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Maxillary Single Implant Case
               Angular & Linear Correction in 2 Planes

                              Bending Tool ► 2 Bends
              Featuring:      Offset Guide Posts
                              Open Guide Sleeves
                              GALAXIS software


                  #7




MAY 2.2013
Fabrication of DIAGNOSTIC Guide
#7
Initial wax up.
A hole is drilled through the prosthetically planned
long axis of the implant into the cast with a 3/32” drill.
     A 3 mm guide post is placed in the hole.
A straight 3 mm guide sleeve is placed on the 3 mm guide post
      with the cleats positioned toward the palatal surface.
Close up showing guide sleeve cleats positioned to the palatal.
Lubricant is applied to cast prior to fabrication to enhance removal of guide from
cast. Triad® Gel is added to the guide sleeve to capture the cleats, including
lingual & incisal surfaces of several of the adjacent teeth,. After curing the
DIAGNOSTIC guide & securely seating it in the patient, an X-ray is taken.
PRE-OPERATIVE
        Evaluation
GALAXIS Cone Beam Images
Preview of Pre-op Corrections

                    #7
          LINEAR CORRETION
      1.5 mm offset toward the palatal

        ANGULAR CORRECTION
   1st Bend: 10° bend to the facial
   2nd Bend: 5° bend toward the mesial
SURGICAL guide
3.0 x 1.5 mm offset guide post toward the palatal is used
LINEAR CORRECTION: 1.5 mm toward the palatal
1st ANGULAR CORRECTION:    10° toward the facial
                 DIAGNOSTIC guide sleeve in place




                      F                             F




 GALAXIS
                      cross sectional views
Guide Right™
Generation ll / Guide Post Bending Tool

    Single 10° bend in one plane
Guide Right™
            Generation ll / Guide Post Bending Tool




• A straight 3 mm magnetic guide post is placed in the bending tool.
• The 3mm stylus is place over the post.
• Pressure is applied to the point of the stylus to bend the post 9 °
  according to the reading on the protractor.
Guide Right™
    GENERATION II / GUIDE POST BENDING TOOL

                              SINGLE BEND review
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 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 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 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.

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.
2nd ANGULAR CORRECTION: 5° toward the facial




           Tangential (mesio-distal)   5 ° correction

GALAXIS
Guide Right™
  GENERATION II / GUIDE POST BENDING TOOL

                           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 2   The 1st bend can be made to the right or left direction.
Step 3   The set screw is loosened and the guide post is rotated 90 ° next flat surface.
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 6   The second bend can be made in either direction according to the x-ray.

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.
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
 3.0od X 2.5 mm os
 3.0 od X 3.0 mm os
Guide Right™
           Generation ll / Guide Post Bending Tool

Showing required 5° mesio-distal correction with stylus support bar in place.




                                 2nd BEND
Fabrication of SURGICAL Guide
Palatal view:
                                    1.5 mm offset guide post


                                    offset placed toward the facial




Facial view:
1.5 mm offset guide post in place
Facial view:

                             guide sleeve in place




Facial view:

Triad® Gel added
to form the SURGICAL guide
Direction Indicator placed
                             Final implant placement.
after 2 mm drill is used.
Guide Right™
Products shown in this case

  3/32” drill
  3 mm Guide Post
  3 mm Guide Sleeve
  1.5 mm Offset Magnetic Guide Post
  3 mm Open Guide Sleeve
  2 mm Direction Indicator
  Petroleum Jelly
  Generation ll/ Guide Post Bending Tool
  Triad® Gel

  1.800.314.0065 •    www.deplaque.com
DéPlaque


Guide Right™ Surgical Guide System
 fabricate ▪ evaluate ▪ correct ▪ verify ▪ place




Start With Precision. Place With Confidence.™

      1.800.314.0065 •     www.deplaque.com

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2 basic fabrication maxillary single implant

  • 1. Maxillary Single Implant Case Angular & Linear Correction in 2 Planes  Bending Tool ► 2 Bends Featuring:  Offset Guide Posts  Open Guide Sleeves  GALAXIS software #7 MAY 2.2013
  • 4. A hole is drilled through the prosthetically planned long axis of the implant into the cast with a 3/32” drill. A 3 mm guide post is placed in the hole.
  • 5. A straight 3 mm guide sleeve is placed on the 3 mm guide post with the cleats positioned toward the palatal surface.
  • 6. Close up showing guide sleeve cleats positioned to the palatal.
  • 7. Lubricant is applied to cast prior to fabrication to enhance removal of guide from cast. Triad® Gel is added to the guide sleeve to capture the cleats, including lingual & incisal surfaces of several of the adjacent teeth,. After curing the DIAGNOSTIC guide & securely seating it in the patient, an X-ray is taken.
  • 8. PRE-OPERATIVE Evaluation GALAXIS Cone Beam Images
  • 9. Preview of Pre-op Corrections #7 LINEAR CORRETION 1.5 mm offset toward the palatal ANGULAR CORRECTION 1st Bend: 10° bend to the facial 2nd Bend: 5° bend toward the mesial
  • 10. SURGICAL guide 3.0 x 1.5 mm offset guide post toward the palatal is used
  • 11. LINEAR CORRECTION: 1.5 mm toward the palatal 1st ANGULAR CORRECTION: 10° toward the facial DIAGNOSTIC guide sleeve in place F F GALAXIS cross sectional views
  • 12. Guide Right™ Generation ll / Guide Post Bending Tool Single 10° bend in one plane
  • 13. Guide Right™ Generation ll / Guide Post Bending Tool • A straight 3 mm magnetic guide post is placed in the bending tool. • The 3mm stylus is place over the post. • Pressure is applied to the point of the stylus to bend the post 9 ° according to the reading on the protractor.
  • 14. Guide Right™ GENERATION II / GUIDE POST BENDING TOOL SINGLE BEND review 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 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 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 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. 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.
  • 15. 2nd ANGULAR CORRECTION: 5° toward the facial Tangential (mesio-distal) 5 ° correction GALAXIS
  • 16. Guide Right™ GENERATION II / GUIDE POST BENDING TOOL 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 2 The 1st bend can be made to the right or left direction. Step 3 The set screw is loosened and the guide post is rotated 90 ° next flat surface. 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 6 The second bend can be made in either direction according to the x-ray. 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.
  • 17. 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  3.0od X 2.5 mm os  3.0 od X 3.0 mm os
  • 18. Guide Right™ Generation ll / Guide Post Bending Tool Showing required 5° mesio-distal correction with stylus support bar in place. 2nd BEND
  • 20. Palatal view: 1.5 mm offset guide post offset placed toward the facial Facial view: 1.5 mm offset guide post in place
  • 21. Facial view: guide sleeve in place Facial view: Triad® Gel added to form the SURGICAL guide
  • 22. Direction Indicator placed Final implant placement. after 2 mm drill is used.
  • 23. Guide Right™ Products shown in this case  3/32” drill  3 mm Guide Post  3 mm Guide Sleeve  1.5 mm Offset Magnetic Guide Post  3 mm Open Guide Sleeve  2 mm Direction Indicator  Petroleum Jelly  Generation ll/ Guide Post Bending Tool  Triad® Gel 1.800.314.0065 • www.deplaque.com
  • 24. DéPlaque Guide Right™ Surgical Guide System fabricate ▪ evaluate ▪ correct ▪ verify ▪ place Start With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com