Guide Right™ Surgical Guide System
Use of 2-Piece Guide Post
DéPlaque
Guide Right™
2-Piece Guide Posts
DéPlaque
2-Piece Guide Post
Straight Lower Piece with Upper Removable Piece
The bottom half of all Lower Pieces
of the 2-Piece Guide Post are designed with
4 flat sides corresponding with the mesial,
distal, buccal & lingual surfaces of the tooth.
2-Piece Guide Post
Offset Lower Piece
The Offset Lower Piece is constructed in a series of offsets to allow corrections
in 0.5 mm intervals in any direction to change the linear position of the surgical
guide sleeve.
2-Piece Guide Post
Upper Removable Piece
2.7 mm
Purpose & Use of the 2-Piece Guide Post
The 2-piece guide post is designed to facilitate the correction & removal of surgical guides
made with cylindrical guide sleeves even when the 3-D planned implant sights are not parallel.
Angular Corrections:
The lower piece of the 2-piece guide post can be altered for angular corrections by bending the 1/16th shaft up
to 35º to the desired degree with the Guide Right Bending Tool. After the bend is made the upper piece/post is
selected to coordinate with the guide sleeve dimension and placed over the 1/16” shaft for the fabrication of the
surgical guide.
Linear Corrections
Offset guide posts are designed for linear corrections that reposition the implant in either bucco-linqual or
mesio-distal plane with or without necessarily changing the angle of the guide post.
Use with Guide Sleeves
Guide Sleeves made for 2-Piece Guide Posts are designed to match the diameter (0.05 mm or larger) of the
upper piece of the 2-piece guide posts and are available in many dimensions:
2.7 mm id X 5.0 mm long • 3.0 mm id X 5.0 mm long • 4.2 mm id X 5.0 mm long • 5.3 mm id X 5.0 mm long.
The 2-piece 3 mm Guide Post can be used with any of the original 3 mm cylindrical guide sleeves plus
4.5 & 5.3 mm Serial Kits.
When to Use the 2-Piece Guide Post
1. WHEN the path of withdrawal of the guide sleeve & the adjacent teeth are not parallel,
SOLUTION
• A closed cylindrical sleeve is selected
• An angle correction is made by bending the guide post,
• Triad® gel is added to both the guide sleeve and the adjacent teeth to form the surgical guide
• The path of withdrawal of the guide sleeve and the adjacent teeth are not parallel,
2. WHEN 2 adjacent guide posts are not parallel the surgical guide will be mechanically locked
on the cast.
SOLUTION: A two piece guide post, allows the removal of the upper piece of the guide post & the removal
of the completed surgical guide with cylindrical guide sleeves from the cast.
• The surgical guide is made with the upper piece of the 2-piece guide post which has the axis of the
geometrically corrected implant trajectory
• The axis of the lower piece of the guide post has the bucco-lingual and mesio-distal axis of the originally
prostheticly planned implant trajectory of the diagnostic guide.
Guide Right
OPTIONS for Fabrication of Surgical Guide
with NON-PARALLEL Adjacent Guide Posts
OPTIONS
1 Magnetic Guide Post with coordinating Open Guide Sleeve
2 2-Piece Guide Post with Cylindrical Guide Sleeves
are selected for the surgical guide.
OPTION 1
for Non-parallel Adjacent Guide Posts
Open Guide Sleeve with the coordinating Magnetic Guide Post
PURPOSE: used in posterior areas where access is limited
HOW: • facilitates access from the open side of the guide sleeve
• allows viewing the drill depth markings
• accommodates drill sizes equal to guide sleeve id
• indexed to adjacent teeth of edentulous area
• registered to the occlusal & lingual surface of the adjacent teeth
with light-cured resin
REQUIRES: coordinating magnetic guide post to fabricate the guide
OPTION 2
for Non-parallel Adjacent Guide Posts
Cylindrical Guide Sleeve with the coordinating 2- Piece Guide Post
PURPOSE: • used in areas where access & visibility are limited
HOW: • facilitates access from the top of the SURGICAL guide
• may require drills with drill stops to determine drill depth.
