CrystalGuide flat fee surgical guide and triple scan - a new and effective protocol for 3D planning and guided surgery of partially edentulous cases CrystalGuide - complete service for advanced 3D planning and guided surgery of dental implants

1. Rx guide and scan protocol for partially
edentulous cases (Dr. Gross)

2. Cast with LEGO bricks

3. Cast with LEGO bricks and wax up

4. Rx guide made of VOCO curable
custom tray material

5. Rx guide made of VOCO curable
custom tray material

6. Radiographic markers in rx guide made
from composite material

7. Rx guide and scan protocol for partially
edentulous cases (Dr. Gross)
1. Optical scan of cast with 3 LEGO bricks
2. Wax-up on this cast optically scanned
3. Removal of wax-up, fabrication of rx guide
out of e.g VOCO curable custom tray material
4. 6 radiographic markers by indenting with
small round bur, distributed on rx
guide, filled with radio-opaque material like
guttapercha, Cavit or composite material

8. CT or CBCT scan protocol for partially
edentulous cases (Dr. Gross)
1. Scan of patient with rx guide in mouth
2. Scan of rx guide on original cast with LEGO
bricks (of which optical scan was performed
before)
This way we achieve a perfect alignment of
intraoral situation and planned tooth
position, very easy but extremely effective

9. CrystalGuide – laser sintered metal surgical guides –
a case report
Clinical pictures: courtesy of Dr. Danny Domingue

10. Preoperative CBCT scan in
occlusion, metal artefacts

11. Radiographic guide aligned

12. Optical scan of master cast aligned to
visible tooth structure

13. Master cast with radiographic guide
aligned on CBCT scan

14. 3D view of radiographic guide on cast
in implant planning program

16. Bone surface visualization in implant planning
program, knife-like ridge in frontal area

17. Planned implant 13, implant-centric view with
outline of cast and radiographic guide

18. Planned implant 23, implant-centric view with
outline of cast and radiographic guide

19. Planned implant 24, implant-centric view with
outline of cast and radiographic guide

20. Planned implant 25, implant-centric view with
outline of cast and radiographic guide

21. Planned implants in 3D bone surface view

22. Planned implants in 3D cast surface view

23. Occlusal 3D view of planned implants in relation
to soft tissue (cast)

24. Frontal 3D view of planned implants in relation
to radiographic guide on cast

25. 3D view of planned implants in relation to
radiographic guide

26. Design of CrystalGuide on cast – free surgical field to enable sight
and cooling, as well as to allow for flapped surgery

27. 3D view right side of designed guide, open
design for maximum access

28. 3D view right side of designed guide, tooth covering
bridge-like for perfect fit and optimal control

29. 3D view of guide design occlusal

30. 3D view of guide design underside

31. 3D view of guide design in relation to implants

32. CrystalGuide intraoral positioned, stable fit and
free access

33. Drill guiding tubes inserted in
CrystalGuide, yellow 2 mm, blue 3 mm

34. 2 mm guiding tube inserted at position 13

35. 2 mm drills with guiding tubes regio 24 and 25

36. Implant insertion regio 13

37. Implant insertion regio 13

38. Situation immediately after insertion of all 4
implants, healing caps in place

39. Postoperative CBCT scan of implant regio 25, note the
perfect positioning according planning next to recessus
of maxillary sinus

40. Postoperative CBCT scan of implant regio 24,
positioned as planned. Flapless surgery was choosen
without grafting, vestibular plate intact

41. Postoperative CBCT scan of implant regio 23

42. Postoperative CBCT scan of implant regio 13

43. CrystalGuide
laser sintered
metal surgical guides
•A real advance in guided surgery
•Open access for optimal sight
•Open access for optimal cooling
•Rigidity and stable fit
•Can be sterilized

44. CrystalGuide
laser sintered
metal surgical guides
•CAD/CAM fabricated with advanced technology
•DMLS laser sintered CoCr in Germany
•Ultra-thin design possible
•Bone supported reduction guides / drill guides available
•Metal guides for edentulous cases with anchor pins

45. CrystalGuide
laser sintered
metal surgical guides
•No or minimal upfront costs
•Planning software provided at no cost
•Online support and training
•Compatible with all guided surgery kits
•Low-cost standard tools available if no kit is used

46. CrystalGuide
laser sintered
metal surgical guides
•Flat fee EUR 280 regardless number of implants
•Distribution by Hess Medizintechnik GmbH/Germany
•www.crystalguide.us (english)
•www.cristalguide.com (deutsch)
•www.cristalguide.net (español)