Neodent®
EasyGuide
Surgical Manual
Neodent ©
easyguide
SUMMARY
CONCEPT NEODENT EASYGUIDE® WORKFLOW
NEODENT® EASYGUIDE NEODENT EASYGUIDE® QUICKGUIDE
HELIX GM™ UNBEATABLE VERSATILITY PREVIOUS PROCEDURES
EASYGUIDE SURGICAL WORKFLOW
PREVIOUS PROCEDURES
EASYGUIDE® OVERVIEW
GENERAL ASPECTS
SURGICAL GUIDE: TYPES OF SUPPORT
NEODENT® EASYGUIDE SLEEVES
1 • SURGICAL GUIDE PLACEMENT ON PALATE
2 • SURGICAL GUIDE PLACEMENT
3 • CIRCULAR INCISION OF THE MUCOSA
4 • BONE BED PREPARATION
5 • BREAKING OF THE CORTICAL BONE
6 • DRILLING SEQUENCE
7 • HELIX GM™ IMPLANT INSTALLATION
8 • GUIDE STABILIZATION (OPTIONAL)
EASYGUIDE® VIDEOS
DRILLING PROTOCOL FOR BONE TYPES I AND II
DRILLING PROTOCOL FOR BONE TYPES III AND IV
Neodent ©
easyguide
SIMPLIFY YOUR PRACTICE WITH A ONE-HANDED
GUIDED SURGERY TECHNIQUE AND INCREASE
PATIENT ACCEPTANCE IN IMPLANT THERAPY
The search for implant therapy is constantly growing, as are dentists’ needs for practical and
efficient solutions which allows to have higher treatment acceptance rates along with saving
time and friendlier procedures.
Conventional procedures present challenges that can be addressed by guided surgery, such
as accurate implant positioning. Since it is seen as a complex technique by many clinicians,
they continue to work with less efficient protocols. The result is less peace of mind, patient
engagement and fewer treatments being performed.
Neodent® EasyGuide is designed to offer simple fully guided techniques enabling predictable
surgical results, efficient treatment protocols and patient treatment acceptance.
Neodent® EasyGuide brings all to your hand:
STRAIGHTFORWARD GUIDED EFFICIENT TREATMENT
SURGERY TECHNIQUE PROTOCOLS
Surgical convenience with Intuitive and simple
one-hand procedures technique
PREDICTABLE SURGICAL PATIENT TREATMENT
RESULTS ACCEPTANCE
Confidence for accurate Communication building trust
implant positioning and patient engagement
HELIX GM™ UNBEATABLE VERSATILITY
The Neodent® Grand Morse™ system offers an implant designed to maximize primary stability.
Helix® Grand Morse™ maximizes treatment options and efficiency in all bone types, with a wide
portfolio of implant lengths.
FULLY TAPERED
BODY DESIGN
• Coronal: 2° - 12°
• Apex: 16°
» Allowing under-osteotomy
DYNAMIC PROGRESSIVE
THREAD DESIGN
• Coronal: Trapezoidal >
compressing
• Apex: V-Shape > Self-tapping
» Achieving high primary
stability in all bone types
HYBRID CONTOUR
• Coronal: Cylindrical
• Apex: Conical
» For stability with vertical
placement flexibility
ACTIVE APEX
• Soft rounded small tip
• Helical flutes
» Enabling immediate loading
NEODENT® EASYGUIDE® QUICK GUIDE
Previous Procedures
1 2 3
DIAGNOSIS/ SURGICAL GUIDE
VIRTUAL PLANNING
DATA GATHERING PRODUCTION
CBCT Scanner coDiagnostiX® 3D Printer and Surgical Guide
Intraoral Scanner
CADCAM Scanner
NEODENT® EASYGUIDE® QUICK GUIDE
EasyGuide Surgical Workflow
1 2 3
FIX THE SURGICAL PLACE THE GUIDES MAKE THE CIRCULAR
GUIDE ON THE PALATE INCISION IN THE MUCOSA
4 5 6
PREPARE BREAKING OF THE PERFORM THE OSTEOTOMY
THE BONE BED CORTICAL BONE WITH NEODENT® EASYGUIDE
TAPERED DRILLS
7 8
INSTALL THE STABILIZE THE GUIDE
HELIX GM™ IMPLANT (OPTIONAL)
PREVIOUS PROCEDURES
Neodent® EasyGuide instruments are designed for procedures with 3D planning software using Cone
Beam Computed Tomography (CBCT). They are designed to prepare the osteotomy and install Neodent®
Grand Morse™ implants in combination with surgical guide, including Neodent® Sleeves.
