Bone foundation guide system and method

Abstract

The invention could comprise a bone foundation guide system and a method for same, the bone foundation guide system having a bone foundation guide comprising a body that is contoured to reversibly affix to a bone segment of a dental implant surgical site, the body being further contoured accept and to guide the cutting of a portion of the bone segment from a dental implant surgical site and as well as to alternatively support a dental implant surgical guide; the dental implant surgical guide; and a bone foundation guide prosthesis as an alternative to the dental implant surgical guide, the bone foundation guide prosthesis combines with the body to accommodate the bone segment portion as placed through the body prior to the bone segment portion being removed from the dental implant site through the use of the body.

Description

BONE FOUNDATION GUIDE SYSTEM AND METHOD

[0001] STATEMENT REGARDING FEDERALLY SPONSORED 10002] RESEARCH OR DEVELOPMENT (0003] Not Applicable [00041 REFERENCE TO A «MICROFICHE APPE.NDIXn (0005) Not Applicable. [0006} Field of the Invention (0007) The present invention generally relates to dental implant and surgical guides. More 15 particularly to those bone modification guides that support a dental implant surgical guide. [0008) Background 10009] As a person ages, they generally incur tooth and bone loss requiring prosthetic rep1acement as provided by the dental profession. One of the more important aspects of this replacement procedure is the need to solidly anchor within the available bone structure those 20 implants used to secure individual (replacement artificial tooth) or collective (e,g., denture) dental prosthetic. When teeth lose bone around their roots, the bone (e,g., mandibular strut or the maxillary strut) may become uneven (either thinned out or too bulky) in various places in the respective denta] strut. This bone condition may make the dental restorative process in that particular area more difficult than when such bone loss has not occurred. It could be thought as 25 building a house whose foundation on an unleveled or uneven ground. l Date Re9ue / Date Received 2022-09-08 10010] In order for the dental prosthetic (or restoration) to be properly fitted to the patient in a substantially estheticaily and functionally acceptable position, the dental health care professional (e.g. dental surgeon) may first have to alter the bone of the dentaJ surgical site (especially in th.ose situations where the dental prosthetic is redressing significant tooth loss). This corrective 5 process could start by making one or more incisions in gum area that otherwise designates the dental surgical or restoration site. These incisions substantially allow the gum tissue to be peeled back to expose the bone at the dental surgical site. The dental surgeon, in order to generally make dental surgical site / dental arch symmetrical in all relevant dimensions for the dental restoration (e.g., removable denture) or implant sites (e.g. fixed prosthetics) may then apply one 10 or more cutting tools to generally reduce or remove unwanted high points or thickened places on the exposed bone structure. In other instances, the dental surgeon may add bone material to the exposed bone structure to further fill out the arch's profile or otherwise strengthen its structure. (0011] During this process, the dental surgeon could bring the top portion of the alveolar ridge (e.g., one of the two jaw ridges either on the roof of the mouth or the bottom of the mouth that 15 contain the sockets or alveoli of the teeth) to the correct surgical dimensions C'leveling out") by utilizing a bone foundation guide generally placed upon and secured to the bone structure to substantially guide the cut.ting / augmenting of the exposed bone. The bone foundation guide solves the probl.em of "'estimating» the vertical height and width of the bone at the ""coronal" level by guiding the surgeon's operation of the cutting tools and / or augmentation of the bone. 20 This allows subsequent and accurate placement of the dental implants and respective prosthetics at the proper patient~specific vertical and horizontal levels. This bone adjustment process may also provide for the creation of the proper inter-occlusal room (e.g., the space that exists between the opposing teeth and the open tissue (e.g., that will receive the dental prosthetic) to generally 2 Date Re9ue / Date Received 2022-09-08 insure that proper jaw operation and alignment, smile line and phonetics occur when the final dental prosthetic is finally located within the patient's mouth.

