14 mandibular anterior case open guide sleeve drill progression
DESCRIPTION
The Guide Right Surgical Guide System is a system of components for the fabrication and correction of diagnostic and surgical dental implant guides in 1 or 2 dimensions.TRANSCRIPT
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MANDIBULAR ANTERIOR CASE SURGICAL Guide in Place ► Showing Drill Progression
Featuring:
SCHA 2.2013
2 Implants: # 27 ▪ # 23
Magnetic Guide Posts ▪ Open Guide Sleeves
Invivo5 software evaluation
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Fabrication of DIAGNOSTIC GUIDE
3 mm straight guide posts
3 x 8 mm cylindrical guide sleeves
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Two 3 mm guide posts placed in the holes.
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The angles of the guide posts were made semi-parallel to the adjacent
natural teeth. However, the angles are not too critical for the
DIAGNOSTIC guide, as they most likely will need to be corrected.
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3 X 8 mm guide sleeves are placed over the guide posts.
Occlusal view
Facial view
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Undercuts were blocked out and petroleum jelly was used to lubricate the cast.
Triad® Gel was added to the brackets of the guide sleeves and the adjacent
teeth to form the body of the DIAGNOSTIC guide.
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Facial view of fabricated template.
The DIAGNOSTIC guide is now ready to be
placed in the patient for a Cone Beam X-ray.
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Preview of Pre-op Corrections
#27
LINEAR CORRECTION
6° correction toward the lingual
#23
LINEAR CORRECTION
10° correction toward the buccal
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Invivo5
Anantomage
PRE-OP
Software Evaluation
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axial
# 23 Initial Alignment
Software Evaluation
cross sectional
volumetric tangential
Invivo5 Anatomage Invivo5 Anatomage
NOTE Each time a change is made in the software go back to the
initial alignment view and calculate the angle in the 2nd plane.
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cross sectional view tangential view
#23 CLOSE UP with software grid Invivo5 Anatomage
requires no correction
toward the distal
requires a 10° correction
toward the buccal
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axial
# 27
Evaluation with Software Grid
cross sectional
volumetric tangential
Invivo5 Anatomage Invivo5 Anatomage
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occlusal view
#27
Invivo5 Anatomage
axial view
Bucco-lingual plane
Axial view should always be adjusted to the 90°
cross sectional plane of the alveolar ridge.
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cross sectional view tangential view
#27 CLOSE UP LINEAR & ANGULAR Evaluation
Invivo5 Anatomage
guide sleeve requires no correction
away from the adjacent tooth
guide sleeve requires a 6°
correction toward the lingual
(left)
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#27
LINEAR CORRECTION:
1.0 mm to the buccal
ANGULAR CORRECTION
6° bend BEND to the lingual.
#23
LINEAR CORRECTION
0.5 mm to the lingual
Preview of Pre-op Corrections
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#27 correction: 1.0 mm offset guide post to the buccal & bent 6° to the lingual.
#23 correction: 0.5 mm offset guide post to the lingual / no change in the angle
Occlusal view
Buccal view
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3.3 mm open guide sleeves placed on offset magnetic guide posts.
Occlusal view
Buccal view
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Occlusal view
SURGICAL guide
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Buccal view of 3.3 mm open guide sleeves in SURGICAL guide.
Ready to be placed in the patient for surgery.
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Surgical site
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SURGICAL GUIDE in Place
surgical drill sequence
with 3.3 mm open guide sleeves
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2 mm drills placed with 3 mm stop shaft
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2.5 and 2.85 mm drills in place
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3.2 mm and 3.35 mm drills in place
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Axial view of implant placement
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Final X-rays
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# 23 Post-op Cone Beam Evaluation
cross sectional view tangential view
# 23 virtual implant placed over actual implant to check alignment with guide sleeve
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# 26 virtual implant placed over actual implant to check alignment with guide sleeve
tangential view cross sectional view
# 26 Post-op Evaluation
Invivo5 Anatomage
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Facial view of Atlantis abutments
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Final restoration on master cast
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Lingual view
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Final Restoration
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Guide Right™
Products shown in this case
1 - 3/32” Drill
2 - 3 mm Guide Post
2 - 3 mm cylindrical Guide Sleeve
1 - 3 mm x 0.5 mm Offset Magnetic Guide Post
1 - 3 mm x 1.0 mm Offset Magnetic Guide Post
2 - 3.3 mm Open Guide Sleeves
Generation ll ▪ Guide Post Bending Tool
Triad® Gel
1.800.314.0065 • www.deplaque.com
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Guide Right™ Surgical Guide System
Start With Precision. Place With Confidence.™
1.800.314.0065 • www.deplaque.com
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
DéPlaque