• accommodate surgical drill sizes which fit inserts of serial guide sleeves
• indexed to adjacent teeth of edentulous area with light-cured resin
• used in the anterior or posterior areas
• more accurate than the open guide sleeve / less chance of error.
REQUIRES: the use of the 2- piece Guide Post to fabricate and correct the guide.
Why the 2-Piece Guide Post is a Better Option
When an angle correction is made by bending the guide post, light cured resin is
added to the guide sleeve & the adjacent teeth to form the surgical guide
as a result…
The surgical guide may be mechanically locked on the cast
IF the path of withdrawal of the guide sleeve & the adjacent teeth are not parallel,
OR
IF there are 2 adjacent guide posts that are not parallel.
“a must use”
for Non-parallel Adjacent Guide Posts
OPTION 2 (continued)
2-Piece Guide Post
HOW: Use of the 2-piece guide post allows easy removal of the surgical guide when
the upper piece of the guide post is removed leaving the lower piece in the cast.
WHY: The cylindrical guide sleeve & the corrected SURGICAL guide are
made with the upper piece of the 2-piece guide post which has the axis of
the geometrically corrected implant trajectory. The axis of the lower piece
of the guide post has the axis of the originally prosthetically planned
implant trajectory of the DIAGNOSTIC guide sleeve which is based on the
original 3/32” hole drilled in the cast.
Design & Specifications
Lower Piece STRAIGHT
The 2-Piece Guide Post Design is comprised of 2 compatible parts:
Lower Piece & the Upper Piece which can be removed one from the other.
LOWER PIECE STRAIGHT guide post
PURPOSE: Configured with 1/16” od X 5.0 mm length shaft extending up from
the platform of the lower piece on which various sized upper removable posts
can be placed to hold the SURGICAL guide sleeve.
Allows multiple SURGICAL guides with different diameter guide sleeves
SPECIFICATIONS:
• 3/32” outside diameter fits in the 3/32” diameter hole drilled in the cast
• The lower shaft has 4 equal flat sides representing mesial, distal buccal or
lingual surfaces
Design & Specifications
Lower Piece OFFSET
LOWER PIECE OFFSET guide posts
PURPOSE:
• Offsets are designed for linear corrections that reposition the implant in
either bucco-lingual or mesio-distal planes with / without changing the angle
for the surgical guide.
SPECIFICATIONS:
3/32” outside diameter
The lower post has 8 flat sides and the platform having 4 flat sides
rectangular platform with various size offsets > 0.5 mm, 1.0 mm 1.5 mm,
2.0 mm, 2.5 mm & 3.0 mm
UPPER PIECE guide post
PURPOSE:
Compatibility: to fit the keys of other implant companies
Benefit: Allows removal of the surgical guide from the cast even when multiple posts for
multiple implants sites are not parallel.
More than one surgical guide can be made with a larger or smaller diameter upper piece
& larger or smaller diameter guide sleeves.
SPECIFICATIONS:
Length: 10 mm
Options > od: 2.7 mm, 3.0 mm, 4.2 mm, 5.3 mm & others with 1/16 inch hole in shaft.
Hole size: 1/16” hole id which fits over the 1/16” shaft of the Lower Piece of the 2-piece
guide post
Design & Specifications
Upper Piece
ACESSORIES for 2-Piece Guide Post
Stylusfor 2-Piece Guide Post
PURPOSE: Used with the Guide Right™ Bending Tool to make anglular corrections
• to the lower piece of the 2-piece guide post
• the shaft of the magnetic guide post
Opening: 1/16” or 3 mm to fit over a guide post
Fabrication & Correction of a SURGICAL GuideImmediate Placement
Using the 2-Piece Guide Post
jensen
Guide Right™ Surgical Guide System
DéPlaque
▪ fabricate diagnostic guide
▪ evaluate
▪ correct
▪ re-fabricate surgical guide
▪ verify
▪ place
The maxillary right lateral incisor will be removed and an implant placed.
3/32” Drill is used
to drill the initial hole through the singulum of # 7 into the base of the cast.