1 Diagnosis/ Data gathering
The treatment plan is based on the diagnosis that is made in the consultation room and
the specific needs of the patient. Bone volume and density, anatomy of the restoration
area, type of restoration, load type, number of implants, esthetic, functional factors and
any other important factors that justify the guided surgery treatment plan must be taken
into consideration.
Regardless of imaging technology, a CBCT scan (following the correct parameters) is the
basis for a precise digital plan and for accurate implant installation. To obtain correct
scanning data, the radiologist and the patient should be correctly positioned and
scanning instructions/parameters should be followed in accordance with the software
manufacturer’s instructions for use (IFU). A dental tray is mandatory and can be made
conventionally or digitally.
Note: For procedures with surgical guides, the patient’s mouth opening capacity must be sufficient
to accommodate guided surgery instruments.
2 Virtual planning
The 3D data set (DICOM) can be imported directly into commercially available planning
software (for example, coDiagnostiX™) and superimposed with the dental tray extracted
with the scanners (STL File). The implant is positioned in relation to the patient’s anatomy
and the desired prosthetic result.
3 Surgical guide production
Once virtual planning has been successfully completed, the treatment plan is sent to
the surgical guide manufacturer. Either the software manufacturer or dental prosthesis
laboratory can make the surgical guide depending on the software concept used.
Note: In this step, the surgical guide manufacturer guarantees compatibility with Neodent® EasyGuide
Instruments, using Neodent® sleeves for guided surgery, positioned according to Neodent® parameters.
EASYGUIDE® OVERVIEW
General aspects
10 mm
4 mm
Tissue thickness up to 6 mm
Tapered drill to be used with narrow sleeve on Offset of the Neodent® EasyGuide System
the left and regular sleeve on the right.
Once the surgical guide is placed in the patient’s mouth, optionally using the Neodent® Clamp, osteotomies
for the Neodent® GM line of implants can be prepared with Neodent® EasyGuide instruments. The surgical
protocol, provided along with the surgical guide, states which instruments are required for preparing
each implant site. Neodent® EasyGuide instruments allow fully guided preparation of the bone bed using
drills with physical depth control (stops) and guided implant insertion using surgical guides with guided
surgery GM drivers.
The patient’s mouth opening capacity must be sufficient to allow correct use of Neodent® EasyGuide
drills and drivers in the region of the implant to be installed.
The drills and drivers used in guided surgery techniques must offset soft tissue thickness and sleeve
height and are therefore considerably longer than instruments used in conventional techniques. Limited
mouth-opening capacity may hinder implant installation in guided surgery procedures.
Neodent® EasyGuide features a line of drills specifically developed to be used directly in the surgical guide
sleeve, making the use of drill guides or reducers unnecessary. Moreover, they have titanium stops to
physically control drilling depth, in the same color as the sleeve with which they are to be used with. The
standard distance (offset) of the system is 10 mm (H10) between the upper part of the sleeve and implant
platform. This will provide sufficient height for soft tissue thickness and placement below the bone crest,
should that be the surgeon’s choice. The choice of drills should always have the length of the implant be
taken into consideration to be installed during the procedure, regardless of its final position in relation to
the bone level.
In the case of osteotomy for regulating bone crest or various extractions, immediate installation of
implants with guided surgery technique is not suitable due to bone remodeling after this procedure.
The physiological process of ridge reduction may result in loss of structure that would be used before
planning implant installation.