[0012] After the exposed bone has been properly been prepared (e.g., reduced or augmented), the bone foundation guide may be removed. A dental implant surgical guide may be 5 subsequently fitted and attached in its place at the remodeled bone of dental surgical site. The dental implant surgical guide may be used to guide the operation of implant accessories needed to prepare the dental surgical site to receive the dental implants. The dental implant surgical guide may then he used to suitably locate the dental implants into the prepared bone structure. After the denta.1 implants are properly located, the dental implant surgical guide may be removed 10 and healing abutments (if required) may be fitted to the dental implants to create a space in the reattached gum proximate to the dental implant(s) that receives a portion (e.g., the base) of prosthetic or prosthesis (e.g .. artificial tooth). Once the healing abutments are attached, the gum tissue may sutured back up and around the dental implant-healing abutment combination. (00131 As needed, a full upper or full lower denture / tooth may be fitted to the implants either at 15 the close of the dental surgery or later after healing of the tissues / osseo~integration of bone to implant(s) has occurred Once the healing / osseo-integration has finalized, the dental surgeon could remove the healing abutments to open up the space proximate to the implants that receives the base of the prosthe1ic to place and affix the dental prosthetic securely to the implant(s). 10014] The bone foundation guide and the implant dental surgical guide for the implants are 20 generalJy considered separate instruments that are generally designed, manufactured and used independently of one another other. The design and creation of these guides can be now be accomplished through digital dentistry (e.g .• pre~surgical digital methods and associated apparatuses to obtain and merge medical imaging information taken from the patient's mouth 3 Date Re9ue / Date Received 2022-09-08 and / or dental castings of the patient's mouth to create a patient-specific virtual models of the preoperative and post~operative mouth and a surgical plan connecting the two models} or manually by dental art and hand (e.g., analogue dental design and preparation). fOOlS] This separation or compartmentalization of dental guide capabilities could result in 5 higher costs, manpower, and surgical time that could be found than if the two dental guides could be combined into one multipurpose device. The use of such a combination dental appliance could accordingly lead to an increase in the affordability of such dental procedures and results, [00161 Another issue that may arise in such dental implwit surgeries is when the dental healthcare professionals locate and affix the bone foundation guide physically upon the dental lO surgical site (e.g .• a portion of bone.) Generally, the dental healthcare professional has to juggle both tasks of locating and affixing (e.g., drilling into the bone for fasteners, then using fasteners to secure the bone foundation guide onto bone) at the same time, The dental healthcare professional in having jugg1ing both tasks may not properly ]ocate the bone foundation guide in desired area of the dental surgical site; may not properly secure the bone foundation guide in 15 place or both.

