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![Page 1: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/1.jpg)
UNI-GuideThe no-nonsense Guide
Dr Luc VrielinckOMFS
Ziekenhuis Oost LimburgGenk, Belgium
![Page 2: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/2.jpg)
Overview
• Introduction• UNI-Guide / clinical examples• Conclusion
![Page 3: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/3.jpg)
![Page 4: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/4.jpg)
What is UNI-Guide?
Cylinder½ cilinder
Planning software
BoneTeethCombinedMucosa
PLAN SUPPORT GUIDING MECHANISM
![Page 5: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/5.jpg)
Which guide to choose?
• Multifactorial decision:– Desired accuracy– Surgical necessity– Production turnovercycle– Experience of the surgeon– Cost € and – No guide is also an option !
![Page 6: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/6.jpg)
Salient points
• Bone supported• One-step drill guide• All implant platforms and implant types• Open system: software independent
provided that the SW allows STL export
![Page 7: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/7.jpg)
User customisable
• 1-2-3 or more supporting points• Guiding groove variability (1.5 ↔ 5 mm)• Allows peroperative surgical modification• Allows ancillary procedures
![Page 8: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/8.jpg)
Overview
• Introduction• UNI-Guide / clinical examples• Conclusion
![Page 9: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/9.jpg)
Lower jaw 4 implantsUpper jaw 4 implants
UNI-Guide Case 3
14071948VJ
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Treatment plan• Total extraction in UJ and LJ and healing• Removable dentures (UJ and LJ)• Lower jaw:
– After healing: 4 implants lower jaw with UNI-Guide– Delayed loading– Fixed removable prosthesis in lower jaw
• Upper jaw– 4 implants with UNI-Guide– Delayed loading– Fixed removable prosthesis in upper jaw
![Page 11: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/11.jpg)
Intake
![Page 12: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/12.jpg)
11/05/2009: Intake
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Treatment plan
![Page 14: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/14.jpg)
Implant Planning
![Page 15: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/15.jpg)
Residual extraction alveoli
Implant placement (Replace Select)
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Drilling according to the markings on the UNI-Guide
Implant placement (Replace Select)
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Implant placement (Replace Select)
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Implant placement
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Upper jaw: All-on-6Lower jaw: 6 parallel implants
UNI-Guide Case 2
29121965DJ
![Page 20: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/20.jpg)
Intake
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Treatment plan
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Upper jaw: All-on-6 Lower jaw: 6 parallel implants
Use of bone supported saddles
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Implant placement in upper jaw (AO6)
Easy positioning of the UNI-Guide with 3
skeletal support points
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Postoperative orthopantomogram
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Pre/post matching upper jaw: frontal view
Peroperative modification of the implant planThe surgeon elected to change position of implant 23 toward 22
Because of local anatomical reasons, remaining implants were placed according to the planning
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Pre/post matching: upper jaw: Occlusal view
Peroperative modification of the implant planThe surgeon elected to change position of implant 23 toward 22
Because of local anatomical reasons, remaining implants were placed according to the planning
![Page 28: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/28.jpg)
Peroperative modification of the implant planThe surgeon elected to change position of implant 23 toward 22
Because of local anatomical reasons, remaining implants were placed according to the planning
Pre/post matching: upper jaw: cranial view
![Page 29: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/29.jpg)
Peroperative modification of the implant planThe surgeon elected to change position of implant 23 toward 22
Because of local anatomical reasons, remaining implants were placed according to the planning
Pre/post matching: upper jaw: sagitaal left and right view
![Page 30: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/30.jpg)
Peroperative modification of the implant planThe surgeon elected to change position of implant 23 toward 22
Because of local anatomical reasons, remaining implants were placed according to the planning
Pre/post matching: upper jaw: Posterior view
![Page 31: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/31.jpg)
Pre/post matching: lower jaw: frontal view
![Page 32: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/32.jpg)
Pre/post matching: lower jaw: apical view
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Pre/post matching: lower jaw: posterior view
![Page 34: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/34.jpg)
Pre/post matching: lower jaw: left lateral view
![Page 35: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/35.jpg)
End result
46 44 42 32 34 36
15 12 11 21 22 25
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![Page 37: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/37.jpg)
2 implants maxilla frontal
UNI-Guide Case 4
23091958NH
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Intake
X X
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12 11 21 22
Conebeam scan examination
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Treatment plan
X X
An implant was planned on location 21 instead of 22Because of bone volume (see previous slide)
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Implant Planning
![Page 43: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/43.jpg)
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Bone-planned, teeth-supported UNI-Guide
UNI-Guide
![Page 45: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/45.jpg)
Implant placement with UNI-Guide
Preoperative check of the drill guide
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Implant placement with UNI-Guide
Preparation of mucoperiostal flap
![Page 47: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/47.jpg)
mplant placement with UNI-Guide
2 mm twist drilling
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Implant placement with UNI-Guide
3 mm twist drilling
The drill can be cooled directly
![Page 49: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/49.jpg)
Implant placement with UNI-Guide