EASYGUIDE® OVERVIEW
Surgical guide: Types of support
Mucosa-supported surgical guide Tooth-supported surgical guide
Various types of support for surgical guides are commercially available, depending on personalized surgical
recommendations, taking into consideration software planning characteristics and guide manufacturer. All are
possibilities, depending on dentist preference, planning software used and the surgical guide manufacturer.
EASYGUIDE® OVERVIEW
Neodent® EasyGuide Sleeves
2
1
The engraved letters correspond to the implant diameters that can be installed with each of the sleeves.
Narrow: identified by the light blue color and laser Regular: identified by the silver color and laser
1 2
engraved letters NR (“Narrow/Regular”) engraved letters RW (“Regular/Wide”)
The Neodent® EasyGuide Sleeve is selected according to mesiodistal space and implant diameter.
During digital planning, sleeve positions must be assessed to avoid impact. Neodent® EasyGuide Sleeves
have three-sided surfaces on the upper part, which helps to distinguish them from other sleeves.
Neodent® EasyGuide offers two sleeve diameters for optimizing positioning.
A A
B B
D D
C C
Sleeve measurements, according to indications of implant diameters.
(A) Stop (B) Internal (C) Body (E) Shoulder
Model Indication (D) Height (mm)
diameter (mm) Diameter (mm) Diameter (mm) height (mm)
Helix GM™
Narrow 5.0 3.88 4.45 4 0.5
Ø3.5 and Ø3.75
Helix GM™
Regular 6.7 5.2 5.8 4 0.5
Ø4.0/4.3/5.0
EASYGUIDE® WORKFLOW
1 • Surgical guide placement on palate
Palatal Setter Drilll
Sleeve for Palatal Setter
3.5 mm
Palatal Setter 2.03 mm
35 mm
2.0 mm
20.5 mm
6.0 mm
2.7 mm
Drilling speed: 500-800 rpm for bone type III/IV and 800-1200 rpm for bone type I/II.
The Palatal Setter should be used to clamp the guide to the palate and provide greater stability. It should
be inserted after drill use, through the sleeve to the Palatal Setter, with the aid of the GM Implant Driver for
Contra-angle using a maximum torque of 20 Ncm. Before installing it, the Palatal Setter Drill must be used.
It should be removed with the same driver by applying a reverse torque.
EASYGUIDE® WORKFLOW
2 • Surgical Guide Placement
• Drilling speed: 500-800 rpm;
• Use intermittent drilling technique until reaching the 1.3 mm drill stop;
• After osteotomy, fully engage the clamp as far as the stop.
Note: This procedure will not be necessary in all cases. Particularly suitable for totally edentulous patients.
Neodent® EasyGuide Clamp is used to position the guide in the patient’s mouth to ensure stability. It is used
to keep the surgical guide in place during surgery.
EASYGUIDE® WORKFLOW
2 • Surgical Guide Placement
1.3 mm drill for Guided Surgery Sleeve suitable for installing Guide Clamp
3.1 mm
Guide Clamp
1.35 mm
7.5 mm
20 mm
2.5 mm
To ensure stability, the Guide Clamp must be placed in an area with sufficient and adequate bone quality.
The Neodent® Guide Clamp Sleeve for guided surgery must be surrounded by sufficient material from the
surgical guide for better retention. The number of Guide Clamps should be adapted to the patient anatomy,
surgical guide type, position and number of implants.
EASYGUIDE® WORKFLOW
3 • Circular incision of the mucosa
Narrow Regular
30 mm
The appropriate number of rotations per minute (rpm) for drilling is 60 rpm.
A circular incision is made in the tissue before preparing the bone bed using the guided surgery technique.
This optional procedure is performed with a tissue punch (a surgical instrument with a contra-angle fitting
at one end and a cylindrical cutter at the other).
EASYGUIDE® WORKFLOW
4 • Bone bed preparation
Narrow Regular
27 mm
Drilling speed: 500-800 rpm for bone type III/IV and 800-1200 rpm for bone type I/II.
The Leveling Drill is used for the preparation of the bone bed prior to drilling; it has a titanium ring (stop)
which limits the depth of drill insertion. Its geometry, size and diameter are compatible with the sleeves, in
regular and narrow versions.
