Warning: session_start(): Cannot send session cookie - headers already sent by (output started at /home/qmnqvhv5vi9f/public_html/safegide/index.php:2) in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/session/session.php on line 492

Warning: session_start(): Cannot send session cache limiter - headers already sent (output started at /home/qmnqvhv5vi9f/public_html/safegide/index.php:2) in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/session/session.php on line 492

Deprecated: iconv_set_encoding(): Use of iconv.internal_encoding is deprecated in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/string/string.php on line 28

Deprecated: iconv_set_encoding(): Use of iconv.input_encoding is deprecated in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/string/string.php on line 29

Deprecated: iconv_set_encoding(): Use of iconv.output_encoding is deprecated in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/string/string.php on line 30

Deprecated: preg_replace(): The /e modifier is deprecated, use preg_replace_callback instead in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/filter/input.php on line 652

Deprecated: preg_replace(): The /e modifier is deprecated, use preg_replace_callback instead in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/filter/input.php on line 654
Instructions howarddentalsafegide
buy levitra online

Deprecated: preg_replace(): The /e modifier is deprecated, use preg_replace_callback instead in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/filter/input.php on line 652

Deprecated: preg_replace(): The /e modifier is deprecated, use preg_replace_callback instead in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/filter/input.php on line 654

Deprecated: preg_replace(): The /e modifier is deprecated, use preg_replace_callback instead in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/filter/input.php on line 652

Deprecated: preg_replace(): The /e modifier is deprecated, use preg_replace_callback instead in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/filter/input.php on line 654

Strict Standards: Only variables should be assigned by reference in /home/qmnqvhv5vi9f/public_html/safegide/templates/howarddentalsafegide/index.php on line 41

Deprecated: preg_replace(): The /e modifier is deprecated, use preg_replace_callback instead in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/filter/input.php on line 652

Deprecated: preg_replace(): The /e modifier is deprecated, use preg_replace_callback instead in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/filter/input.php on line 654

Deprecated: preg_replace(): The /e modifier is deprecated, use preg_replace_callback instead in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/filter/input.php on line 652

Deprecated: preg_replace(): The /e modifier is deprecated, use preg_replace_callback instead in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/filter/input.php on line 654

Strict Standards: Declaration of JCacheControllerView::get() should be compatible with JCacheController::get($id, $group = NULL) in /home/qmnqvhv5vi9f/public_html/safegide/libraries/joomla/cache/controller/view.php on line 0

Strict Standards: Only variables should be assigned by reference in /home/qmnqvhv5vi9f/public_html/safegide/plugins/content/jw_allvideos/jw_allvideos.php on line 42

Strict Standards: Only variables should be assigned by reference in /home/qmnqvhv5vi9f/public_html/safegide/plugins/content/jw_allvideos/jw_allvideos.php on line 43

Instructions

Click here for a quick overview of the system.

MEASURE, AIM, VERIFY, DRILLMeasure the bone using a calibrated insert in the bone. Select an insert that aims the drill into the best available site in relation to the long axis of the socket. Then verify accuracy of the site, angle, depth, bone height - before you drill - with verifier pointers placed through the sleeves.

SAFEGIDE YOUTUBE VIDEOS

Click on the title. If it does not open, copy and paste the URL on to your address bar.

The kit: http://www.youtube.com/watch?v=qJJ5kMTQJzg&feature=youtu.be

The testimonial: http://www.youtube.com/watch?v=IQFuMvulzxc

The general dentist inventor: http://www.youtube.com/watch?v=xl1AOiRlFiE

The dental show: http://www.youtube.com/watch?v=txZz84_KW5c

How to: http://www.youtube.com/watch?v=fBrWeQGn-pA

Making the stent/jig/splint: http://www.youtube.com/watch?v=fBrWeQGn-pA

Front tooth: http://www.youtube.com/watch?v=3GOZQ7WXdLU

Back tooth: http://www.youtube.com/watch?v=DjEfj4ELC68

More detailed fabrication: http://www.youtube.com/watch?v=e5B7DppEqBE  

 

Click Here to download the comprehensive PPT presentation for the hands-on courses. Visible only on a PC. 

Read this text for explanations of the PPT.

USING THE SAFEGIDE KIT:

All guide inserts in the kit are impregnated with barium to pre-verify absolute accuracy of the proposed implants and abutments with a regular dental X-ray.

1.       Satisfactory guide fabrication cannot be made with inadequate bone, anatomical idiosyncrasies or with a lack of access. If dentists cannot make a guide for an ideally sized implant with the Safegide® then don’t place the implant.

2.       The first step is to take records on the patient (including impression and x-rays). After the records appointment, models are made from the impressions of a patient's teeth. (These models may also be used to make a clear matrix for guide approximation on healed sites, space maintainers and temporary crown fabrication).  

3.       A composite jig (it looks like a bite-splint with a slot above the tooth to be extracted) is then made on the pre-extraction model and set in the UV oven that comes with the kit. The jig may be stored until the patient returns for the tooth extraction.

4.       When the patient comes in for their extraction appointment, the jig is retrieved. By using the pre-made jig at this time of extraction, fabrication of the implant guide is remarkably quick, easy, efficient and stress free.

