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Serial Guide Technique

                              Featuring: #30

           Fabrication of DIAGNOSTIC Guide using:

            5.3 Wide Guide Sleeve
            Serial Guide Sleeve Inserts
            Fabrication Insert (FABIN)
            Insert Removal Tool (IRT)
               SURGICAL Guide in place

               Serial Inserts Kits are available


DWYER 2.2013
Clinical view of proposed surgery site
Wax set up of #30 tooth
Hole drilled with 3/32” drill through wax up
3/32” drill in cast indicates the planned prosthetic axis.
The drill is replaced with a 3 mm guide post.
Undercuts blocked out.
Lubricating cast with petroleum jelly prior to adding Triad® Gel
5.3 Fabrication Insert (FABIN) used to center the 5.3 guide sleeve
on the guide post and to prevent Triad® Gel from entering sleeve.
Lingual view of FABIN in 5.3 mm guide sleeve with
guide sleeve cleats positioned toward the lingual surface.
Appropriate lubrication of lingual and occlusal
surfaces is required before applying Triad® Gel.
Cure each layer of Triad® Gel
2nd layer of gel extended over several of the adjacent teeth
Buccal view
illustrating gel added to just cover occlusal & lingual surface of teeth.
Fabrication insert removed leaving 5.3 mm guide sleeve
Buccal view
5.3 mm wide guide sleeve
Axial view
5.3 guide sleeve is centered over the 3/32” hole
2.25 mm insert is used for initial 2 mm drill
IRT (insert removal tool) used to remove insert from guide sleeve.
 SURGICAL guide with 5.3 guide sleeve is placed over IRT
 Set on a firm surface and tapped with downward pressure
  to remove inserts.
5.3 wide guide sleeve is used with appropriate inserts for drill sizes.
                   Shown here with 4 mm insert
SURGICAL guide in place




           Appropriate inserts are used for each drill size
2.0 mm insert, for 1.8 mm drill ■ 2.7 mm insert for 2.5 mm drill …etc.
        Completing the osteotomy with Astra 3.8 mm twist drill
  plus 5.0 mm conical drill used in 5.3 mm sleeve without an insert.
Peri-apical X-ray of SURGICAL guide alignment.
Final X-ray
Guide Right™
Products shown in this case

   3/32” drill
   5.3 Wide Guide Sleeve
   Series of Inserts for 5.3 Guide Sleeve *next slide
   5.3 Fabrication Insert (FABIN)
   3 mm Guide Post
   Guide Sleeve Inserts for 5.3 Guide sleeve
   Insert Removal Tool (IRT)
   Petroleum Jelly
   Triad® Gel
   Recommended Kits: 4.5 / 5.3 Serial Guide Kit


      1.800.314.0065    •   www.deplaque.com
Serial INSERTS for 5.3 Guide Sleeves

                                                   Guide Right™

                                         Individual Insert Sizes Available

                                                    2.25 mm
                                                    2.6 mm
                                                    2.75 mm
                                                    3.0 mm
                                                    3.6 mm
                                                    4.0 mm
                                                    4.2 mm
                                                    4.6 mm

Order directly from > www.deplaque.com
Serial INSERTS for 4.5 Guide Sleeves
                                 Guide Right™
                                                Fabrication Insert
  INSERTS FOR 4.5 Guide Sleeve                       FABIN




                                                                     Insert Removal Tool




Order directly from > www.deplaque.com
DéPlaque


Guide Right™ Surgical Guide System
 fabricate ▪ evaluate ▪ correct ▪ verify ▪ place




Start With Precision. Place With Confidence.™

      1.800.314.0065 •     www.deplaque.com

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3 serial guide technique

  • 1. Serial Guide Technique Featuring: #30 Fabrication of DIAGNOSTIC Guide using:  5.3 Wide Guide Sleeve  Serial Guide Sleeve Inserts  Fabrication Insert (FABIN)  Insert Removal Tool (IRT) SURGICAL Guide in place Serial Inserts Kits are available DWYER 2.2013
  • 2. Clinical view of proposed surgery site
  • 3. Wax set up of #30 tooth
  • 4. Hole drilled with 3/32” drill through wax up
  • 5. 3/32” drill in cast indicates the planned prosthetic axis.
  • 6. The drill is replaced with a 3 mm guide post.
  • 8. Lubricating cast with petroleum jelly prior to adding Triad® Gel
  • 9. 5.3 Fabrication Insert (FABIN) used to center the 5.3 guide sleeve on the guide post and to prevent Triad® Gel from entering sleeve.
  • 10. Lingual view of FABIN in 5.3 mm guide sleeve with guide sleeve cleats positioned toward the lingual surface.
  • 11. Appropriate lubrication of lingual and occlusal surfaces is required before applying Triad® Gel.
  • 12. Cure each layer of Triad® Gel
  • 13. 2nd layer of gel extended over several of the adjacent teeth
  • 14. Buccal view illustrating gel added to just cover occlusal & lingual surface of teeth.
  • 15. Fabrication insert removed leaving 5.3 mm guide sleeve
  • 16. Buccal view 5.3 mm wide guide sleeve
  • 17. Axial view 5.3 guide sleeve is centered over the 3/32” hole
  • 18. 2.25 mm insert is used for initial 2 mm drill
  • 19. IRT (insert removal tool) used to remove insert from guide sleeve.
  • 20.  SURGICAL guide with 5.3 guide sleeve is placed over IRT  Set on a firm surface and tapped with downward pressure to remove inserts.
  • 21. 5.3 wide guide sleeve is used with appropriate inserts for drill sizes. Shown here with 4 mm insert
  • 22. SURGICAL guide in place Appropriate inserts are used for each drill size 2.0 mm insert, for 1.8 mm drill ■ 2.7 mm insert for 2.5 mm drill …etc. Completing the osteotomy with Astra 3.8 mm twist drill plus 5.0 mm conical drill used in 5.3 mm sleeve without an insert.
  • 23. Peri-apical X-ray of SURGICAL guide alignment.
  • 25. Guide Right™ Products shown in this case  3/32” drill  5.3 Wide Guide Sleeve  Series of Inserts for 5.3 Guide Sleeve *next slide  5.3 Fabrication Insert (FABIN)  3 mm Guide Post  Guide Sleeve Inserts for 5.3 Guide sleeve  Insert Removal Tool (IRT)  Petroleum Jelly  Triad® Gel  Recommended Kits: 4.5 / 5.3 Serial Guide Kit 1.800.314.0065 • www.deplaque.com
  • 26. Serial INSERTS for 5.3 Guide Sleeves Guide Right™ Individual Insert Sizes Available 2.25 mm 2.6 mm 2.75 mm 3.0 mm 3.6 mm 4.0 mm 4.2 mm 4.6 mm Order directly from > www.deplaque.com
  • 27. Serial INSERTS for 4.5 Guide Sleeves Guide Right™ Fabrication Insert INSERTS FOR 4.5 Guide Sleeve FABIN Insert Removal Tool Order directly from > www.deplaque.com
  • 28. DéPlaque Guide Right™ Surgical Guide System fabricate ▪ evaluate ▪ correct ▪ verify ▪ place Start With Precision. Place With Confidence.™ 1.800.314.0065 • www.deplaque.com