12 maxillary left case linearcorrection in2 planes
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Transcript of 12 maxillary left case linearcorrection in2 planes
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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
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Fabrication of DIAGNOSTIC Guide
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3 mm short guide posts placed in holes to check occlusion
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Check planned occlusion with opposing teeth.
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Undercuts blocked out.
30 mm guide posts placed in 3/32” holes.
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3 mm guide sleeves placed on 3 x 30 mm guide posts with cleats toward the palatal.
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Triad® Gel added to guide sleeves capturing the cleats and adjacent teeth
to form the DIAGNOSTIC guide
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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
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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°.
DéPlaque
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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
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A= cosine of 45º X 1.5
(0.707 X 1.5 mm = 1.06 mm
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PRE-OPERATIVE
Software Evaluation Invivo5 Anatomage
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LINEAR CORRECTION
Indicates guide sleeve should be moved 1 mm distally
Invivo5 Anatomage
cross sectional view
tangential view
occlusal view
volumetric
# 12
Invivo5 Anatomage
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# 12 axial view: wrong plane
Invivo5 Anatomage
Axial view should always be adjusted to the 90°
cross sectional plane of the alveolar ridge.
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#12 axial plane rotated to about 90° Invivo5 Anatomage
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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
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# 14 LINEAR CORRECTION
move guide sleeve 1 mm mesially
cross sectional view
tangential view
axial view
volumetric
Invivo5Anatomage
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Invivo5 Anatomage
Axial view should always be adjusted to the 90°
cross sectional plane of the alveolar ridge.
#14
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tangential
#14 moving the position of the guide sleeve 1 mm mesially
will require a 1 mm offset guide post Invivo5 Anatomage
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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
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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
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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
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Fabrication of SURGICAL Guide
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#12: 1.5 mm distally # 14: 1 mm to anterior.
Magnetic Offset Guide Posts in Place:
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Positioned 4 mm short open guide sleeve
on magnetic offset guide posts with cleats to the palatal
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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.
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SURGICAL Guide • buccal view
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Completed SURGICAL Guide
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Final view at stage 2 surgery
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Final Restoration
[mirror shot]
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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
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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
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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
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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
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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
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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
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Guide Right™ Surgical Guide System
Start With Precision. Place With Confidence.™
1.800.314.0065 • www.deplaque.com
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
DéPlaque