EASYGUIDE® WORKFLOW
5 • Breaking of the cortical bone
Narrow Regular
33 mm
Drilling speed: 500-800 rpm for bone type III/IV and 800-1200 rpm for bone type I/II.
For marking out and breaking the cortical bone, the Initial Drill is used; it has a titanium ring (stop) which limits
the depth of insertion of the drills. Its geometry, size and diameter are compatible with the sleeves, in regular
and narrow versions.
EASYGUIDE® WORKFLOW
6 • Drilling sequence
After use of the tissue punch and the leveling drill, followed by the initial drill, whenever necessary and
in line with the plan, the selected sequence of tapered drills will vary according to implant diameter and
length and the bone type.
Instructions can be found in the surgical kit images, as shown in the figures below:
NEODENT® GM EASYGUIDE KIT NARROW/REGULAR NEODENT® GM EASYGUIDE KIT REGULAR/WIDE
• Designed for installation of Grand Morse™ implants of • Designed for installation of Grand Morse™ implants of
3.5 and 3.75 diameters, with the use of the Neodent ®
4.0, 4.3 and 5.0 diameters, with the use of the Neodent®
EasyGuide technique; EasyGuide technique;
• A kit for all bone types; • A kit for all bone types;
• The color-coded sequences contribute towards a reliable • The color-coded sequences contribute towards a reliable
workflow; workflow;
• Clear illustrations to check correct instrument installation; • Clear illustrations to check correct instrument installation;
• Safe instrument placement in silicone rings for sterilization • Safe instrument placement in silicone rings for sterilization
and storage. and storage.
1 3 1 3
2 2
1 2 3
Initial drills regardless of Indication of Color code indicating the last drill for
bone type implant length each implant diameter and bone type
EASYGUIDE® WORKFLOW
6 • Drilling sequence
The geometry, size and diameter of Neodent® EasyGuide drills are compatible with the
sleeves, in regular and narrow versions.
These drills are identified by a colored band and are available as shown below. The
1
band indicates the last drill to be used in soft or hard bone types for each implant
diameter, marked with corresponding colors.
Lilac Blue Green Yellow Brown
Ø3.5 Ø3.75 Ø4.0 Ø4.3 Ø5.0
NARROW REGULAR 1
The drill stops ensure a 100% guided
2
osteotomy experience. The narrow drills
are light blue for ease of identification.
The drills are compatible with implants with 3
3
a length of 8, 10, 11.5 and 13 mm:
• The regular drills are suitable for installing implants
with diameters of 4.0, 4.3 and 5.0 mm.
• The narrow drills are suitable for installing implants
with diameters of 3.5 and 3.75 mm.
EASYGUIDE® WORKFLOW
6 • Drilling sequence
USING THE NARROW/REGULAR KIT
Ø3.5
Ø3.5
INITIAL Ø3.5
Ø3.75
Ø3.75
Ø3.5
INITIAL Ø3.5 Ø3.75
Ø3.75 *
Bone types I and II Bone types III and IV
* Bone types III and IV optional use
Drilling speed: 500-800 rpm for bone type III/IV and 800-1200 rpm for bone type I/II.
EASYGUIDE® WORKFLOW
6 • Drilling sequence
USING THE REGULAR/WIDE KIT
Ø4.0
Ø4.0
INITIAL Ø2.7 Ø4.0
* Ø4.3
Ø4.3
Ø4.0 Ø4.3
INITIAL Ø2.7 Ø4.0
Ø4.3 * Ø5.0
Ø5.0
Ø4.0 Ø4.3
INITIAL Ø2.7 Ø4.0 Ø5.0
Ø4.3 Ø5.0
*
Bone types I and II Bone types III and IV
* Bone types III and IV optional use
Drilling speed: 500-800 rpm for bone type III/IV and 800-1200 rpm for bone type I/II.
EASYGUIDE® WORKFLOW
7 • Helix GM™ implant installation
GM implants were developed to begin installation with a Contra-angle handpiece or manually, then to be
finished with the Torque Wrench.
