1. Guide Right™ CASE FOR ANGLED IMPLANTS
# 10 & # 6
Vacuform Shell
Offset Guide Posts
Open Guide Sleeves
Evaluation using Software
Lineal Corrections
Angular Corrections
Featuring:
Invivo5
ZHEN

2. Fabrication of DIAGNOSTIC guide
Vacuform
3 mm guide posts
3 mm guide sleeves
Fabrication of DIAGNOSTIC guide

3. Cast of the patient as he presented at initial exam.

4. Temporary partial denture

5. Impression and cast with partial denture in place.

6. Vacuform shell on cast marked to indicate
the planned axis holes for the implants.

7. Holes are drilled through the plastic shell into the incisal edge with 3/32” drills.

8. Vacuform shell on cast with holes drilled indicating
the proposed axis holes for the implants.

9. The vacuform shell removed.

10. The drills are removed and replaced
with two short 3 mm straight guide posts.

11. 3 mm diagnostic guide sleeves (with 1 cleat) are placed
on the guide posts with cleats positioned on the palatal surface.

12. Triad® Gel is applied capturing the cleats on the guide posts
and adjacent teeth to form the DIAGNOSTIC guide
which is used for the cone beam imaging.

13. # 6
PREOPERATIVE
Software Evaluation
Invivo5
Anatomage

14. Initial Alignment of guide sleeve with implant
# 6
Initial Alignment of guide sleeve with implant
axial
cross sectional
Invivo5
Anatomage
tangential view
volumetric

15. Utilizing 12º Angled Southern Implant ▪
# 6
Utilizing 12º Angled Southern Implant ▪
axial
cross sectional
Invivo5
Anatomage
tangential view
volumetric
Cone beam image showing alignment of the guide sleeve in the # 6 position. A 12 º bend is required for this site.

16. Southern Implant & Guide Right™ Guide Sleeve in Place
▪ 12º facial correction needed to place implant ▪ #6
cross sectional view
Invivo5
Anatomge

17. Initial Alignment of guide sleeve with implant
# 6
Initial Alignment of guide sleeve with implant
axial
cross sectional
Invivo5
Anatomage
tangential view
volumetric

18. # 6
Invivo5
Anatomage
tangential view
The guide sleeve is in line with the virtual implant, but close to root of #5.
So a 1.5 mm offset post will be used to move the position of the guide
sleeve to the mesial.

19. # 10
PREOPERATIVE
Software Evaluation
Invivo5
Anatomage

20. Showing virtual implant and the guide sleeve in two planes.
▪ Initial Alignment ▪
Invivo5
Anatomage
#10
Showing virtual implant and the guide sleeve in two planes.
occlusal
cross sectional
Invivo5
Anatomage
tangential view
volumetric

21. Angular Correction for guide sleeve: 12º toward the facial
#10 A Southern 12° Co-axis Implant will be used,
Angular Correction for guide sleeve: 12º toward the facial
cross sectional
Invivo5
Anatomage

22. ▪ Southern Implant 12º co-axis virtual image ▪ Linear Correction:
1 mm offset guide post > moving closer to root of # 11
Invivo5
Anatomage
# 10
Invivo5
Anatomage
tangential view

23. Fabrication of SURGICAL guide
Magnetic Guide Posts
Open Guide Sleeves

24. Fabrication of SURGICAL Guide
Magnetic Guide Posts
Open Guide Sleeves

25. Corrected magnetic offset guide posts in place:
# 6 > 1.5 mm offset guide post to move mesially, away from # 5
#10 > 1.0 mm offset guide post to move distally, closer to # 11

26. 3.3 mm open guide sleeves positioned over the magnetic guide posts
with cleats positioned toward the palatal surface.

27. Triad® Gel is added to form the completed SURGICAL guide.

28. POST-OPERATIVE
Final X-rays

29. Final X-rays of implant placement
# 6
# 10
Final X-rays of implant placement

30. RESTORATION

31. Axis indicator (3 mm guide posts) in place

32. Posts indicating the long axis of the abutments

33. Atlantis abutments

34. Final restoration

35. Final restoration

36. Atlantis Abutment

37. Final Restoration

38. Final Restoration

39. Guide Right™ 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.

40. Guide Right™ 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.

41. Guide Right™ Guide Post Bending Tool
10 ° example
For more information on use of the bending tool go to
▪ Guide Right™ Generation ll Bending Tool

42. Close up of Offset Guide Posts in bending block
Guide Right™
Guide Post Bending Tool

43. 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
3.0 od X 2.5 mm os
3.0 od X 3.0 mm os

44. Guide Right™ Products shown in this case
2 - 3/32” Drill
2 - 3 mm Straight Guide Posts (short)
mm Guide Sleeves
mm X 1.0 mm Offset Magnetic Guide Post
mm X 1.5 mm Offset Magnetic Guide Post
mm Open Guide Sleeve
Guide Post Bending Tool
Triad® Gel

45. A System of Components for the fabrication and correction of DIAGNOSTIC & SURGICAL guides 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 •

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