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Tooth, tissue or bone: choosing the right guide support
GUIDED SURGERYTooth, tissue or bone: choosing the right guide support
The support a guide rests on decides how accurately it seats. Tooth-supported guides are the most stable when enough teeth remain. Tissue-supported…
The support a guide rests on decides how accurately it seats. Tooth-supported guides are the most stable when enough teeth remain. Tissue-supported guides need fixation pins and a well-fitting scan appliance. Bone-supported guides are used after a flap is raised, usually together with bone reduction.
In practice
Every case is different, so treat this as a starting point and adapt it to your implant system, your equipment and your team. If something here does not match what you see in your own workflow, ask Y Medic before the case, not during it.
Checklist
- Confirm the records are complete before design starts.
- Approve the plan on screen; ask for changes in writing.
- Try the guide on the model before the day of surgery.
KEEP READINGMore from the team.
Guided surgeryTooth, tissue or bone: choosing the right guide supportThe support a guide rests on decides how accurately it seats. Tooth-supported guides are the most stable when enough teeth…Read
PlanningWhat to send with a CBCT so the plan is right first timeA good plan starts with good records: a CBCT with the teeth slightly apart, an intra-oral scan of both arches…Read
Guided surgeryWhy a guide does not seat, and how to check before surgeryMost seating problems come from the scan, not the design: distortion across the arch, movement during the CBCT, or printing…Read
3D printingPrinting surgical guides in-house: a short validation routinePrint a calibration piece with every build, measure it, and record the result. Check sleeve fit with the actual sleeve.…ReadCOMPLEX CASES. CLEAR SUPPORT.Send us the case. We will review the workflow with you.
Then we design the guide around how your practice actually works.
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What to send with a CBCT so the plan is right first time
PLANNINGWhat to send with a CBCT so the plan is right first time
A good plan starts with good records: a CBCT with the teeth slightly apart, an intra-oral scan of both arches and the…
A good plan starts with good records: a CBCT with the teeth slightly apart, an intra-oral scan of both arches and the bite, the implant system and guided kit you intend to use, and a note about the restorative goal.
In practice
Every case is different, so treat this as a starting point and adapt it to your implant system, your equipment and your team. If something here does not match what you see in your own workflow, ask Y Medic before the case, not during it.
Checklist
- Confirm the records are complete before design starts.
- Approve the plan on screen; ask for changes in writing.
- Try the guide on the model before the day of surgery.
KEEP READINGMore from the team.
Guided surgeryTooth, tissue or bone: choosing the right guide supportThe support a guide rests on decides how accurately it seats. Tooth-supported guides are the most stable when enough teeth…ReadPlanningWhat to send with a CBCT so the plan is right first timeA good plan starts with good records: a CBCT with the teeth slightly apart, an intra-oral scan of both arches…ReadGuided surgeryWhy a guide does not seat, and how to check before surgeryMost seating problems come from the scan, not the design: distortion across the arch, movement during the CBCT, or printing…Read3D printingPrinting surgical guides in-house: a short validation routinePrint a calibration piece with every build, measure it, and record the result. Check sleeve fit with the actual sleeve.…ReadCOMPLEX CASES. CLEAR SUPPORT.Send us the case. We will review the workflow with you.
Then we design the guide around how your practice actually works.
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Why a guide does not seat, and how to check before surgery
GUIDED SURGERYWhy a guide does not seat, and how to check before surgery
Most seating problems come from the scan, not the design: distortion across the arch, movement during the CBCT, or printing and post-curing…
Most seating problems come from the scan, not the design: distortion across the arch, movement during the CBCT, or printing and post-curing errors. Inspection windows and a try-in on the model find them before the patient is in the chair.
In practice
Every case is different, so treat this as a starting point and adapt it to your implant system, your equipment and your team. If something here does not match what you see in your own workflow, ask Y Medic before the case, not during it.
Checklist
- Confirm the records are complete before design starts.
- Approve the plan on screen; ask for changes in writing.
- Try the guide on the model before the day of surgery.
KEEP READINGMore from the team.
Guided surgeryTooth, tissue or bone: choosing the right guide supportThe support a guide rests on decides how accurately it seats. Tooth-supported guides are the most stable when enough teeth…ReadPlanningWhat to send with a CBCT so the plan is right first timeA good plan starts with good records: a CBCT with the teeth slightly apart, an intra-oral scan of both arches…ReadGuided surgeryWhy a guide does not seat, and how to check before surgeryMost seating problems come from the scan, not the design: distortion across the arch, movement during the CBCT, or printing…Read3D printingPrinting surgical guides in-house: a short validation routinePrint a calibration piece with every build, measure it, and record the result. Check sleeve fit with the actual sleeve.…ReadCOMPLEX CASES. CLEAR SUPPORT.Send us the case. We will review the workflow with you.
