1. # 23 SINGLE IMPLANT CASE Osteotomy Progression in Open Guide Sleeve
Featuring
3 x1.0 mm Magnetic Offset Guide Post
Open Guide Sleeve
Utilizing Cosine Rule
Generation ll Bending Tool
GALAXIS Software Evaluation
Invivo5 Software Evaluation
Drill series in SURGICAL Guide
TUIT 2013

2. Fabrication of DIAGNOSTIC Guide

3. A 3/32” hole is drilled in the cast

4. Buccal view

5. Generation ll straight guide post
showing 4 flat sides & marker dot.
2 mm guide post
2 mm guide sleeve

6. A 2 mm guide post with 2 mm guide sleeve (used in narrow spaces)
is placed in the hole.

7. Triad® Gel was added to capture the cleat of the guide sleeve
to form the DIAGNOSTIC guide

8. GALAXIS Cone Beam Images
PRE-operative Evaluation

9. #23 Panoramic view
GALAXIS

10. cross sectional view indications
Close up
NOTE: distance between yellow & green
lines = angular correction of 20°
cs view shows that the virtual implant should be repositioned 1 mm toward the lingual plus the axis bent toward the lingual position the implant in the center of the bone (blow up section between yellow and green lines)
1st angle correction must be deleted before 2nd correction can be made.
GALAXIS
necessary to correctly place implant
virtual implant should be repositioned 1 mm toward the lingual
& positioned in the center of the bone
axis should be bent toward the lingual
# 23

11. Tangential View Indications:
# 23
Tangential View Indications:
Implant could be repositioned 6°
Angle bent toward the mesial (left)
Implant centered between the
roots of the adjacent teeth
6° angular correction is necessary
to correctly place implant
Tangential view suggests the implant could be repositioned 6° angled toward the mesial (left) to be center between the roots of the adjacent teeth
GALAXIS
1st angle correction must be deleted before 2nd angle correction can be made.

12. Preview of Corrections
Invivo5
Anatomage
ANGULAR CORRECTION
#23
LINEAR CORRECTION
1 mm offset toward the lingual
1st BEND: 20° toward the lingual
2nd BEND: 6° toward the mesial

13. ALIGNMENT of guide sleeve with long axis of implant
FIRST BEND: 20° correction to the lingual
# 23
cross sectional (bucco-lingual)
axial
Invivo5
Anatomage
tangential (mesio-distal)
volumetric

14. Evaluation Plane : yellow line
which should be (is) a bucco-lingual / cross sectional orientation
# 23
Invivo5
Anatomage
axial view

15. Axial view should always be adjusted
to the 90° cross sectional plane of the alveolar ridge.
# 23
Each time a change is made in the Invivo5 software go back to the initial line up view and calculate the angle in the 2nd plane.
When the correction of the angle of a Guide Right guide sleeve is made with the Invivo5 software rotation tool in one plane (tangential, for example)
the other plane (cross sectional plane) is no longer visible after about a 10° rotation.
Therefore, it is necessary to go back to the initial alignment view (implant screen) and make changes in the other plane.
axial view
evaluation plane

16. ALIGNMENT (bucco-lingual)
Indication: 20° Angular Correction to the Lingual is needed
Invivo5
Anatomage
FIRST BEND
An angle is measured
where the line passing thru the long axis of the implant and the long axis of the guide sleeve intersect.
In this case: 20°
cross sectional view

17. 3 mm magnetic guide post with 1
3 mm magnetic guide post with 1.0 mm offset in bending block to be bent 20°

18. Initially, the stylus over the unbent offset guide post should point to zero.

19. FIRST BEND: º

20. ALIGNMENT of guide sleeve with long axis of implant
SECOND BEND: 6° Angular Correction toward the mesial
# 23
axial
cross sectional
Invivo5
Anatomage
tangential
volumetric image

21. # 23 PRE-OP initial ALIGNMENT
Indication: 6° Angular Correction Necessary
Invivo5
Anatomage
axial view

22. Indication: 6° Correction toward mesial is needed
# 23 Pre-op
SECOND BEND
Invivo5
Anatomage
tangential view

23. INITIAL ALIGNMENT: guide post with virtual implant
# 23
INITIAL ALIGNMENT: guide post with virtual implant
Invivo5
Anatomage
cross sectional view

24. ALIGNMENT (bucco-lingual)
Indication: 20° Angular Correction to the Lingual is needed
Invivo5
Anatomage
For FIRST BEND
An angle is measured
by intersection of the line passing thru the long axis
of the implant and the long axis of the guide sleeve.
In this case, 20°
cross sectional view

25. SECOND BEND: 6°

26. Generation ll (4 sided lower portion of post) 3 mm X 1 mm offset
Magnetic Offset Guide Post
with
20º bend toward the lingual
6º bend toward the mesial

27. 3 mm X 1 mm offset magnetic guide post
Corrected
3 mm X 1 mm offset magnetic guide post
with open guide sleeve

28. Fabrication of Surgical Guide

29. Bent 1 mm offset guide post in cast

30. 3 mm open guide sleeve positioned over 3 mm x 1 mm offset post
with cleats to the lingual.

31. with corrected offset magnetic guide post
SURGICAL Guide
with corrected offset magnetic guide post

32. SURGICAL guide in place with initial 2 mm drill

33. with DIAGNOSTIC guide post to check the placement.
Periapical X-ray
with DIAGNOSTIC guide post to check the placement.

34. 2 mm drill

35. 2.5 mm drill

36. Implant carrier

37. Cover screw

38. Final placement

39. Guide Right™ Products shown in this case
1 - 3/32” drill
mm Guide Post
mm Guide Sleeve
mm X 1 mm offset Magnetic Offset Guide Post
mm Open Guide Sleeve
Generation ll Bending Tool
Triad® Gel •

40. Guide Right™ Generation ii Bending Tool
SINGLE BEND review
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.

41. Guide Right™ Generation ii 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 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.

42. A System of Components for the fabrication and correction of diagnostic & surgical guide in one or two dimensions
In-office or lab fabrication
Evaluate with 2D & 3D imaging
Allows linear and angular correction
Enables precision implant placement
Cost effective •

43. Guide Right™ Surgical Guide System
DéPlaque
Guide Right™ Surgical Guide System
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
Start With Precision. Place With Confidence.™ •