Post on 02-Jun-2015
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MANDIBULAR ANTERIOR CASE SURGICAL Guide in Place ► Showing Drill Progression
Featuring:
SCHA 2.2013
2 Implants: # 27 ▪ # 23
Magnetic Guide Posts ▪ Open Guide Sleeves
Invivo5 software evaluation
Fabrication of DIAGNOSTIC GUIDE
3 mm straight guide posts
3 x 8 mm cylindrical guide sleeves
Two 3 mm guide posts placed in the holes.
The angles of the guide posts were made semi-parallel to the adjacent
natural teeth. However, the angles are not too critical for the
DIAGNOSTIC guide, as they most likely will need to be corrected.
3 X 8 mm guide sleeves are placed over the guide posts.
Occlusal view
Facial view
Undercuts were blocked out and petroleum jelly was used to lubricate the cast.
Triad® Gel was added to the brackets of the guide sleeves and the adjacent
teeth to form the body of the DIAGNOSTIC guide.
Facial view of fabricated template.
The DIAGNOSTIC guide is now ready to be
placed in the patient for a Cone Beam X-ray.
Preview of Pre-op Corrections
#27
LINEAR CORRECTION
6° correction toward the lingual
#23
LINEAR CORRECTION
10° correction toward the buccal
Invivo5
Anantomage
PRE-OP
Software Evaluation
axial
# 23 Initial Alignment
Software Evaluation
cross sectional
volumetric tangential
Invivo5 Anatomage Invivo5 Anatomage
NOTE Each time a change is made in the software go back to the
initial alignment view and calculate the angle in the 2nd plane.
cross sectional view tangential view
#23 CLOSE UP with software grid Invivo5 Anatomage
requires no correction
toward the distal
requires a 10° correction
toward the buccal
axial
# 27
Evaluation with Software Grid
cross sectional
volumetric tangential
Invivo5 Anatomage Invivo5 Anatomage
occlusal view
#27
Invivo5 Anatomage
axial view
Bucco-lingual plane
Axial view should always be adjusted to the 90°
cross sectional plane of the alveolar ridge.
cross sectional view tangential view
#27 CLOSE UP LINEAR & ANGULAR Evaluation
Invivo5 Anatomage
guide sleeve requires no correction
away from the adjacent tooth
guide sleeve requires a 6°
correction toward the lingual
(left)
#27
LINEAR CORRECTION:
1.0 mm to the buccal
ANGULAR CORRECTION
6° bend BEND to the lingual.
#23
LINEAR CORRECTION
0.5 mm to the lingual
Preview of Pre-op Corrections
#27 correction: 1.0 mm offset guide post to the buccal & bent 6° to the lingual.
#23 correction: 0.5 mm offset guide post to the lingual / no change in the angle
Occlusal view
Buccal view
3.3 mm open guide sleeves placed on offset magnetic guide posts.
Occlusal view
Buccal view
Occlusal view
SURGICAL guide
Buccal view of 3.3 mm open guide sleeves in SURGICAL guide.
Ready to be placed in the patient for surgery.
Surgical site
SURGICAL GUIDE in Place
surgical drill sequence
with 3.3 mm open guide sleeves
2 mm drills placed with 3 mm stop shaft
2.5 and 2.85 mm drills in place
3.2 mm and 3.35 mm drills in place
Axial view of implant placement
Final X-rays
# 23 Post-op Cone Beam Evaluation
cross sectional view tangential view
# 23 virtual implant placed over actual implant to check alignment with guide sleeve
# 26 virtual implant placed over actual implant to check alignment with guide sleeve
tangential view cross sectional view
# 26 Post-op Evaluation
Invivo5 Anatomage
Facial view of Atlantis abutments
Final restoration on master cast
Lingual view
Final Restoration
Guide Right™
Products shown in this case
1 - 3/32” Drill
2 - 3 mm Guide Post
2 - 3 mm cylindrical Guide Sleeve
1 - 3 mm x 0.5 mm Offset Magnetic Guide Post
1 - 3 mm x 1.0 mm Offset Magnetic Guide Post
2 - 3.3 mm Open Guide Sleeves
Generation ll ▪ Guide Post Bending Tool
Triad® Gel
1.800.314.0065 • www.deplaque.com
Guide Right™ Surgical Guide System
Start With Precision. Place With Confidence.™
1.800.314.0065 • www.deplaque.com
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
DéPlaque