20 mandibular non parallel implant placement
TRANSCRIPT
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Mandibular Non-parallel Implant Placement
Featuring:
DEMA
Invivo5 Anatomage
2 implants: # 29 & # 30
magnetic guide posts
open guide sleeves
Software Evaluation
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axial cross sectional
tangential volumetric
Pre-op Software Evaluation
▪ Initial alignment of guide sleeve with virtual implant ▪
Invivo5 Anatomage
# 29
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Fabrication of DIAGNOSTIC Guide
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Cast with planned implant sites marked and drilled with 3/32” drill
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3 mm guide posts placed in holes indicate the planned implant trajectory
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Buccal view of guide posts in place
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3 mm guide posts with 3 mm DIAGNOSTIC guide sleeves [1 cleat]
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lingual view
Triad® Gel added to form DIAGNOSTIC guide
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Pre-operative Evaluation
axial ▪ tangential ▪ cross sectional
Invivo5 Anatomage
Software
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axial cross sectional
tangential volumetric
Pre-op Software Evaluation
▪ Initial alignment of guide sleeve with virtual implant ▪
Invivo5 Anatomage
# 29
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Invivo5 Anatomage
Axial view should always be adjusted to the 90°
cross sectional plane of the alveolar ridge.
# 29
indication: reposition the implant, 4 x 9 mm
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tangential cross sectional
INITIAL ALIGNMENT: in both planes # 29
Invivo5 Anatomage
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Invivo5
Anatomage Software Analysis
# 29
ANGULAR CORRECTION needed: 29° toward the lingual
Invivo5 Anatomage
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Invivo5
Anatomage # 29 29° angle is drawn for planned correction toward the lingual
Invivo5 Anatomage
ANGULAR CORRECTION: to reposition the implant,(4 mm x 9 mm)
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Invivo5
Anatomage Software Analysis
# 29
Checking the ANGULAR CORRECTION: 29° toward the lingual
Invivo5 Anatomage
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ANGULAR CORRECTIONS are made with the
Guide Right™
Guide Post Bending Tool
Step by step instructions at end of slideshow
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Single Bend corrections in one plane
Guide Right™
Generation ll / Guide Post Bending Tool
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Invivo5
Anatomage
# 29 ANGULAR CORRECTION:
29 ° - 30 ° BEND to the lingual
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axial cross sectional
tangential volumetric
Pre-op Software Analysis
▪ Initial alignment of guide sleeve with virtual implant ▪
Invivo5 Anatomage
# 30
Invivo5 Anatomage
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Invivo5 Anatomage
Axial view adjusted to the 90°
cross sectional plane of the alveolar ridge.
# 30
Initial line up shows originally planned implant placement
for the DIAGNOSTIC guide sleeve
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tangential cross sectional
INITIAL ALIGNMENT: in both planes # 30
Invivo5 Anatomage
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Invivo5
Anatomage
# 30
ANGULAR CORRECTION: 28° - 30°
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Invivo5
Anatomage
# 30 ANGULAR CORRECTION: 30° angle highlighted
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Invivo5
Anatomage
# 30
ANGULAR CORRECTION: 28-30°
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Invivo5
Anatomage
# 30 ANGULAR CORRECTION: 28 - 31° BEND to the lingual
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Type here. Invivo5
Anatomage
Corrected 3 mm Magnetic Guide Posts
# 29
30°
#30
30°
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Fabrication of SURGICAL Guide
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Corrected 3 mm magnetic guide posts in cast
# 30
30°
# 29
30°
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▪ 3 mm magnetic guide posts
▪ 1 mm spacer has been added to accommodate
the 4 mm open guide sleeve on the distal post.
▪ 3 mm guide post is used on the mesial post.
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SURGICAL guide
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SURGICAL guide
buccal view
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Final Implant Placement
Implant with SUGICAL Guide in place
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Guide Right™
Products shown in this case
3/32” drill
3 mm Guide Post
3 mm Guide Sleeve
1.5 mm Offset Magnetic Guide Post
3 mm Open Guide Sleeve
2 mm Direction Indicator
Generation ll / Guide Post Bending Tool
Petroleum Jelly
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