SurgiGuide Cookbook - Dental-Depot

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2. Diameter of the cylindersConfirm the inner diameters of the drilling cylinders.Insert each drill, based on the requested drilling sequence, into the cylinders of thecustomized SurgiGuide.The inner diameters of the stainless steel cylinders are 0.1 to 0.3 mm larger than thediameters of the cutting surface of the drills.The deviation can be more significant when tapered/beveled drills are used.Note: If you decide to use a drill from a different implant manufacturer than that which youspecified in your SurgiGuide Order Form, be sure that it has the same diameter. Do NOT usea smaller diameter drill than specified for a drill guide cylinder as the angle deviation couldbecome unacceptably large.Fig. 1: Determination of the proper fit of the SurgiGuide on the study model.3. Decontamination / sterilizationSURGICAL PROCEDURESDecontamination: use a disinfectant (i.e. chlorhexidine, betadine) or a sterilizing agent that isapproved for dental applications (check with the legal regulations in your country). Follow therecommendations of the manufacturer for disinfection or sterilization as you would for otherclinical devices.SurgiGuide can be sterilized using γ-irradiation or EtO (conform EN552 and EN556respectively) or any other low temperature method (that conforms to the legal regulations inyour country). Do not autoclave or use any type of dry/steam heat sterilization.68www.SimPlant.comSurgiGuide Cookbook
Surgical Procedure1. Decision on the procedureDepending on the amount of keratinized tissue you can choose between punching themucosa or raising a flap.When working through the mucosa, position the SurgiGuide on the patient's jaw and mark(needle or methylene blue) the entry point of each implant on the gingiva through theSurgiGuide.Remove the SurgiGuide and use a punch to cut out a cylinder of mucosa for each plannedimplant. If punching can be done through the SurgiGuide, it is not necessary to remove theguide.Remark: If the SurgiGuide is completely tooth-supported, and no additional mucosa supportis needed to stabilize the SurgiGuide, the surgeon might decide to make a crestal incisionand raise mucoperiosteal flaps on the vestibular and lingual/palatal side to have a bettervisibility.2. Positioning of the SurgiGuideCorrect positioning of the SurgiGuide in the patient’s mouth is essential, in order to accuratelytransfer the pre-operative treatment plan. This requires the SurgiGuide to fit in a unique andstable position.Try to retrieve the unique position which was found when fitting the guide on the model preoperatively.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.Do not exert excessive pressure on the guide. Minimizing the amount of pressure will preventthe guide from breaking.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 cylinders,or 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 jaw during the drilling process.SURGICAL PROCEDURESFig. 2: Drilling guided by SurgiGuide69www.SimPlant.comSurgiGuide Cookbook
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IntroductionIntroductionSurgiGuide
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OverviewStep 1: DiagnosisIt all sta
Page 15 and 16:
DiagnosisStep 1: DiagnosisClear inf
Page 17 and 18:
Minimal Invasive SurgeryThe exact p
Page 19 and 20: Step 3: Taking the the 3D scanNo sc
Page 21 and 22: Step 4: Conversion ofStep 4: Conver
Page 24 and 25: Step 6: Ordening SurgiGuide and the
Page 26: 2. Types of SurgiGuide drill guides
Page 29 and 30: SAFE SystemThe SAFE System is used
Page 31 and 32: Step 7: DeliveryStep 7: Delivery an
Page 33: Protocols & SurgicalproceduresSurgi
Page 36 and 37: Procedure to fabricate a standard s
Page 38 and 39: 14. Measure the blended powder and
Page 40 and 41: Procedure to make a scan prosthesis
Page 42 and 43: Aligning the patient• For correct
Page 44 and 45: General scanning instructions• Se
Page 46 and 47: As another example: the remarks fie
Page 48 and 49: After choosing a SurgiGuide type, t
Page 51 and 52: Requirements of a plaster castThe s
Page 53 and 54: Scan prosthesisIf a scan prosthesis
Page 55 and 56: Intact and recent cast in plasterSe
Page 57 and 58: Surgical Procedure: Bone-supported
Page 59 and 60: 2. Positioning of the SurgiGuideCor
Page 61: 4. Subsequent drill(s)Proceed with
Page 64 and 65: Pre-operative actions1. Fit of the
Page 66 and 67: CoolingPrecautions should be taken
Page 69: Surgical Procedure: Procedure: Toot
Page 73: 4. Subsequent drill(s)Proceed with
Page 76 and 77: Planning actionsTo achieve full adv
Page 78 and 79: 5. Perform all regular checks for S
Page 80 and 81: 3. Punching/TrephineIf a transmucos
Page 82 and 83: 8. Implant placementScrew the corre
Page 84 and 85: DISLCAIMER OF LIABILITYMaterialise
Page 86 and 87: Preparing the temporary prosthesis1
Page 88 and 89: Implant Surgery and Providing an Im
Page 90: Contact us:Materialise US - Clinica
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