[0017] What could be needed is the present invention namely a bone foundation guide system substantially comprising of a combination of a bone foundation guide used to modify bone structure from a dental implant site (e.g., removing bone with a saw from the bone portion of the dental surgical site; adding bone or a bone analogue to the bone portion of the dental surgical site 20 or both) and further supporting in a stackable manner a dental implant surgical guide (e.g., for generally locating implants to the dental surgical site) and alternatively to the dental implant surgical guide a tissue spacing gasket (e.,g., for properly locating a prosthesis relative to the bone foundation guide.) 4 Date Re9ue / Date Received 2022-09-08 (0018) In one embodiment, a dental implant surgical guide be could removably attached to the bone foundation guide in situ (e.g., after the bone foundation guide has been used to modify a bone structure.} Substantially using the bone foundation guide as a base, the dental surgical implant guide could be used to generally position and locate the implant components (e.g .• drill, 5 reamers, abutments, implant drivers, etc.); dental implant or alike into the bone portion of the dental surgical site. Once the implant(s) are properly placed at the dental surgical site, the dental implant surgical guide could be removed from the bone foundation guide and be alternatively replaced with the tissue spacing gasket. In one possible embodiment. the tissue spacing gasket could be located between the bone foundation guide and a prosthesis to at )east provide a basic JO approximation of gum tissue thickness for the gum that would normally cover that area of the dental surgical site to substantially alJow for proper adjustment of prosthesis attachment to the implants and alike. (0019] In one possible embodiment, the bone foundation guide could comprise of a body and one or more removable anchoring struts that reversibly connect buccal and lingual wails of the 15 body, an apex of the anchoring strut could denole one or more indentations whose contours matching up with one or more portions of dentition. tissue or both from an opposing alveolar ridge (e.g .. the alveolar ridge that is generally located opposite of the alveolar ridge that is hosting the dental implant site) to allow the indentions to removably receive the one or more portions of dentition. tissue or both from an opposing alveolar ridge. In this manner, the patient 20 can then press the patient's at least the one or more portions of dentition, tissue or both of an opposing alveolar ridge upon at least one of the one or more the anchoring struts rernovably applied to the body to initially hold the bone foundation guide in place upon the dental surgical site, The patient's action could free the attending dental healthcare professional from having to 5 Date Re9ue / Date Received 2022-09-08 hoJd the bone foundation guide in place and substantially allow the said professional to use both hands to secure the bone foundation guide in place with fastene.rs. [0020J Another possible embodiment could further comprise a bone foundation guide prosthesis that is combined with a bone foundation guide. The formed combination could be placed upon .s the exposed bone segment of the dental implant surgical site and accommodates that portion of the exposed bone segment that is to be subsequently removed during the implant surgery. The patient could bite down upon the combination to bring the opposing first aiveoiar ridge into contact with the combination. By observing the resulting bite. it can be determined whether or not the bone foundation guide is properly positioned upon the exposed bone segment. This 10 observation could take into consideration several para.meters such as telemetry, positioning orientation and aesthetics of the bite. The combination could further allow a direct observation of the fit between the combination and the exposed bone segment 10021) In this manner, an in situ the bone foundation guide prosthesis interaction with the opposing alveolar ridge relative to the dental implant surgical site prior to any irreversible bone 15 removal from the denta] implant surgical site. If proper bite alignment and alike does not exist then combination can be removed from the bone segment; gum tissue at the dental implant surgical site can be re-sutured and the implant surgery can be postponed to allow for proper adjustments to be made as necessary to correct the deviations or other imperfections that caused the bite misalignment and alike. 6 Date Re9ue / Date Received 2022-09-08 SUMMARY OF ONE EMBODIMENT OF THE INVENTION [0022) Advantages of One or More Embodiments of the Present Invention 10023] The various embodiments of the present invention may, but do not necessarily. achieve one or more of the following advantages: 5 (00241 to provide an dental imp1ant surgical guide that removab?y combines with a bone foundation guide to properly place a dental implant-retained prosthesis to a dental surgical site in a manner that reduces patient stress and bruising that may occur than if the two guides were applied separately;

[0025] the ability to use a digital virtual model of patent mouth to design a bone foundation JO guide wherein both the bone foundation guide and a dental implant surgical guide can be conjoined in situ properly locate a one or more dental implants that could be used to locate and secure a fixed dental prosthetic;

[0026] to provide a bone foundation guide and dental implant surgical guide that can be combined together to substantially reduce cost, time and man-hours needed 1n a dental implant 15 surgical procedure to properly locate and attach a dental prosthetic to a dental surgical site; [0017) the abiHty to use digital dentistry to control the design and manufacture of a dental implant surgical guide-bone foundation guide combination in a manner that digitally controls and refines the accuracy of ihe resulting bone foundation guide; dental implant surgical guide and a final fixed prosthetic; and 20

[0028] to provide a bone foundation guide that is used in conjunction with a tissue spacing gasket, the tissue spacing gasket being used to help properly locate the placement of a prosthesis relative to the placed dental implant(s) by generally taking into account the height (or depth) of gum tissue that could normally cover the exposed bone at the dental implant surgical site; 7 Date Re9ue / Date Received 2022-09-08 10029) the abiJity to design and manufacture a bone foundation guide system wherein a dental implant surgical guide or a tissue spacing gasket that could alternatively could mate and interlock with the bone foundation to general1y allow implant components. dental implant or both to pass through the assembled combination onto the bone at a dental surgical guide; 5 (0030) to provide a dental surgical implant guide, bone foundation guide, and tissue spacing gasket to have matching contours and aligned openings and apertures that allow guides and gasket to be assembled into combinations to properly locate and attach a fixed prosthetic to an implant at a dental surgical site; (0031) to provide one or more anchoring struts that could removably and temporarily attach to JO the front and back of the base of a bone foundation guide. each anchoring strut at a respective apex further define one or more indentations can reversibly receive one or more portions of the tissue, dentition or both of an alveolar ridge that is located opposite of an alveolar ridge that is supporting the dental surgical site; [0032) the ability to have the patient bring one or more portions of the dentition, gum tissue or 15 alike ofan alveolar ridge into contact with the anchoring struts to hold the bone foundation guide in place upon the dental surgical site located on the opposing alveolar ridge;