Implant installation begins with the contra-angle handpiece in the bone bed with a maximum torque of
35 Ncm and the speed of 30 rpm clockwise.
Remove the Contra-Angle Implant Driver and use the torque wrench implant driver, finalizing implant
installation, and check the torque.
Neodent® EasyGuide Implant Drivers fit into the sleeve on the surgical guide and ensure that implant
insertion is fully guided, providing physical depth control. They allow installation of subcrestal implant
due to the consistency of diameters between implant driver and the implant. The markings indicate the
exact position of the Exact indexer, making the prosthetic workflow more practical, as it shows where
the abutment should be placed.
Warning: Correcting the vertical position by reversing the rotation during surgery may lead to reduced primary or mechanical stability.
EASYGUIDE® WORKFLOW
7 • Helix GM™ implant installation
Neodent® EasyGuide GM implant drivers allow fully guided insertion of Helix GM™ implants using Narrow
or Regular Sleeves and guarantee correct positioning with control of the physical depth. There are two
models of Implant Drivers:
All implant drivers are provided with
Physical indexer (Exact) markings to guide
implant installation, according to
prosthetic rehabilitation.
Narrow Regular
For contra-angle: to pick up the implant from the pack and begin installation.
• Fits into the surgical sleeve and guarantees fully guided
implant installation, providing control of the physical depth.
• Consistent diameter between the implant driver and
Physical implant diameter allows subcrestal implant installation.
• Exact indexer position indicator allows positioning of the
implant driver to be viewed.
Narrow Regular
For Torque Wrench Driver: to finalize installation and measure insertion torque.
EASYGUIDE® WORKFLOW
7 • Helix GM™ implant installation
NEODENT® IMPLANT PACKAGING
Neodent® packaging has been specially updated for easy handling and safe surgical procedures,
providing practicality from implant stocking to picking up and carrying to the implant bed.
Implant features, such as type, diameter and length, are readily identifiable on the outside of the
packaging.
Three self-adhesive labels are provided for use
in the patient’s medical records and for
reporting to the prosthesis team.
1 2
After breaking the sterile seal on the blister Remove the holder containing the implant
pack, hold the primary packaging (glass tube) from the glass tube along with the cap.
in non-dominant hand and open the cap.
Note: For Acqua implants, hold the bottle in position.
Note: For Acqua implants, hold the bottle in the
vertical position to avoid spilling the liquid.
EASYGUIDE® WORKFLOW
7 • Helix GM™ implant installation
NEODENT® IMPLANT PACKAGING
3 4
To secure the implant, grip both sides of the Keep pressing the holder and remove the cap.
implant carrier.
5 6
Pressing the holder, pick up the implant with Carry the implant to the implant bed.
the contra-angle driver, moving the holder
until a perfect fit is found between the wrench
and the implant. Check that the driver is
completely fitted to the implant.
EASYGUIDE® WORKFLOW
8 • Guide stabilizer (optional)
4.95 mm 6.2 mm
18.5 mm
Narrow Regular
The Guide Stabilizer is used to help stabilize the surgical guide during the procedure, after implant installation
using Neodent guided surgery techniques. Narrow Stabilizers are recommended for implants of 3.5 and 3.75
mm, and Regular Stabilizers for implants of 4.0, 4.3 and 5.0 mm.
Insert the Guide Stabilizer after implant installation, using the Neo Manual Screwdriver, fitting it completely as far as the Stop. Gently apply manual
torque. Do not use the Guide Stabilizer when primary stability of the implant is less than 20 Ncm.
NOTES
毎日、とびっきりの笑顔を
NUOVI SORRISI OGNI GIORNO
CHAQUE JOUR DE NOUVEAUX SOURIRES
новые улыбки каждый день
JEDEN TAG EIN NEUES LÄCHELN
NUEVAS SONRISAS TODOS LOS DÍAS
NYA LEENDEN VARJE DAG
NEW SMILES EVERY DAY
NOVOS SORRISOS TODOS OS DIAS
CHAQUE JOUR DE NOUVEAUX SOURIRES
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