SurgiGuide Cookbook - Dental-Depot

2. Positioning of the SurgiGuideCorrect positioning of the SurgiGuide on the patient’s jawbone is essential in order toaccurately transfer the pre-operative treatment plan. This requires the SurgiGuide to fit on thejawbone in a unique and stable position.Taking time to fit the SurgiGuide accurately on the patient is extremely important. Verify thestability of the guide. Locate the accurate and stable position based on the unique fit thatcorresponds with the position of the SurgiGuide on the model.Do not exert excessive pressure on the guide. Minimizing the amount of pressure will preventthe guide from breaking.If you are not satisfied with the dimensions of the SurgiGuide (lingual or buccal extensions),you can easily adjust the shape of the SurgiGuide. Use caution, however. Altering the designof the SurgiGuide may affect the accuracy of the fit.If the bone contains a very sharp edge, it may be necessary to smooth the alveolar ridgeslightly to properly seat the guide on the bone.If for any reason, it is not possible to obtain a unique and stable fit, the accuracy of the guidecannot be guaranteed. As a result, the recommendation would be to not use the SurgiGuideand to revert to the standard surgical procedure.Reduction of the alveolar ridge.SurgiGuide are extremely beneficial when preparing an implant site on a sharp bony ridge. Amajor concern, the slipping of the drill, is prevented by the use of a SurgiGuide. The drillingcylinders guide the drill according to the planned drill path.If for any other reason, you need to do an alveolar ridge reduction, we advise the followingprocedure:– Ridge reduction after preparation of the implant site.Proceed with the above-indicated surgical protocol until you have used the last SurgiGuide inthe sequence. At this point, you can remove any excess of bone without compromising theuse and fit of the SurgiGuide.– Ridge reduction prior to preparation of the implant site.This is not recommended. Changes to the alveolar ridge can interfere with the fit and thus theaccuracy of the SurgiGuide.SURGICAL PROCEDURESIf you need to do a ridge reduction prior to drilling, indicating the planned ridgereduction on the SurgiGuide order form is recommended. This will allow us to provide alonger buccal or lingual extension (up to your preferences) of the SurgiGuide, though the fit ofthe SurgiGuide will not be guaranteed.Note that this is only possible with a limited ridge reduction (1 to 2 mm).3. First drillBased on the drilling sequence, a series of customized SurgiGuide are produced toaccommodate the specified diameters of each drill.For the first drill, begin with the SurgiGuide that contains the smallest stainless steel cylindersor fit the SurgiGuide with the correct drilling cylinders.Hold the guide down in the middle or on each of the two ends to prevent it from tilting orshifting. Maintain the guide’s position on the bone during the drilling process.57www.SimPlant.comSurgiGuide Cookbook