Implant placement under direct view
![Page 50: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/50.jpg)
Implant placement with UNI-Guide
Implant placement under direct view
![Page 51: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/51.jpg)
Implant placement
![Page 52: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/52.jpg)
Final result
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22/02/2010: Final result
![Page 54: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/54.jpg)
5 implants Lower jawfor two lateral bridges
UNI-GuideCase 7
28041958JF
![Page 55: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/55.jpg)
Situation• Patient desires:
– Lower jaw: a solution for missing teeth– Upper jaw: recently restored with crown and bridge work
• Diagnosis:– Enough bone volume in the edentulous zones in the lower jaw
• Treatment plan:– 5 implants placed with UNI-Guide in lower jaw– Delayed loading– Solitary crowns
![Page 56: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/56.jpg)
Intake
![Page 57: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/57.jpg)
11/10/2010: Intake
![Page 58: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/58.jpg)
Evaluation of bone volume
46 45 44 34 35
![Page 59: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/59.jpg)
Treatment plan
![Page 60: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/60.jpg)
Implant planning
![Page 61: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/61.jpg)
Implant planning
![Page 62: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/62.jpg)
18/11/2010: Teeth supported UNI-Guide
![Page 63: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/63.jpg)
18/11/2010: Implant placement
![Page 64: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/64.jpg)
3 implants lower jawfor 3 solitary crowns
UNI-Guidecase 8
29101961BH
![Page 65: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/65.jpg)
Situation
• Patient desires: replacement of lost elements 35 36 37
• Diagnosis: limited vertical bone volume on location 35 36 37
• Treatment plan:– Placement 3 ultrashort implants (Bicon) /
Delayed Loading / 3 x solitary crowns
![Page 66: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/66.jpg)
Intake
![Page 67: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/67.jpg)
Intake
![Page 68: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/68.jpg)
Bone analysis
34 35 36 37
Height above alveolar nerve: 9 7 7 mm
![Page 69: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/69.jpg)
Treatment plan
![Page 70: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/70.jpg)
Implant planning
UNI-Guide with simultaneous dental and bone support
![Page 71: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/71.jpg)
UNI-Guide with simultaneous dental and bone support
Implant planning
![Page 72: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/72.jpg)
UNI-Guide with simultaneous dental and bone support
Implant planning
![Page 73: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/73.jpg)
Implant placement Bicon implants
![Page 74: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/74.jpg)
Placement of the crowns
![Page 75: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/75.jpg)
Placement of the crowns
![Page 76: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/76.jpg)
Placement of the crowns
![Page 77: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/77.jpg)
3 standard implants, 1 zygoma implant in maxilla
for All-on-4
UNI-GuideCase 9
20101943BR
![Page 78: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/78.jpg)
Situation• Patient desires: fixed prosthesis in the upper jaw• Diagnosis
– All teeth in UJ are lost
• Treatment– Extraction front teeth: 11 12 13– Implant supported bridge – Placement 3xc standard implant, 1 x zygoma implant, delayed
loading, implant supported bridge
![Page 79: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/79.jpg)
Intake
X X X X X X X
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Intake
![Page 81: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/81.jpg)
Implan planning
![Page 82: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/82.jpg)
Implant placement
Use of UNI-Guide for extramaxillary zygoma
implant
UNI-Guide has a combined bone and dental support
![Page 83: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/83.jpg)
Implant placement
Placement of zygoma implantWith extramaxillary trajectory
Coverage of extramxillary trajectory With Isotis and a membrane
![Page 84: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/84.jpg)
postoperative
![Page 85: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/85.jpg)
Preoperative planning versus postoperative position
Deviation at the tip of the zygoma implant less than 2 mm
Frontal sagittal Occlusal
![Page 86: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/86.jpg)
Second stage surgery
![Page 87: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/87.jpg)
Endresult
![Page 88: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/88.jpg)
Endresult
![Page 89: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/89.jpg)
01/06/2010: Endresult
![Page 90: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/90.jpg)
Quad zygomafor overdenture
UNI-GuideCase 11
02031945BG
![Page 91: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/91.jpg)
Intake
![Page 92: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/92.jpg)
Intake
![Page 93: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/93.jpg)
Analytical bone table
![Page 94: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/94.jpg)
Implantplanning
![Page 95: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/95.jpg)
Implantplanning
![Page 96: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/96.jpg)
Implant placement Quad zygoma
UNI-Guideguide for Quad zygoma with
intersecting drill trajectories
![Page 97: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/97.jpg)
Implant placement Quad zygoma
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Second stage surgery
![Page 99: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/99.jpg)
![Page 100: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/100.jpg)
Overview
• Introduction• UNI-Guide / clinical examples• Conclusion
![Page 101: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/101.jpg)
No-nonsense
• UNIversal Guide• No prosthetic set-up needed• Diagnostic scan allows treatment planning• No increased failure rate compared to
conventional implantology• Allows simultaneous ancillary procedures
![Page 102: Aporis Guide](https://reader036.fdocuments.us/reader036/viewer/2022062816/568c36661a28ab023597e1ca/html5/thumbnails/102.jpg)
No-nonsense
• Drill guide to solve surgical demands:• E.g.
– simultaneous extractions, – alveolectomy, – augmentation, – Ultrashort implants, ultralong, – modification of treatment plan peroperatively
is possible