Then we design the guide around how your practice actually works.
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Printing surgical guides in-house: a short validation routine
3D PRINTINGPrinting surgical guides in-house: a short validation routine
Print a calibration piece with every build, measure it, and record the result. Check sleeve fit with the actual sleeve. Keep resin,…
Print a calibration piece with every build, measure it, and record the result. Check sleeve fit with the actual sleeve. Keep resin, wash and cure settings written down next to the printer.
In practice
Every case is different, so treat this as a starting point and adapt it to your implant system, your equipment and your team. If something here does not match what you see in your own workflow, ask Y Medic before the case, not during it.
Checklist
- Confirm the records are complete before design starts.
- Approve the plan on screen; ask for changes in writing.
- Try the guide on the model before the day of surgery.
KEEP READINGMore from the team.
Guided surgeryTooth, tissue or bone: choosing the right guide supportThe support a guide rests on decides how accurately it seats. Tooth-supported guides are the most stable when enough teeth…ReadPlanningWhat to send with a CBCT so the plan is right first timeA good plan starts with good records: a CBCT with the teeth slightly apart, an intra-oral scan of both arches…ReadGuided surgeryWhy a guide does not seat, and how to check before surgeryMost seating problems come from the scan, not the design: distortion across the arch, movement during the CBCT, or printing…Read3D printingPrinting surgical guides in-house: a short validation routinePrint a calibration piece with every build, measure it, and record the result. Check sleeve fit with the actual sleeve.…ReadCOMPLEX CASES. CLEAR SUPPORT.Send us the case. We will review the workflow with you.
Then we design the guide around how your practice actually works.
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Full-arch cases: planning the provisional before the implants
FULL ARCHFull-arch cases: planning the provisional before the implants
Starting from the tooth position tells you how much bone has to be reduced and where the implants can emerge. Planning in…
Starting from the tooth position tells you how much bone has to be reduced and where the implants can emerge. Planning in that order avoids surprises on the day of surgery.
In practice
Every case is different, so treat this as a starting point and adapt it to your implant system, your equipment and your team. If something here does not match what you see in your own workflow, ask Y Medic before the case, not during it.
Checklist
- Confirm the records are complete before design starts.
- Approve the plan on screen; ask for changes in writing.
- Try the guide on the model before the day of surgery.
KEEP READINGMore from the team.
Guided surgeryTooth, tissue or bone: choosing the right guide supportThe support a guide rests on decides how accurately it seats. Tooth-supported guides are the most stable when enough teeth…ReadPlanningWhat to send with a CBCT so the plan is right first timeA good plan starts with good records: a CBCT with the teeth slightly apart, an intra-oral scan of both arches…ReadGuided surgeryWhy a guide does not seat, and how to check before surgeryMost seating problems come from the scan, not the design: distortion across the arch, movement during the CBCT, or printing…Read3D printingPrinting surgical guides in-house: a short validation routinePrint a calibration piece with every build, measure it, and record the result. Check sleeve fit with the actual sleeve.…ReadCOMPLEX CASES. CLEAR SUPPORT.Send us the case. We will review the workflow with you.
Then we design the guide around how your practice actually works.
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Reading the sleeve report: offsets, lengths and drill stops
GUIDED SURGERYReading the sleeve report: offsets, lengths and drill stops
The sleeve report translates the plan into the drill sequence. It lists the sleeve offset, drill length and stop for every site.…
The sleeve report translates the plan into the drill sequence. It lists the sleeve offset, drill length and stop for every site. Read it out loud with your assistant before the first osteotomy.
In practice
Every case is different, so treat this as a starting point and adapt it to your implant system, your equipment and your team. If something here does not match what you see in your own workflow, ask Y Medic before the case, not during it.
Checklist
- Confirm the records are complete before design starts.
- Approve the plan on screen; ask for changes in writing.
- Try the guide on the model before the day of surgery.
KEEP READINGMore from the team.
Guided surgeryTooth, tissue or bone: choosing the right guide supportThe support a guide rests on decides how accurately it seats. Tooth-supported guides are the most stable when enough teeth…ReadPlanningWhat to send with a CBCT so the plan is right first timeA good plan starts with good records: a CBCT with the teeth slightly apart, an intra-oral scan of both arches…ReadGuided surgeryWhy a guide does not seat, and how to check before surgeryMost seating problems come from the scan, not the design: distortion across the arch, movement during the CBCT, or printing…Read3D printingPrinting surgical guides in-house: a short validation routinePrint a calibration piece with every build, measure it, and record the result. Check sleeve fit with the actual sleeve.…ReadCOMPLEX CASES. CLEAR SUPPORT.Send us the case. We will review the workflow with you.
