12 maxillary left case linearcorrection in2 planes

Guide Right™

Maxillary Left Case - Linear Correction in 2 Planes

ANTIN 2.2013

# 12 & 14

Generation ll Bending Tool

Straight & Offset Magnetic Guide Posts

Cylindrical & Open Guide Sleeves

3 mm Diagnostic Guide Sleeve

Featuring

Invivo5 Software Evaluation Anatomage

Fabrication of DIAGNOSTIC Guide

3 mm short guide posts placed in holes to check occlusion

Check planned occlusion with opposing teeth.

Undercuts blocked out.

30 mm guide posts placed in 3/32” holes.

3 mm guide sleeves placed on 3 x 30 mm guide posts with cleats toward the palatal.

Triad® Gel added to guide sleeves capturing the cleats and adjacent teeth

to form the DIAGNOSTIC guide

Preview of Pre-op Corrections

#14

LINEAR CORRECTION

1 mm toward mesial using1 mm offset guide post

#12

LINEAR CORRECTION

1st : 1 mm toward the buccal

2nd : 1 mm distally using a 1.5 mm offset guide post rotated 45 °

Cosine is applied to determine correction data.

* see next 3 slide

Pythagorean Theorem

COSINE Calculations for Guide Right™ Guides

The cosine of 45°

is recommended for Guide Right corrections

BECAUSE

rotating the offset guide post half way

between 2 adjacent planes (90° apart) is 45°.

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Correction based on the calculations

from the Pythagorean Theorem

To move the position of the guide sleeve 1.4 mm both mesially & buccally:

► use a 3 mm X 1.5 mm offset guide post

► and direct the offset 45º facially and buccally.

Cosine: 1.5 mm X 0.71 = 1.06 mm

see Slideshow > Use of Pythagorean Theorem in #9 Single Implant Case

A= cosine of 45º X 1.5

(0.707 X 1.5 mm = 1.06 mm

PRE-OPERATIVE

Software Evaluation Invivo5 Anatomage

LINEAR CORRECTION

Indicates guide sleeve should be moved 1 mm distally

Invivo5 Anatomage

cross sectional view

tangential view

occlusal view

volumetric

# 12

Invivo5 Anatomage

# 12 axial view: wrong plane

Invivo5 Anatomage

Axial view should always be adjusted to the 90°

cross sectional plane of the alveolar ridge.

#12 axial plane rotated to about 90° Invivo5 Anatomage

tangential view

by rotating a 1.5 mm offset guide post 45 °

The guide sleeve is moved 1 mm toward the buccal and 1 mm to the distal

(Pythagorean Theorem)

cross sectional view Invivo5 Anatomage

# 12

# 14 LINEAR CORRECTION

move guide sleeve 1 mm mesially

cross sectional view

tangential view

axial view

volumetric

Invivo5Anatomage

Invivo5 Anatomage

Axial view should always be adjusted to the 90°

cross sectional plane of the alveolar ridge.

#14

tangential

#14 moving the position of the guide sleeve 1 mm mesially

will require a 1 mm offset guide post Invivo5 Anatomage

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 Invivo5

To calculate the 1 mm linear movement of

the guide sleeve

► The distance from the orange line

drawn through the long axis of the virtual

implant to the green line drawn through

the center axis of the guide sleeve is

measured.

tangential

#14

Invivo5 Anatomage

Review of Pre-op Corrections

#14

LINEAR CORRECTION

1 mm toward the mesial using1 mm offset guide post

#12

LINEAR CORRECTION

1st : 1 mm toward the buccal

2nd : 1 mm distally using a 1.5 mm offset guide post rotated 45 °

Cosine is applied to determine correction data.

* see next 3 slide

Fabrication of SURGICAL Guide

#12: 1.5 mm distally # 14: 1 mm to anterior.

Magnetic Offset Guide Posts in Place:

Positioned 4 mm short open guide sleeve

on magnetic offset guide posts with cleats to the palatal

Placement of open guide sleeves

NOTE: 3 mm Diagnostic guide sleeve on #14 guide post used to increase post size

to accommodate a 4 mm guide sleeve on distal guide post for larger drill.

SURGICAL Guide • buccal view

Completed SURGICAL Guide

Final view at stage 2 surgery

Final Restoration

[mirror shot]

Magnetic Guide Posts

Straight

3.0 mm od

Offset

3.0 od X 0.5 mm os

3.0 od X 1.0 mm os

3.0 od X 1.5 mm os

3.0 od X 2.0 mm os

3.0 od X 2.5 mm os

3.0 od X 3.0 mm os

Open Magnetic Guide Sleeve sets

3.0 mm x 5.0 mm Open Guide Sleeve (short)

3.0 mm x 8.0 mm Open Guide Sleeve (long)

3.0 mm Magnetic Guide Post Straight

3.0 mm x 1.0 mm Offset Magnetic Guide Post

2.0 mm x 8.5 mm Pilot Drills

2.0 mm x10.0 mm Pilot Drill

4.0 mm x 5.0 mm Open Guide Sleeve (short)

4.0 mm x 8.0 mm Open Guide Sleeve (long)

4.0 mm Magnetic Guide Posts Straight

4.0 mm x 1.0 mm Offset Magnetic Guide Post

2.0 x 5.0 mm Pilot Drill

2.0 x 10.0 mm Pilot Drill

Guide Right™

Products shown in this case

1 - 3/32” Drill

2 - 3.0 mm x 5.0 mm Open Guide Sleeve (short)

2 - 3.0 mm Guide Sleeve

1 - 3 mm X 1.5 mm Offset Magnetic Guide Posts

1 - 3 mm X 1.0 mm Offset Magnetic Guide Posts

1 - 4 mm od. Spacer (fits over the 3 mm guide post)

1 - 3 mm X 0.5 mm Magnetic Offset Guide Post

2 - 3 mm Open Guide Sleeve

Guide Post Bending Tool

Triad® Gel

1.800.314.0065 • www.deplaque.com

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™

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™

GUIDE POST BENDING TOOL

In-office or lab fabrication

Evaluate with 2D & 3D imaging

Allows linear and angular correction

Enables precision implant placement

Cost effective

1.800.314.0065 • www.deplaque.com

A System of Components

for the fabrication and correction of diagnostic & surgical guides in

one or two dimensions

Guide Right™ Surgical Guide System

Start With Precision. Place With Confidence.™

1.800.314.0065 • www.deplaque.com

fabricate ▪ evaluate ▪ correct ▪ verify ▪ place

DéPlaque