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Rx guide and scan protocol for partially
     edentulous cases (Dr. Gross)
Cast with LEGO bricks
Cast with LEGO bricks and wax up
Rx guide made of VOCO curable
     custom tray material
Rx guide made of VOCO curable
     custom tray material
Radiographic markers in rx guide made
      from composite material
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
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
CrystalGuide – laser sintered metal surgical guides –
                     a case report
 Clinical pictures: courtesy of Dr. Danny Domingue
Preoperative CBCT scan in
occlusion, metal artefacts
Radiographic guide aligned
Optical scan of master cast aligned to
        visible tooth structure
Master cast with radiographic guide
      aligned on CBCT scan
3D view of radiographic guide on cast
    in implant planning program
Bone surface visualization in implant planning
   program, knife-like ridge in frontal area
Planned implant 13, implant-centric view with
    outline of cast and radiographic guide
Planned implant 23, implant-centric view with
    outline of cast and radiographic guide
Planned implant 24, implant-centric view with
    outline of cast and radiographic guide
Planned implant 25, implant-centric view with
    outline of cast and radiographic guide
Planned implants in 3D bone surface view
Planned implants in 3D cast surface view
Occlusal 3D view of planned implants in relation
               to soft tissue (cast)
Frontal 3D view of planned implants in relation
         to radiographic guide on cast
3D view of planned implants in relation to
           radiographic guide
Design of CrystalGuide on cast – free surgical field to enable sight
       and cooling, as well as to allow for flapped surgery
3D view right side of designed guide, open
       design for maximum access
3D view right side of designed guide, tooth covering
   bridge-like for perfect fit and optimal control
3D view of guide design occlusal
3D view of guide design underside
3D view of guide design in relation to implants
CrystalGuide intraoral positioned, stable fit and
                  free access
Drill guiding tubes inserted in
CrystalGuide, yellow 2 mm, blue 3 mm
2 mm guiding tube inserted at position 13
2 mm drills with guiding tubes regio 24 and 25
Implant insertion regio 13
Implant insertion regio 13
Situation immediately after insertion of all 4
       implants, healing caps in place
Postoperative CBCT scan of implant regio 25, note the
perfect positioning according planning next to recessus
                   of maxillary sinus
Postoperative CBCT scan of implant regio 24,
positioned as planned. Flapless surgery was choosen
       without grafting, vestibular plate intact
Postoperative CBCT scan of implant regio 23
Postoperative CBCT scan of implant regio 13
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
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
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
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)

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New triple scan protocol (dr. gross)

  • 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
  • 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
  • 15.
  • 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
  • 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)