Maxillary Single Implant Case Angular & Linear Correction in 2 Planes Bending Tool ► 2 Bends Offset Guide Posts Open Guide Sleeves GALAXIS software Featuring: #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.

GALAXIS Cone Beam Images 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

3.0 x 1.5 mm offset guide post toward the palatal is used SURGICAL guide 3.0 x 1.5 mm offset guide post toward the palatal is used

LINEAR CORRECTION: 1st ANGULAR CORRECTION: 1.5 mm toward the palatal 10° toward the facial DIAGNOSTIC guide sleeve in place F F GALAXIS cross sectional views

Single 10° bend in one plane 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 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.

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 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.

Magnetic Guide Posts 3.0 mm od Offset 3.0 od X 0.5 mm os 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 after 2 mm drill is used. Final implant placement.

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

Guide Right™ Surgical Guide System DéPlaque Guide Right™ Surgical Guide System fabricate ▪ evaluate ▪ correct ▪ verify ▪ place Start With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com