Guided surgery

SpeedyGuide - Operative Protocol

From more than ten years our company has been producing specific surgical guides; after having collaborated with various companies in the industry as manufacturers, today it distributes and manages its own technique called SpeedyGuide.

The accuracy of our products, together with an accurate assistance to our clients, has consolidated our Service awareness, aiming at the development of the necessary tools needed by clinicians in order to help them to improve their work.

SpeedyGuide is partner of ISOMED CONNECT project.

The SpeedyGuide assisted surgery method represents an evolution in dental implantology both based on the anatomic/prosthetic planning concepts and predictability assisted by the computer. This procedure allows the surgical planning through the aid of an implant processing software on the basis of a Dentalscan or a 3D CT investigation performed by adopting a radiological template which will become the surgical guide (analogic technology) by means of an auto-robot system. By means of the digital technology it is possible to print 3D mathematical models. The compatibility with all implant systems makes SpeedyGuide an open system which allows the dentist to choose among a wide range of implant shapes. Each implant case requires a specific approach, and that is why SpeedyGuide offers a wide multiplicity of Surgical Guide Solutions: tooth-supported, mucosa-supported, bone-supported, for post-extraction. SpeedyGuide method is a minimally invasive technique which provides excellent results with safe and predictable outcomes, promoting the solution even in the more complex implant clinical cases.

Diagnostic Evaluation

In this phase the clinician collects all the information on the patient’s physiological and pathological history in order to make a diagnosis Operative Areas Evaluation:

It is necessary to determine the maximum mouth opening of the patient by measuring the inter-incisive distance, in order to verify the possibility to enter the oral cavity with the surgical instruments.

Clinical case examination
In this phase the clinician verifies the health general conditions of the patient’s mouth, anypossible incongruous restorations or metallic restorations which could affect CT reading.

Dental moulding of both arches
In order to take a mould of the teeth all the methods and/or materials available to the dentist are efficient if they maintain the criterion of getting a detailed, accurate and complete result.

OCCLUSAL REGISTRATION
We proceed to the recognition of a centric relation using individual or medium value techniques.
Radiological template realization / Diagnostic he radiological template is the resin mould, which contains the dental elements and the trend of the mucosa’s radiopoaque areas which should be investigated. It is used in radiology to give, together with a Check-scan, the parameters for the implants planning software. The radiological template has to comply with the manufacturer’s specification indicated by Professione Sorriso Srl and for this reason it should be realized by authorized Speedy Expert Lab. dental laboratories. Casts in plaster are extracted by the development of the gathered mould. A dental Set-Up is realized on the Master cast and an aesthetic and functional test of the mounting of teeth in the mouth of the patient is made. The next step is the duplication of the carried out test and its conversion into an acrylic resin with barium (when radiopaque teeth are used). If radiopaque teeth are used, they should be completely radiopaque, and the duplication of the carried out test will take place using the known techniques of wedging of the resins. The connection between the radiopaque parts should be performed using transparent orthodontic resin The execution of suitably aligned optical scanning, of all information (plaster casts, set-up, wax-up, provisional), allows you to use the acquired STL files so that to facilitate the design phase with Speedy3D.

Check-Scan

Check-Scan is a tool which allows a precise matching by recognizing data volumes between the software environment and the real positioning of the patient’s mouth.

Check-Scan has been highly improved in its characteristics to allow a wider application according to the range of digital 3D diagnostic equipment. The shape ensures greater ergonomics and comfort gripping. Besides, the use of new materials allows an excellent CT reading.

Check-Scan is to be considered a single-use and not hot sterilized product.

With the radiological template and the Check-Scan, the patient is sent to the radiology centre where the radiologist will follow the procedure requested in the doctor’s order:
CT of the dental arch interested patient placing
Jaw: acquiring the complete maxillary arch and the sinus region
Mandible: acquiring the complete mandibular arch and the channel region

For both arches, verify that all the radiopaque spots are visible and that the CT centring reference plane corresponds to the occlusal one identified by the Check-Scan.

Scanning parameters

  • Image dimension from 512 x 512 Pixel per image
  • Gantry Tilt 0,0° Compulsory
  • Axial distance from 0,25 to 1,00 mm
  • Image format DICOM 3.0 multifile
  • No compression

After the CT, the radiologist gives the patient the radiological template, the Check-Scan and the CT CD-ROM.

After having verified the correct housing of the radiological template in the patient’s mouth we proceed to the solidification of the Check-Scan with a radiolucent imprint material (eg. Polyether).
Once the radiologic template is placed in the mouth, the Check-Scan is horizontally positioned (Camper’s plane – ideal for a prosthetic implant design). We insert the registration material on both Check-Scan surfaces and let the dental arches get closer. When the material gets harder it is pulled out from the mouth. The final product is a single-piece cast which the patient will use at the time of the radiological examination.

3D Design

In order to develop the case, the implant design software has to acquire the CT. Once the implant project is finished it could be used for the
implementation of the Surgical Guide procedures.

Surgical Guide Manifacturing

The realization of the “SpeedyGuide” Surgical Guide is performed on request by the Professione Sorriso production centre or by the authorized
laboratories “SpeedyExpert Lab”. Using last generation 3D printers it is possible to obtain a model which contains all the information for the accurate assembly of the Surgical Guide.

The surgical guide order can be sent by means of SpeedyGuide Assistance Service tel: +39 0586 899171
As soon as possible Courier will come and get the material:

To be sent:

1. Plaster Master Model on Speedy Split
2. Copy of the Master Model
3. Radiological template and Check-Scan
4. Design file
5. Order Form signed and stamped

Our surgical guide contains electro-polished surgical steel sleeves which are calibrated on the SpeedyGuide bur system. Their internal diameter measures respectively 4.15 and 5.5mm

Their total height is of 5 mm in order to ensure a better accuracy in maintaining the drilling axis.

Kit of burs and accessories

The SpeedyGuide technique provides an accurate use of the Isomed bur kit both in the method but also in the tool rotation. The accessories are designed to obtain the maximum ergonomics.

Dentist Course – Dental Technician Course

ISOMED Training

The topics covered in our courses refer to the last generation digital techniques, template/imprints scanning, plaster casts scanning, software design management, Image-Guided implantology (I.G.I.)

Aim of the course

Aim of the course Is to provide to the participants the necessary knowledge to deal with the new challenges that impose to the dentist the know-how of new clinical and communication protocols. The patient will be provided all the available clinical solutions by the careful use of new technologies Today the guided surgery represents a professional  opportunity because it allows the clinician to design, simulate and virtually verify all the phases of an operation before accomplishing it.