ray of the altered guide sleeve angle noting the implant
position farther away from the root of the adjacent tooth.
Pre-op DIAGNOSTIC guide Corrected SURGICAL guide
Prior to surgery the final SURGICAL guide with the
3.3 mm open guide sleeve securely seated in the patient.
Clinical view of the 2 mm pilot drill with 3.0 mm stop
shaft in the 3.3 mm open guide sleeve
After the 2 mm drill is used the alignment is checked with a 2 mm Direction
Indicator placed in the 2 mm osteotomy and post-op X-ray is taken.
Note the X-ray of the 2 mm Direction Indicator in place to check the
alignment of the 2 mm osteotomy indicates a satisfactory placement.
Now the use of successive larger drills can proceed.
A 2.5 mm drill is centered in the 3.3 mm open guide sleeve.
The next larger (2.7 mm) drill is used.
A 3.2 mm drill is centered in 3.3 mm open guide sleeve.
Finally, the implant is placed with the carrier using the guide sleeve.
A final X-ray is taken to view accuracy of implant placement.
(1) 3/32” drill
(1) 2 mm pilot drill with / 8.5 long / 3 mm stop
(1) 3 mm Straight Stainless Guide Post
(1) 3 mm Cylindrical Guide Sleeve
(1) 3.3 mm Open Guide Sleeve
(1) 3 mm Magnetic Guide Post
(1) Generation ll Bending Tool & 3 mm Stylus
(1) Direction Indicator
Guide Right™ Protractor
Triad® Gel
Products used in this presentation
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
Guide Right™ Surgical Guide System
Start With Precision. Place With Confidence.
1.800.314.0065 • www.deplaque.com
