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.™