1. Use of Pythagorean Theorem in #9 Single Implant Case
Guide Right ™
Use of Pythagorean Theorem in #9 Single Implant Case
3 mm X 30 mm guide post
3 mm guide sleeve
3 mm X 1.5 mm offset guide post
3 mm open guide sleeve
Pythagorean Theorem ► Cosine
software analysis
Invivo5
Anatomage
Featuring: LINEAR CORRECTIONS
DIAGNOSTIC Guide
SURGICAL Guide
BEL

2. Fabrication of DIAGNOSTIC guide

3. Line marked on teeth to position original axis
facial view
Line marked on teeth to position original axis
for initial 3/32” drill mm & 3 mm guide post.

4. 3 mm X 30 mm guide post in 3/32” hole

5. 3 mm guide sleeve placed on the 3 mm guide post
and cast lubricated with petroleum jelly

6. Initial layer of Triad® Gel added to the guide sleeve cleats
and cured to stabilize the guide sleeve.

7. showing the 3 mm guide sleeve attached to the cured acrylic
DIAGNOSTIC Guide
showing the 3 mm guide sleeve attached to the cured acrylic
ready to be placed for cone beam X-ray.

8. Additional and final layer of Triad® Gel
extended to lingual and incisal surfaces of adjacent teeth

9. PRE-OPERATIVE
Software Evaluation
Invivo5
Anatomage

10. INITIAL EVALUATION axial plane cross sectional plane · buccal-lingual
of DIAGNOSTIC guide sleeve position
axial plane
cross sectional plane · buccal-lingual
# 9
Invivo5
Anatomage
Invivo5
Anatomage
tangential plane · mesial-distal
3D volume

11. Axial Plane
Greater accuracy in implant placement is achieved when the line representing
the bucco-lingual plane is set at 90° to the buccal surface of the arch.
Yellow line passing through the axis of the implant creates the view seen in the cross sectional view (next slide).
Dragging the yellow line in the software will change the cross sectional view as the line rotates about the axis of the implant.
The markings on the concentric circles are 5 mm apart allowing measurements to be calculated.
virtual implant
Invivo5
Anatomage
# 9

12. preferred implant placement
# 9
cross sectional plane · bucco-lingual
Images from software evaluated in 3 planes: axial, mesio-distal & bucco-lingual
axial plane
cross sectional plane · bucco-lingual
Invivo5
Anatomage
Invivo5
Anatomage
tangential plane · mesio-distal
3D Volume

13. LINEAR CORRECTION
# 9
Illustrating preferred implant placement position (bucco-lingual)
The virtual implant is moved parallel & facial 1.3 mm
to the location of the DIAGNOSTIC guide sleeve.
Yellow line passing through the axis of the implant.
virtual implant
actual guide sleeve
5 mm grid intervals
to allow measurements
to be calculated.
Invivo5
Anatomage
cross sectional view.

14. LINEAR CORRECTION
# 9
Illustrating preferred implant placement position (mesio-distal)
Illustrating the preferred implant placement in the tangential view
The center of the virtual implant is located 1 mm mesial
to the center of the DIAGNOSTIC guide sleeve.
virtual implant
5 mm grid intervals
to allow measurements
to be calculated.
actual guide sleeve
Invivo5
Anatomage
tangential view

15. preferred implant placement
tangential plane · mesio-distal
Images from software evaluated in 3 planes: axial, mesio-distal & bucco-lingual
axial plane
cross sectional plane · bucco-lingual
Invivo5
Anatomage
Invivo5
Anatomage
tangential plane · mesio-distal
3D Volume

16. Review of Pre-op Corrections#9
LINEAR CORRECTION
1.5 mm offset guide post rotated 45º toward the mesial & facial.
Cosine is applied to determine correction data.
* see next 3 slide

17. Pythagorean Theorem COSINE Calculations for Guide Right™ Guides
The cosine of 45°
is recommended for Guide Right corrections
BECAUSE
rotating the offset guide post half way
between 2 adjacent planes (90° apart) is 45°.

18. Correction based on the calculations from the Pythagorean Theorem
To move the position of the guide sleeve 1 mm both mesially & buccally:
► use a 1.5 mm offset guide post
► and rotate the offset guide post 45º to a mesio-buccal position.
Cosine of 45° X 1.5 mm = X 1.5 mm = 1.06 mm

19. A= cosine of 45º X 1.5 (0.707 X 1.5 mm = 1.06 mm mesio-facial
facial mm
A = 1.5 mm
45°
mesial mm
mesio-facial
45°
Bell case mesio-facial
guide post center

20. A= cosine of 45º X 1.5 (0.707 X 1.5 mm = 1.06 mm facial 1.0
45°
mesial mm
mesio-facial

21. Fabrication of SURGICAL guide

22. 1.5 mm offset guide post rotated 45º toward the mesial & facial.
palatal view
1.5 mm offset guide post rotated 45º toward the mesial & facial.

23. Initial application of Triad® Gel
to capture the cleats on the open guide sleeve to form the SURGICAL guide.

24. Additional Triad® Gel added to adjacent teeth

25. Final SURGICAL guide

26. SURGICAL guide (facial view)

27. POST-operative RESULTS
Software Analysis
Invivo5
Anatomage

28. # 9 POST-OP RESULTS showing actual implant placement. axial plane
cross sectional plane · bucco-lingual
Invivo5
Anatomage
tangential plane · mesio-distal
3D Volume

29. Axial Plane # 9 POST-OP results Invivo5
Greater accuracy in implant placement is achieved when the line representing
the bucco-lingual plane is set at 90° to the buccal surface of the arch.
Yellow line passing through the axis of the implant creates the view seen in the cross sectional view (next slide).
virtual implant
The markings on the concentric circles are 5 mm apart allowing measurements to be calculated.
Dragging the yellow line in the software will change the cross sectional view as the line rotates about the axis of the implant.
Invivo5
Anatomage

30. Cross Section (bucco-lingual)
# 9 POST-OP results
Yellow line passing through the axis of the implant.
virtual implant
superimposed over actual implant
5 mm grid intervals
to allow measurements
to be calculated.
actual
open guide sleeve
Invivo5
Anatomage
Only one wall of
open guide sleeve is visible.

31. Tangential (mesio-distal)
# 9 POST-OP result
virtual implant superimposed over
actual implant.
5 mm grid intervals
to allow measurements to be calculated.
actual guide sleeve
Invivo5
Anatomage

32. Guide Right™ Products shown in this case
1 - 3/32” drill
mm X 30 mm Guide Post
1- 3 mm Guide Sleeve
1 - 3 mm x 1.5 mm Offset Magnetic Guide Post
1 - 3 mm Open Guide Sleeve
Guide Post Bending Tool
Triad® Gel •

33. A System of Components for the fabrication and correction of diagnostic & surgical templates 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 •

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