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Case showing Maxillary 2nd Molar Replacement
featuring
Linear Corrections using 2-Piece Guide Post
Rava
Surgical Guide
Guide Right™ Surgical Guide System
1.800.314.0065 • www.deplaque.com
fabricate ▪ evaluate ▪ correct ▪ verify ▪ refabricate ▪ place
DéPlaque
A Geometric Approach to Guided Surgery
Start With Precision. Place With Confidence.™
DéPlaque
▪ fabricate [Diagnostic Guide]▪ evaluate▪ correct ▪ verify▪ re-fabricate▪ place
Start With Precision. Place With Confidence.
Guide Right™ Surgical Guide System
Drill hole in the cast with a 3/32” split point drill to create a planned prosthetic position for the final implant placement.
3 mm guide post & 3 mm guide sleeve in place
Addition of Triad® gel applied & extended to adjacent teeth capturing the cleats to form a Diagnostic Guide
DéPlaque
▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ verify▪ re-fabricate▪ place
Start With Precision. Place With Confidence.
Guide Right™ Surgical Guide System
Invivo5 Anatomage
Cone Beam Analysis
more information: www.deplaque.com ONLINE SLIDE SHOW: 2-Piece Guide Post with Steps to Making a Surgical Guide featuring Invivo5 Software.
3 Invivo5 views are evaluated...
• axial view
• cross sectional or bucco-lingual view
• tangential or mesio-distal view
• #15 •
Home Position
axial cross section
tangential volumetric
• #15 •
Virtual Implant in preferred Implant Position
axial cross section
tangential volumetric
• #15 •
Linear Correction: 3 mm to distal
axial cross section
tangential volumetric
• Higher Magnification •
Linear Correction: 3 mm to distal
tangential
SOFTWARE GRID each square: 5 X 5 mm
each side of the square: 5 mm
center mark is 2.5 mm
Understanding Grid Measurements
2.5 mm
5 mm
Invivo5
5 X 5 mm
LINEAR CORRECTION
• Higher Magnification •
Angular Correction: 5° to distal & palatal
DéPlaque
▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ verify▪ re-fabricate ▪ place
Start With Precision. Place With Confidence.
Guide Right™ Surgical Guide System
Linear Correction:To correct the guide sleeve position by 2 mm to distal, a 2-Piece 3 mm offset guide post is used.
Angular Correction: Using Guide Right™ Bending Tool 2-Piece 3 mm offset guide post is bent 5° to distal & palatal (2 bends)
Corrections
www.deplaque.com slide show: 2-Piece Guide Post with Steps to Making a Surgical Guide featuring Invivo5 Software.
Interchangeable upper & offset lower guide posts
2-Piece Guide Post
Upper Part
Lower Part
Guide Right™ Bending Tool
5°
Stylus over 3 mm offset guide post after 1st 5° bend is made.
block
• 3 mm 5° bent offset guide post placed hole in block & rotated 45° • Set screw tightened against the flat on the post • Stylus placed over the post, & used to bend the post to the required 2nd 5° angle.
set screw
www.deplaque.com Slide Show: Correction Using Bending Tool
DéPlaque
▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ verify▪ re-fabricate [surgical guide]▪ place
Start With Precision. Place With Confidence.
Guide Right™ Surgical Guide System
3 mm Offset Lower 2-Piece Guide Post positioned at 45° distal-palatal
Occlusal view
Upper & Lower Components of 3.8 mm 2-Piece Guide Post together.
Addition of 3.9 mm guide sleeve on the post with cleat positioned to the lingual.
Light cured Triad® gel added to capture cleat of 3.9 mm guide sleeve set over 3.8 mm 2-Piece guide post to form Surgical Guide.
Occlusal view
Light cured Triad gel added to capture cleat of 3.9 mm angle cut guide sleeve set over 3.8 mm 2-Piece guide post to form Surgical guide.
3.9 mm guide sleeve
Occlusal View
3.8 mm drill stop X 2 mm diameter X 5 mm long hybrid drill placed in a with 3.9 mm angle cut guide sleeve
front side
Pilot Drills used
2nd Surgical Guide made with 6 mm guide sleeve & 5.9 mm guide post to accommodate the wider 5.5 mm diameter implant.
Secondary Surgical Guide 6 mm diameter guide sleeve with post removed showing it centered on the same rotated lower post at 45°
DéPlaque
▪ fabricate [diagnostic guide] ▪ evaluate ▪ correct ▪ verify▪ re-fabricate [surgical guide]▪ place
Start With Precision. Place With Confidence.
Guide Right™ Surgical Guide System
• # 15 •
Post Operative cone beam image of final implant placement
Invivo5
axial cross section
tangential volumetric
Stage 2 Post-op Periapical X-ray
Impression Coping in Master Cast
Master Cast with Final Screw Retained Restoration
Buccal View
Screw Retained Cast-to-Abutment & Crown
Final Restoration in Master Cast
Occlusal View
Final Restoration
Occlusal View
Final Restoration
Buccal View
Guide Right™ Surgical Guide System
1.800.314.0065 • www.deplaque.com
DéPlaque
fabricate ▪ evaluate ▪ correct ▪ verify ▪ refabricate ▪ place
A Geometric Approach to Guided SurgeryStart With Precision. Place With Confidence.™
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