3 mm guide post with DIAGNOSTIC sleeve
positioned in the hole of # 7 on the cast
Clear Triad® gel has been applied to the guide sleeve & adjacent teeth after
lubricating the cast and blocking our undercuts to form the DIAGNOSTIC guide.
After the cone beam X-ray is taken the tooth is removed from the cast.
Guide Right™ Surgical Guide System
DéPlaque
▪ fabricate diagnostic guide
▪ evaluate ▪ correct
▪ re-fabricate surgical guide
▪ verify
▪ place
Invivo5
AnatomageCone beam
Analysis
axial cross section
A cone beam X-ray provides the correction information
to assure guide sleeve was placed at a 4º angle toward the buccal
tangential volumetric
Invivo5
Anatomage
axial cross section
Home position slide
step by step….
tangential volumetric
Invivo5
Anatomage
Indicates guide sleeve is placed at a 4º angle toward the buccal
& is the preferred position to place the virtual implant away from the buccal wall.
cross section view
Invivo5
Anatomage
tangential view
Indicates no correction is needed in the mesio-distal plane.
Evidenced by the alignment of the axis of the implant
with the radiolucent center of the DIAGNOSTIC guide sleeve.
Invivo5
Anatomage
Indicates the plane of the slice being evaluated in the cross sectional view
is (& should always be) 90º to the mesio-distal plane.
Axial View
Invivo5
Anatomage
Guide Right™ Surgical Guide System
DéPlaque
▪ fabricate [diagnostic guide]
▪ evaluate
▪ correct ▪ re-fabricate [surgical guide]
▪ verify
▪ place
ANGULAR CORRECTIONS are made with the
Guide Right™
Generation ll Bending Tool
Step by step instructions at end of slideshow
Single Bendcorrections in one plane
Guide Right™
Generation ll Bending Tool
Lower piece of guide post in the Bending Tool block
Bending tool with stylus moved 4º to make angular correction to the guide post
Close up view: bending tool block with guide post bent 4º
The 4º angular correction of the guide post is made with the Bending Tool
Lower Piece of 2-piece guide post in site where tooth is removed
Palatal view: lower piece of guide post with 4º correction is placed in the cast
Buccal flat of the offset portion of the lower piece
was marked with black magic marker
to assure placement with bend toward the buccal.
Guide Right™ Surgical Guide System
DéPlaque
▪ fabricate [diagnostic guide]
▪ evaluate
▪ correct
▪ re-fabricate [surgical guide]
▪ verify
▪ place
3 mm diameter Upper Piece of post added to the corrected lower piece
Buccal view
corrected lower piece with the upper piece in position
A 3 mm upper post placed on corrected lower piece
ready for the 3 mm guide sleeve to be placed over it.
A 3 mm guide sleeve placed on the upper piece
will be be used with a 2.3 mm hybrid drill.
3 mm open guide sleeve
3.80 mm guide post with 3.85 mm guide sleeve is used for the
final larger diameter drill to place 4.1 mm implant.
Triad® Gel applied to capture cleats of the 3.9 mm guide sleeve & adjacent teeth
to form the DIAGNOSTIC guide
The upper piece of the post has been removed.
NOW the SURGICAL guide can be removed,
placed in cold sterilization & place in patient for surgery.
Guide Right™ Surgical Guide System
DéPlaque
▪ fabricate [diagnostic guide]
▪ evaluate
▪ correct
▪ re-fabricate [surgical guide]
▪ verify▪ place
Post-op Verification of accurate implant placement
Invivo5
Anatomage
Guide Right™ Surgical Guide System
DéPlaque
▪ fabricate [diagnostic guide]
▪ evaluate
▪ correct
▪ re-fabricate [surgical guide]
▪ verify
▪ place
Final X-ray with implant in place to verify accurate position.
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.
Guide Right™
BENDING TOOL
SINGLE BEND review
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.
Guide Right™
BENDING TOOL
Close up of Offset Guide Posts in bending block
Guide Right™
Bending Tool
Guide Right™ Surgical Guide System
Start With Precision. Place With Confidence.™
1.800.314.0065 • www.deplaque.com
fabricate ▪ evaluate ▪ correct ▪ verify ▪ place
DéPlaque