4 case corrections in 2 planes+ demo of triad gel application

Case Corrections in 2 Planes mesio▪distal & bucco▪lingual

ANAN 2.2013

Featuring

#18 ▪ #19

DIAGNOSTIC Guide SURGICAL Guide

Fabrication of DIAGNOSTIC Guide

3 mm Guide Posts

3 mm Ceramic Guide Sleeves

Generation ll Bending Tool

An impression was taken and a cast was made.

Two holes are drilled in the cast with a

3/32” drill.

Two 3 mm guide posts are placed in

the holes.

The DIAGNOSTIC guide is ready to be securely seated in the patient for the cone

beam X-ray so that the long axis of the proposed osteotomies can be evaluated.

Triad® Gel was used to capture the

cleat on the ceramic guide sleeve

and adjacent teeth to fabricate the

DIAGNOSTIC guide.

Ceramic guide sleeves are placed on the

3 mm guide post.

GALAXIS

Pre-op Software Evaluation

with DIAGNOSTIC Guide securely seated in patient

A better position appears to be angled mesially from the

existing axis of the ceramic guide sleeve in the DIAGNOSTIC guide.

#18 panoramic view GALAXIS

11° bend to the mesial

tangential view cross sectional view GALAXIS

B L

14° bend to the lingual

# 18

11°

#18

FIRST BEND 11°.

The stylus is placed over the straight 3 mm guide post.

The set screw is tightened and the guide post is bent 11°

WHY to the LEFT? Easier to follow when bending to the mesial as in slide above.

Guide post in bending tool block with 11° bend.

11°

#18

With the stylus still on the guide post, the set screw is loosened

and the stylus on the guide post is rotated 90° back to the 0° mark.

This causes the stylus to raise up off the bending plate.

NOTE the shadows on both sides of the stylus

#18

PREPARATION for 2nd BEND

stylus support bar

wing

screw

The sliding support bar is positioned beneath the stylus

to maintain the 11° angle of the 1st bend.

#18

SECOND BEND

The wing screws are tightened to secure the stylus for the 2nd bend of 14°

toward the lingual (left) to avoid hitting the root of the distal tooth.

#18

14°

A better position appears to be angled toward the mesial from the

existing axis of the ceramic guide sleeve in the DIAGNOSTIC guide.

#19 panoramic view GALAXIS


tangential view cross sectional view GALAXIS

L B

# 19


1st BEND 9°.

9°

#19

With the stylus still on the guide sleeve it is rotated back to the 0° mark.

The SECOND bend for #19 guide post is 15°.

Review of Pre-op Corrections

# 18

ANGULAR CORRECTIONS

1st bend: 11° bend to the mesial

2nd bend: 14° bend to the lingual

Cosine is applied to determine correction data.

* see Pythagorean Theorem - COSINE CALCULATION slideshow

#19

ANGULAR CORRECTION



Fabrication of SURGICAL Guide

4 mm Magnetic Guide Posts

4 mm Open Guide Sleeves

Adding Triad® Gel in Layers

Wax added to buccal surface to stabilize position of 4 mm open guide sleeves

and guide posts prior to adding gel to the cleats on lingual surface.

Occlusal view of 4 mm magnetic guide sleeves stabilized with red wax.

Then 4 mm open guide posts are removed.

First layer of clear Triad® Gel added to adjacent tooth on lingual surface.

Second layer of Triad® Gel extended to adjacent teeth in arch for

greater stability and cured to form the SURGICAL guide.

Last layer of clear Triad® Gel added to capture

occlusal surface of teeth and cured

Completed SURGICAL guide

ready for cold sterilization and placement.

Guide Right™

Products shown in this case presentation

2 - 3 mm Stainless Guide Posts

2 - 3 mm Ceramic Guide Sleeves

2 - 4 mm Magnetic Guide Posts

2 - 4 mm Open Guide Sleeves

1 - 3/32” drill

Generation ll ▪ Bending Tool

Triad® Gel

Not shown but used: 2 mm pilot drill / 4mm stop shaft

NOTE: either stainless or ceramic guide sleeves could be used

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™

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

In-office or lab fabrication

Evaluate with 2D & 3D imaging

Allows linear and angular correction

Enables precision implant placement

Cost effective

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.™


fabricate ▪ evaluate ▪ correct ▪ verify ▪ place

DéPlaque

4 case corrections in 2 planes+ demo of triad gel application

Health & Medicine

Transcript of 4 case corrections in 2 planes+ demo of triad gel application