CEREC Guide 2: Operating Instructions (Not Valid For USA)
CEREC Guide 2: Operating Instructions (Not Valid For USA)
CEREC Guide 2: Operating Instructions (Not Valid For USA)
2020
CEREC Guide 2
English
Table of contents Dentsply Sirona
Operating Instructions CEREC Guide 2
Table of contents
1 General data ........................................................................................................... 3
1.1 Contact information...................................................................................... 3
1.2 Structure of the document............................................................................ 3
1.2.1 Identification of the danger levels .................................................. 3
1.2.2 Formats and symbols used............................................................ 4
1.3 Symbols used .............................................................................................. 4
1.4 Intended use ................................................................................................ 5
1.5 Indications.................................................................................................... 5
1.6 Contraindications ......................................................................................... 5
4 Application .............................................................................................................. 14
4.1 Creating a CEREC Guide 2 ......................................................................... 14
4.1.1 Optical impression ......................................................................... 14
4.1.2 3D x-ray and implant planning ....................................................... 15
4.1.3 Design and development of the CEREC Guide 2 .......................... 17
4.1.4 Application information................................................................... 18
4.2 Cleaning, disinfection and sterilization......................................................... 18
4.2.1 Cleaning and disinfection............................................................... 18
4.2.2 Cleaning the CEREC Guide Drill Keys .......................................... 18
4.2.3 Sterilization of the CEREC Guide Drill Keys .................................. 19
4.3 Surgical intervention .................................................................................... 20
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Dentsply Sirona 1 General data
Operating Instructions CEREC Guide 2 1.1 Contact information
1 General data
Please read this document completely and follow the instructions
exactly. You should always keep it within reach.
Original language of the present document: German.
DANGER
An imminent danger that could result in serious bodily injury or death.
WARNING
A possibly dangerous situation that could result in serious bodily
injury or death.
CAUTION
A possibly dangerous situation that could result in slight bodily injury.
NOTE
A possibly harmful situation which could lead to damage of the
product or an object in its environment.
IMPORTANT
Application instructions and other important information.
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1 General data Dentsply Sirona
1.3 Symbols used Operating Instructions CEREC Guide 2
Batch number
unsterile
NON
STERILE
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Dentsply Sirona 1 General data
Operating Instructions CEREC Guide 2 1.4 Intended use
1.5 Indications
The CEREC Guide 2 provides support when drilling or setting tooth
implants.
The CEREC Guide 2 can be used for all tooth positions.
1.6 Contraindications
The use of CEREC Guide 2 is regarded as a contraindication for an
untoothed jaw or for only a single tooth, since secure positioning cannot
be guaranteed here.
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2 Safety instructions Dentsply Sirona
2.1 Exclusion of liability Operating Instructions CEREC Guide 2
2 Safety instructions
2.2 Limitations
A CEREC Guide 2 can be created by you as a clinician or technician
using a CEREC MC X / MC XL / Primemill milling and grinding unit or
an inLab MC X5. CEREC Guide 2 does not represent a fully automatic
solution. It cannot be equated with a surgical guide that has been
manufactured centrally based on your design.
A CEREC Guide 2 must always be supported by residual teeth. It is not
possible to support the guide through the mucous membrane alone.
When working on a CEREC MC X / MC XL / Primemill milling and
grinding unit, no more than one implant per guide can be created.
2.3 Prerequisites
For creation of the optical impression and for design and export of a
prosthetic proposal:
● CEREC SW 4.3.1 or inLab SW 15.0 incl. implant module
● CEREC only: Open GALILEOS Implant license
For creation of a 3D X-ray volume and for implant planning:
● GALILEOS, ORTHOPHOS XG 3D or ORTHOPHOS SL 3D
● Sidexis XG or Sidexis 4
● Galaxis 1.9.2
● Implant planning software "GALILEOS Implant", V1.9.2, or Sicat
Implant 2.0.1
For preparation of the CEREC Guide 2:
● CEREC SW 4.4 or inLab SW 15.0 incl. implant module
● CEREC only: Open GALILEOS Implant license
● CEREC MC X or CEREC MC XL milling and grinding unit with
milling function, CEREC Primemill or inLab MC X5.
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Dentsply Sirona 3 Product description
Operating Instructions CEREC Guide 2 3.1 Description of the CEREC Guide 2
3 Product description
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3 Product description Dentsply Sirona
3.1 Description of the CEREC Guide 2 Operating Instructions CEREC Guide 2
5. Surgery
The surgical guide is placed inside the patient’s mouth. According to
the drilling protocol of the manufacturer of the implant, various holes
must be drilled with drills of different guide diameters. Drill keys that
serve as adapter sleeves for the respective drill diameter are also
used for this.
Through the mechanical guiding of the drill with a prescribed
direction and depth, the treating physician is able to realize the
planned implant.
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Dentsply Sirona 3 Product description
Operating Instructions CEREC Guide 2 3.2 Materials
3.2 Materials
Check all materials prior to their initial use for intactness of packaging
and correctness of contents.
