1 introduction to guide right compnents single implant
TRANSCRIPT
![Page 1: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/1.jpg)
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
![Page 2: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/2.jpg)
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
![Page 3: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/3.jpg)
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.
![Page 4: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/4.jpg)
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
![Page 5: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/5.jpg)
Guide Right™ Surgical Guide System
Start With Precision. Place With Confidence.™
Comparison with ▪ without guide used in implant placement planning
DéPlaque
#19 #30
#29 #21
WEB
implant placed WITHOUT a guide implant placed WITH a guide
![Page 6: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/6.jpg)
Basic Fabrication & Correction
of
DIAGNOSTIC and SURGICAL Guides
Featuring
GUIDE RIGHT COMPONENTS
standard & magnetic guide posts cylindrical & open guide sleeves
GUIDE POST BENDING TOOL
angular correction linear correction
PERIAPICAL X-RAYS
FABRICATION OF
DIAGNOSTIC guide SURGICAL guide
![Page 7: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/7.jpg)
Guide Right™ COMPONENTS used in
Fabrication of DIAGNOSTIC & SURGICAL Guides
Guide Posts: standard · magnetic offset
Guide Sleeves: cylindrical · open
Drills
Pin-vice
Guide Post Bending Tool
![Page 8: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/8.jpg)
Standard Guide Posts
Short Guide Post 18 mm x 9 mm x 3/32 in.
Straight Guide Post 30 mm x 2.9 mm x 3/32 in.
![Page 9: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/9.jpg)
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
![Page 10: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/10.jpg)
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
![Page 11: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/11.jpg)
Magnetic Guide Post & Open Guide Sleeve Set
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
![Page 12: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/12.jpg)
Magnetic Guide Post & Open Guide Sleeve Set
3.0 mm Open Guide Sleeve
3.3 mm Open Guide Sleeve
3.7 mm Open Guide Sleeve
4.0 mm Open Guide Sleeve
3.0 mm Straight Magnetic Guide Posts
3.0 mm Offset Magnetic Guide Post
2.0 mm Pilot Drills (to start the osteotomy)
Other Drill Sizes Available on Request
![Page 13: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/13.jpg)
Drills used with straight hand piece
3/32”
5/64” drill
![Page 14: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/14.jpg)
Pin vice may be used for more accurate placement
![Page 15: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/15.jpg)
Magnetic Offset Guide Post
3.0 X 0.5 offset
![Page 16: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/16.jpg)
Magnetic Offset Guide Post
3.0 X 1.0 offset
![Page 17: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/17.jpg)
Magnetic Offset Guide Post
3.0 X 1.5 offset
![Page 18: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/18.jpg)
3.0 X 2.0 offset
Magnetic Offset Guide Post
![Page 19: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/19.jpg)
3.0 X 2.5 offset
Magnetic Offset Guide Post
![Page 20: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/20.jpg)
3.0 X 3.0 offset
Magnetic Offset Guide Post
![Page 21: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/21.jpg)
Single Bend corrections in one plane
Guide Right™
Generation ll / Guide Post Bending Tool
![Page 22: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/22.jpg)
Guide Right™
Single Implant Case
ALB 2.2013
single bend
use of protractor
use of bending tool
![Page 23: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/23.jpg)
Fabrication of DIAGNOSTIC Guide
![Page 24: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/24.jpg)
A pencil line can be drawn on the cast to indicate a proposed osteotomy location.
A hole is drilled through the planned long axis into the cast with a 3/32” drill.
![Page 25: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/25.jpg)
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.
![Page 26: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/26.jpg)
A 3 mm guide post is placed in the hole
![Page 27: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/27.jpg)
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 and X-ray is taken.
![Page 28: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/28.jpg)
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.
![Page 29: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/29.jpg)
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.
![Page 30: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/30.jpg)
Guide Right™
Guide Post 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.
![Page 31: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/31.jpg)
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 / GUIDE POST BENDING TOOL
SINGLE BEND review
![Page 32: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/32.jpg)
The magnetic guide post is placed in the initially
planned prosthetic axis prior to correction.
![Page 33: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/33.jpg)
The planned prosthetic axis is changed by bending
a straight magnetic guide post 9°.
![Page 34: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/34.jpg)
Fabrication of SURGICAL Guide
![Page 35: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/35.jpg)
To fabricate the final SURGICAL guide, a 3.3 mm open guide
sleeve is placed over the corrected guide post which was bent 9°.
![Page 36: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/36.jpg)
Triad® Gel is added to capture the cleats
to form the final SURGICAL guide.
![Page 37: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/37.jpg)
An X-ray of the altered guide sleeve angle noting the implant
position further away from the root of the adjacent tooth.
Pre-op DIAGNOSTIC guide Corrected SURGICAL guide
![Page 38: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/38.jpg)
The final SURGICAL guide with the 3.3 mm
open guide sleeve securely seated in the patient.
![Page 39: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/39.jpg)
2 mm pilot drill with 3.0 mm stop shaft
in the 3.3 mm open guide sleeve
![Page 40: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/40.jpg)
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.
![Page 41: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/41.jpg)
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.
![Page 42: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/42.jpg)
A 2.5 mm drill is centered in the 3.3 mm open guide sleeve.
![Page 43: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/43.jpg)
The next larger (2.7 mm) drill is used.
![Page 44: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/44.jpg)
A 3.2 mm drill is centered in 3.3 mm open guide sleeve.
![Page 45: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/45.jpg)
Finally, the implant is placed with the carrier using the guide sleeve.
![Page 46: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/46.jpg)
A final X-ray is taken to view accuracy of implant placement.
![Page 47: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/47.jpg)
(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 / Guide Post 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
![Page 48: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/48.jpg)
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
![Page 49: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/49.jpg)
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
![Page 50: 1 introduction to guide right compnents single implant](https://reader033.vdocuments.net/reader033/viewer/2022042614/55a0d3891a28ab40108b483a/html5/thumbnails/50.jpg)
Guide Right™ Surgical Guide System
Start With Precision. Place With Confidence.
1.800.314.0065 • www.deplaque.com