Then we design the guide around how your practice actually works.
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Scanning tips that make design faster
SCANNINGScanning tips that make design faster
Dry the field, scan the occlusal surfaces first, and capture a few millimetres of soft tissue around every site. Check the bite…
Dry the field, scan the occlusal surfaces first, and capture a few millimetres of soft tissue around every site. Check the bite scan in two places.
In practice
Every case is different, so treat this as a starting point and adapt it to your implant system, your equipment and your team. If something here does not match what you see in your own workflow, ask Y Medic before the case, not during it.
Checklist
- Confirm the records are complete before design starts.
- Approve the plan on screen; ask for changes in writing.
- Try the guide on the model before the day of surgery.
KEEP READINGMore from the team.
Guided surgeryTooth, tissue or bone: choosing the right guide supportThe support a guide rests on decides how accurately it seats. Tooth-supported guides are the most stable when enough teeth…ReadPlanningWhat to send with a CBCT so the plan is right first timeA good plan starts with good records: a CBCT with the teeth slightly apart, an intra-oral scan of both arches…ReadGuided surgeryWhy a guide does not seat, and how to check before surgeryMost seating problems come from the scan, not the design: distortion across the arch, movement during the CBCT, or printing…Read3D printingPrinting surgical guides in-house: a short validation routinePrint a calibration piece with every build, measure it, and record the result. Check sleeve fit with the actual sleeve.…ReadCOMPLEX CASES. CLEAR SUPPORT.Send us the case. We will review the workflow with you.
Then we design the guide around how your practice actually works.
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Choosing a resin for guides, models and provisionals
3D PRINTINGChoosing a resin for guides, models and provisionals
Guide resins are cleared for limited contact and are stiff; model resins are optimised for accuracy and surface; provisional resins are filled…
Guide resins are cleared for limited contact and are stiff; model resins are optimised for accuracy and surface; provisional resins are filled and coloured. Use each for its purpose and follow the cure schedule.
In practice
Every case is different, so treat this as a starting point and adapt it to your implant system, your equipment and your team. If something here does not match what you see in your own workflow, ask Y Medic before the case, not during it.
Checklist
- Confirm the records are complete before design starts.
- Approve the plan on screen; ask for changes in writing.
- Try the guide on the model before the day of surgery.
KEEP READINGMore from the team.
Guided surgeryTooth, tissue or bone: choosing the right guide supportThe support a guide rests on decides how accurately it seats. Tooth-supported guides are the most stable when enough teeth…ReadPlanningWhat to send with a CBCT so the plan is right first timeA good plan starts with good records: a CBCT with the teeth slightly apart, an intra-oral scan of both arches…ReadGuided surgeryWhy a guide does not seat, and how to check before surgeryMost seating problems come from the scan, not the design: distortion across the arch, movement during the CBCT, or printing…Read3D printingPrinting surgical guides in-house: a short validation routinePrint a calibration piece with every build, measure it, and record the result. Check sleeve fit with the actual sleeve.…ReadCOMPLEX CASES. CLEAR SUPPORT.Send us the case. We will review the workflow with you.
Then we design the guide around how your practice actually works.
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A written procedure your team will actually follow
WORKFLOWA written procedure your team will actually follow
Keep it to one page per task, written as numbered steps with a photograph where a mistake is likely. Review it with…
Keep it to one page per task, written as numbered steps with a photograph where a mistake is likely. Review it with the people who do the work, then pin it where the work happens.
In practice
Every case is different, so treat this as a starting point and adapt it to your implant system, your equipment and your team. If something here does not match what you see in your own workflow, ask Y Medic before the case, not during it.
Checklist
- Confirm the records are complete before design starts.
- Approve the plan on screen; ask for changes in writing.
- Try the guide on the model before the day of surgery.
KEEP READINGMore from the team.
Guided surgeryTooth, tissue or bone: choosing the right guide supportThe support a guide rests on decides how accurately it seats. Tooth-supported guides are the most stable when enough teeth…ReadPlanningWhat to send with a CBCT so the plan is right first timeA good plan starts with good records: a CBCT with the teeth slightly apart, an intra-oral scan of both arches…ReadGuided surgeryWhy a guide does not seat, and how to check before surgeryMost seating problems come from the scan, not the design: distortion across the arch, movement during the CBCT, or printing…Read3D printingPrinting surgical guides in-house: a short validation routinePrint a calibration piece with every build, measure it, and record the result. Check sleeve fit with the actual sleeve.…ReadCOMPLEX CASES. CLEAR SUPPORT.Send us the case. We will review the workflow with you.
Then we design the guide around how your practice actually works.