This document describes the Guide Right system for fabricating and correcting diagnostic and surgical guides. It involves using Invivo5 and Anatomage software to evaluate a case pre-operatively and plan corrections. Guide posts are placed on a cast and bent using a bending tool to achieve linear and angular corrections as determined by the software. A diagnostic guide is fabricated to verify the planned corrections, then a surgical guide is made incorporating the corrections to accurately place implants. The system allows precision placement through in-office fabrication and evaluation of corrections in 1-2 dimensions.

1. Guide Right™
Mandibular Posterior Linear & Angular Corrections
Invivo5
■ Preop Evaluation using Anatomage Software
■ Correction using Guide Right Components
BLONS 2.2013

2. Fabrication of DIAGNOSTIC Guide
 Straight Guide Posts
 Cylindrical Guide Sleeves
 Replacing 28 ▪ 29 ▪ 30

3. 3 mm x 8 mm guide posts placed in holes in the cast.

4. 3 mm DIAGNOSTIC guide sleeves
(1 cleat)
placed on 3 mm guide posts
Triad® Gel added to form
the DIAGNOSTIC guide.

5. Invivo5
Anatomage
Pre-op Software Evaluation

6. # 29
▪ Initial Alignment ▪
DIAGNOSTIC Guide securely seated in patient for X-ray
axial cross sectional
Invivo5
Anatomage
tangential volumetric

7. 1st Angular Correction: # 29 1 st Linear Correction:
0.5LingualOffset to the Lingual ▪
mm 7° Bend to the Lingual
tangential cross sectional
Invivo5

8. # 29
2nd Angular Correction: 2 nd Linear Correction
14º Bend mesial 0.5 mm Offset distal
axial cross sectional
Invivo5
Anatomage
Invivo5
Anatomage
tangential volumetric

9. # 29 CLOSE UP indication for 14º Angular Correction
tangential

10. # 30
Initial Alignment
▪ 4.1 X 8 mm virtual implant ▪
Invivo5
Anatomage

11. # 30
▪ Angular Correction: 7° Bend to the Mesial ▪
axial cross sectional
Invivo5
Invivo5
Anatomage
Anatomage
tangential view volumetric

12. # 30 CLOSE UP indication for 7° Angular Correction
tangential

13. # 31
Initial Alignment
axial cross sectional
Invivo5
Invivo5
Anatomage
Anatomage
tangential volumetric

14. # 31 Angular Correction: 26° Bend to the Lingual
axial cross sectional
Invivo5
Anatomage
tangential volumetric

15. # 31 CLOSE UP indication for 26° Lingual Correction
cross section

16. Review of Pre-op Corrections
#29 #30
LINEAR CORRECTIONS ANGULAR CORRECTIONS
1st : 0.5 mm Offset toward the Lingual 7° Bend to the Mesial
2nd : 0.5 mm Offset toward the Distal
# 31
ANGULAR CORRECTIONS ANGULAR CORRECTIONS
1st : 14° bend Mesial
26° Bend to the Lingual
2st : 7° bend to the Lingual
Cosine is applied to determine correction data.
* see Pythagorean Theorem - COSINE CALCULATION slideshow

17. # 31 - 26° # 30 - 7° # 29 - 14°
3 mm magnetic guide posts 3 mm X 0.5 mm offset
3 mm magnetic guide posts showing angle corrections

18. Fabrication of SURGICAL Guide
 Magnetic Guide Posts
 Open Guide Sleeves

19. Corrected 3 mm magnetic guide posts in prospective positions

20. Initial cast

21. 26° 7° 14°
Corrected 3 mm guide posts in cast

22. Buccal view of SURGICAL guide with 3.3 mm open guide sleeves

23. 4.8 mm
4 4.1 mm 4.1 mm
Final Implant Placement

24. Final implant placement

25. Final Implant Placement

26. Healing Abutments

27. Stage 2

28. Final Restoration

29. Guide Right™
Products shown in this case
 1 - 3/32” drill
 3 - 3 mm Guide Post
 3 - 3 mm Guide Sleeve
 1 - 3 mm X 0.5 mm Magnetic Offset Guide Post
 3 - 3.3 mm Open Guide Sleeve
 Generation ll ▪ Guide Post Bending Tool
 Triad® Gel
1.800.314.0065 • www.deplaque.com

30. Guide Right™
Generation ll Bending Tool
10° example
For more information on use of the bending tool go to
www.deplaque.com ▪ Guide Right™ Generation ll Bending Tool

31. Guide Right™
GENERATION II ▪ GUIDE POST BENDING TOOL
SINGLE BEND review
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 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 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 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.
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.

32. 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 2 The 1st bend can be made to the right or left direction.
Step 3 The set screw is loosened and the guide post is rotated 90 ° next flat surface.
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 6 The second bend can be made in either direction according to the x-ray.
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.

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
1.800.314.0065 • www.deplaque.com

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