5.       Immediately after extraction a pre-selected socket insert is selected. The selection of this insert is determined by the anatomical structures, future cosmetic and functional considerations, and the best available bone the will house the implant at the intended site.  The narrow 2mm post end with the 3mm calibrations should be inserted as deep as possible into the socket. Do a trial insertion to calculate the depth of the socket and how much of the post should be cut off.  Any additional 3mm lengths should be cut off to position the widened horizontal platform section level with the gingiva immediately above the socket crest.

6.       Daisy and/or donut elastics are positioned on and around the narrow section of the insert to center and retain the insert in the socket.  The outer diameter of the donut is wider than the outer diameter of the daisy, and is used for wider sockets. The daisy has a smaller inner diameter and is used to prevent the donut from moving on the post. The daisy is used on its own in narrow sockets. More than 1 daisy elastic may be required.

Place the daisy elastic flat against your fingertip. Insert the narrow end of the post through the hole in the elastic. The fingertip will support the daisy as you penetrate it with the post. Push and twist the narrow end of the insert through the hole in the daisy. Then snap the elastic off the stem that houses all the elastics.(Many doctors pre-position elastics over all the Safegide inserts in their possession to expedite fabrication at the time of extraction)

7.       The wider section that holds and aims the metal sleeve should begin level with gingiva directly above and outside the socket. The metal sleeve on this section has to be flush against the wider horizontal platform. (The sleeve holder section above the gingiva will also give an advanced indication of the position and angulation of the abutment.)  

8.       Remove the assembly of the insert with elastics and metal sleeve from the socket.

9.       Place the jig/stent/splint into position. Make sure that it fits over the adjacent supporting teeth and is stable. Ease any minor interferences. Reline it minimally in position with light cured block out material if it is not stable. Check again that the metal sleeve fits passively into the opening above the intended implant site.

10.   With the jig in position, place the insert assembly through the opening into the selected socket. The stainless steel guide-sleeve on the insert is bonded to the pre-fabricated jig after its accuracy is verified by eye-balling it in position. Join the metal sleeve on the insert to the jig with a light cured composite or block out material.

11.   This is followed up with an X-ray to measure and calculate the bony depth of the socket and the bone surrounding the socket. The system should only be used with a 3mm safe zone of available bone above the apex of the planned implant.

12.   Remove the assembly of the jig with the insert. Remove the insert. The metal sleeve will remain attached to the jig. Look through the metal sleeve to check that it is aligned with the intended target in the bone. Optional: Take an X-ray with a verification point placed through the sleeve to confirm the accuracy of the metal sleeve. This should be done again at the time of implant placement if the implant is not placed at the time of tooth extraction.

13.   The information provided by the assembly will be used to determine the safest osteotomy position, angulation and length of the implants to replace the missing tooth, as well as the ideal abutment position. The implant may then be placed during the exodontia visit or after the bone has healed. Ensure that the teeth are retained in position by using bone replacement materials in the socket, and, have the patient wear a retainer should there be any delay in placing the implant.

Healed sites:

The kit may also be used to make an osteotomy guide at healed exodontia sites provided that there is adequate bone and minimal risk of anatomical error. A dental X-ray is taken to ensure that there is adequate bone height, no pathologies and to look for vulnerable structures.

1.       The bone at the intended implant site is sounded with a syringe needle to measure gum thickness.

2.       A model of the mouth (with excellent representation of the lingual sulcus) is then cut facio-lingually at the intended implant site. The recordings of gum thickness are then marked with a pencil inside the cut on the model.

3.       A vertical, parallel groove is cut centered in the model in an ideal position for an implant.

4.       A straight insert is placed in the groove with one end projecting out above the gum.

5.       A metal sleeve is positioned on the insert.

6.       The pre-made jig is then positioned over the insert on to the model.

7.       The metal sleeve is then joined with a flowable composite to the pre-made jig. 

The drill guide will stop the drill at the required depths by using drill stops on the bur with this technique. All Safegide components are easily visible on X-ray so drill stop and implant length calculations are easy.

VERIFICATION:

There are 2 sizes of verification pointers – 10mm and 15mm. The sharp end goes through the sleeve and may penetrate the gum. This point aims in the exact direction that a drill will follow using the guide.

1.       Anesthetize the gingiva below the metal sleeve in the guide.

2.       Place the guide in position resting firmly on support teeth.

3.       Push the verification points through the metal sleeve until it will not go further.

4.       X-ray the assembly.

5.       Using the size of the verification pointers calculate the height of usable bone.

6.       Using the point confirm that the drills will not traumatize any vulnerable structures.

 

The guide should also be retained for accurate exposure of any 2 stage healing caps that have been covered with soft tissue.

The universal reduction sleeve tool allows the same metal sleeve to be used for multiple drill diameters ranging from 2-6mm. Select a drill that is not more than 0.2mm smaller than the inner diameter of the sleeve selected. Insert 3 arms into the mouth.

The arms on either side of the six-sized reduction sleeve end being used restrain the tongue and cheek out of the way during the pilot drilling procedure.