15 mandibular posteriorcase ll near & angular corrections

Guide Right™

Mandibular Posterior Linear & Angular Corrections

BLONS 2.2013

■ Preop Evaluation using Software

■ Correction using Guide Right Components

Invivo5 Anatomage

Straight Guide Posts

Cylindrical Guide Sleeves

Replacing 28 ▪ 29 ▪ 30

Fabrication of DIAGNOSTIC Guide

3 mm x 8 mm guide posts placed in holes in the cast.

Triad® Gel added to form

the DIAGNOSTIC guide.

3 mm DIAGNOSTIC guide sleeves

(1 cleat)

placed on 3 mm guide posts

Invivo5 Anatomage

Pre-op Software Evaluation

axial cross sectional

tangential volumetric

▪ Initial Alignment ▪

Invivo5 Anatomage

# 29

DIAGNOSTIC Guide securely seated in patient for X-ray

cross sectional

Lingual

1st Angular Correction: 1st Linear Correction:

0.5 mm Offset to the Lingual ▪ 7° Bend to the Lingual

Invivo5

tangential

# 29

Invivo5 Anatomage

2nd Angular Correction: 2nd Linear Correction 14º Bend mesial 0.5 mm Offset distal



Invivo5 Anatomage

# 29

tangential

# 29 CLOSE UP indication for 14º Angular Correction

# 30 Initial Alignment

▪ 4.1 X 8 mm virtual implant ▪

Invivo5 Anatomage

# 30

▪ Angular Correction: 7° Bend to the Mesial ▪


tangential view volumetric

Invivo5 Anatomage Invivo5

Anatomage

tangential

# 30 CLOSE UP indication for 7° Angular Correction

Invivo5 Anatomage

# 31

Initial Alignment



Invivo5 Anatomage

# 31 Angular Correction: 26° Bend to the Lingual



Invivo5 Anatomage

cross section

# 31 CLOSE UP indication for 26° Lingual Correction

Review of Pre-op Corrections

#29

LINEAR CORRECTIONS

#30

1st : 0.5 mm Offset toward the Lingual

2nd : 0.5 mm Offset toward the Distal

ANGULAR CORRECTIONS

1st : 14° bend Mesial

2st : 7° bend to the Lingual

Cosine is applied to determine correction data.

* see Pythagorean Theorem - COSINE CALCULATION slideshow

ANGULAR CORRECTIONS

7° Bend to the Mesial

# 31

ANGULAR CORRECTIONS

26° Bend to the Lingual

3 mm magnetic guide posts showing angle corrections

# 31 - 26° # 30 - 7° # 29 - 14°

3 mm magnetic guide posts 3 mm X 0.5 mm offset

Magnetic Guide Posts

Open Guide Sleeves

Fabrication of SURGICAL Guide

Corrected 3 mm magnetic guide posts in prospective positions

Initial cast

Corrected 3 mm guide posts in cast

26° 7° 14°

Buccal view of SURGICAL guide with 3.3 mm open guide sleeves

4.8 mm 4 4.1 mm 4.1 mm

Final Implant Placement

Final implant placement

Final Implant Placement

Healing Abutments

Stage 2

Final Restoration

Guide Right™

Products shown in this case

1 - 3/32” drill

3 - 3 mm Guide Post

3 - 3 mm Guide Sleeve

1 - 3 mm X 0.5 mm Magnetic Offset Guide Post

3 - 3.3 mm Open Guide Sleeve

Generation ll ▪ Guide Post Bending Tool

Triad® Gel

1.800.314.0065 • www.deplaque.com

Guide Right™

Generation ll Bending Tool

For more information on use of the bending tool go to

www.deplaque.com ▪ Guide Right™ Generation ll Bending Tool

10° example

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

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 ▪ GUIDE POST BENDING TOOL

A System of Components

for the fabrication and correction of diagnostic & surgical templates

in one or two dimensions

In-office or lab fabrication

Evaluate with 2D & 3D imaging

Allows linear and angular correction

Enables precision implant placement

Cost effective


Guide Right™ Surgical Guide System

Start With Precision. Place With Confidence.™


fabricate ▪ evaluate ▪ correct ▪ verify ▪ place

DéPlaque

15 mandibular posteriorcase ll near & angular corrections

Health & Medicine

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