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3 Product description Dentsply Sirona
3.2 Materials Operating Instructions CEREC Guide 2
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Dentsply Sirona 3 Product description
Operating Instructions CEREC Guide 2 3.2 Materials
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3 Product description Dentsply Sirona
3.2 Materials Operating Instructions CEREC Guide 2
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Dentsply Sirona 3 Product description
Operating Instructions CEREC Guide 2 3.2 Materials
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4 Application Dentsply Sirona
4.1 Creating a CEREC Guide 2 Operating Instructions CEREC Guide 2
4 Application
NOTE
Note that the surgical guide cannot be bigger than the scanned area.
Avoid gaps in the scan. Otherwise, no locating surface for the CEREC
Guide 2 can be determined at these points.
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Dentsply Sirona 4 Application
Operating Instructions CEREC Guide 2 4.1 Creating a CEREC Guide 2
CAUTION
Check that the optical impression is correctly aligned with the X-ray
data record.
To plan the implant, follow the instructions provided in the user manual
of your implant planning software.
Select Sirona - CEREC Guide Drill Keys as the sleeve system (CEREC
Guide 2, SICAT Surgical Guides). You then have three sleeves
available to choose from, which match the CEREC Guide drill keys S, M
or L respectively.
If, for example, only a pilot hole is to be guided, the selection of size S is
sufficient (apart from Camlog).
Depth stop
The specification of the depth stop is oriented to the length of the drill
used. The planned position is reached when drilling once the
mechanical stop of the drill reaches the drill key or (if the drill does not
have a stop) the length marking on the drill is lowered to the top side of
the drill key.
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4 Application Dentsply Sirona
4.1 Creating a CEREC Guide 2 Operating Instructions CEREC Guide 2
A Drill D Bone
B CEREC Guide Drill Key E Tooth
C Gingiva F CEREC Guide 2
NOTE
When making the selection, ensure that the sleeve does not collide
with neighboring teeth and the drill key and the drill itself can be
introduced without a collision.
Note that selecting a smaller sleeve may limit the use of larger drill
diameters.
The Camlog Guided System is only compatible with sleeve L.
If the representation of the underside of the sleeve cuts the optical scan
shown as a yellow line, this indicates that the position of the drill key is
at least partially subgingival.
Multiple implants and sleeve positions are planned in the same way.
The data can be exported in a file. Export the planning data as a
*.CMG.DXD file.
NOTE
Maintain a minimum distance of at least 2 mm between the implant
and critical anatomic structures (e.g., nerve, roots, sinus).
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Dentsply Sirona 4 Application
Operating Instructions CEREC Guide 2 4.1 Creating a CEREC Guide 2
ADMINISTRATION phase
If the plan contains multiple implants, these will be treated as multiple
separate restorations.
Select the machine type for development. This determines the
possibilities for further processing.
MODEL phase
The original scan is represented, which was also the basis for the
implant planning. All areas that are not to be used as a support for the
CEREC Guide 2 should be cut away. This includes, for example, larger
areas of gingiva outside the planned implant position. Parts of the
residual teeth may also be discarded if they are not required for support.
Note that a longer guide is easier to hold in position with one finger and
ensures a more secure support. This applies to free-end situations in
particular.
DESIGN phase
The position and shape of the sleeve cannot be changed using general
design tools.
If a sleeve is shown in red, parts of it are subgingival. Determine
whether these areas are to be cut away (e.g. to enable the unhindered
placement on a model) or are to be left as they are. They color of the
sleeve then turns green.
Optionally, you can create side access to introduce the drill from the
side. This is only recommended for reasons of stability where required
due to a lack of space.
After calculation of the guide element and, if applicable, orientation in
the block, you have the option of creating viewing windows, through
which you can check the fitting of the guide even during the surgical
intervention.
You can then still adapt the design of the guide by cutting away any
interfering areas.
MANUFACTURE phase
So that the milling operation runs without interruption, ensure where
appropriate that milling tools with a sufficient service life are used, the
water filter has been cleaned and there is sufficient water in the tank.
After milling, ensure that no shavings enter into the tank during the
cleaning process, as these can quickly clog the water filter.
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Dentsply Sirona 1 General data
Operating Instructions CEREC Guide 2 1.1 Contact information
1 General data
Please read this document completely and follow the instructions
exactly. You should always keep it within reach.
Original language of the present document: German.
DANGER
An imminent danger that could result in serious bodily injury or death.
WARNING
A possibly dangerous situation that could result in serious bodily
injury or death.
CAUTION
A possibly dangerous situation that could result in slight bodily injury.
NOTE
A possibly harmful situation which could lead to damage of the
product or an object in its environment.
IMPORTANT
Application instructions and other important information.
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Dentsply Sirona 4 Application
Operating Instructions CEREC Guide 2 4.2 Cleaning, disinfection and sterilization
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1 General data Dentsply Sirona
1.3 Symbols used Operating Instructions CEREC Guide 2
Batch number
unsterile
NON
STERILE
63 91 473 D3587
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We reserve the right to make any alterations which may be required due to technical improvements.