[0033] to provide anchoring struts that can be removed from the bone foundation guide after the bone foundation guide has been secured to the dental surgical site by fasteners; [00341 the ability to have the patient temporarily hold the bone foundation guide in place upon 20 the dental surgical site so .as to free the dentaJ health care professional from holding the bone foundation guide in place and being abJe to concentrate instead on s-ecuring the bone foundation guide to the dental surgical site with one or more fasteners; 8 Date Re9ue / Date Received 2022-09-08 10035] to provide a bone foundation guide and a bone foundation guide prosthesis combination that can interact with both an opposing alveolar ridge and the dental implant surgical site prior to removal of any bone from the dental implant surgical site to substantially provide a proper fit of the bone foundation guide to the dental implant surgical site; 5 (0036) the ability to generally check the bone segment portion that is to be removed from the dental implant surgica1 site prior to the bone segment portion actua1Jy being removed from the dental implant surgical site; 10037] the ability to substantially check the te]ernetry, orientation, positioning of a final prosthesis placement prior to removal of any bone from the dental implant surgical site; and IO f 0038] provide a bone foundation guide prosthesis that attaches by one or more anchor struts to a bone foundation guide to accommodate a bone segment portion of dental implant surgical site prior to the bone segment portion being removed from the dental implant surgical site. 15

[0039] These and other advantages may be realized by reference to the remaining portions of the specification, claims, and abstract (0040] Brief Description of One Embodinlent of the Present Invention [0041) One possibJe embodiment of the invention could be a bone foundation guide system comprising a bone foundation guide comprising a body having a bucca1 wan and a lingual wal1 that is continuously connected by a first end and a second end forming an open surgical space 20 connecting a top of the body with a bottom of the body, the bottom is contoured to removably affix the body to a bone segment of a dental implant surgical site, the body being further contoured to guide the cutting a portion of the bone segment from a dentaJ implant surgical site and as well as supporting a dental implant surgical guide; a bone foundation guide prosthesis as 9 Date Re9ue / Date Received 2022-09-08 an alternative to the dental implant surgical guide, the bone foundation guide prosthesis combines with the body to accommodates the bone segment portion as placed through the body prior to the bone segment portion being removed from the dental implant surgical site. [0042) Yet another embodiment of the invention could be a method of using a bone foundation 5 guide system comprising the following steps providing a bone foundation guide comprising a body having a buccal wall and a lingual wall that is continuously connected by a first end and a second end forming an open surgical space that further connects a top of the body with a bottom of the body. the bottom is further contoured to removably receive at least a portion of a bone segment of a dental implant surgical site, the body further configured to at least removably IO support a dental implant surgical guide; providing a bone foundation guide prosthesis in alternative to the dental implant surgical guide to removably attach to the body in a manner that accommodates the bone segment portion as placed 1hrough the body prior to the bone segment portion being removed from the dental implant surgical site; combining the body with the bone foundation guide prosthesis; and placing the combination upon the bone segment of the dental l5 implant surgical site prior to the removal of any bone from the dental implant surgical site, [0043) The above description sets forth, rather broadly, a summary of one embodiment of the present invention so that the detailed description that follows may be better understood and contributions of the present invention to the art may be better appreciated. Some of the embodiments of the present invention may not include all of the features or characteristics Jisted 20 in the above summary. There arc, of course, additional features of the invention that will be described below and will form the subject matter of claims. In this respec1, before explaining at least one preferred embodiment of the invention in detail, it is m be understood that the invention is not limited in its application to the details of the construction and to the arrangement of the Ht Date Re9ue / Date Received 2022-09-08 .5 components set forth in the following description or as illustrated in the drawings. The invention is capable of other embodiments and of being practiced and carried out in various ways. Also; it is to be understood that the phraseology and terminology employed herein are for the purpose of description and should not be regarded as limiting . 11 Date Re9ue / Date Received 2022-09-08 [00441 BRIEF DESCRIPTION OF THE DRAWINGS (0045] Figure 1 is substantially a perspective bottom side view of one possible embodiment of the bone foundation guide the hwention. (0046] Figure 2 is a top side perspective view of one possible embodiment of anchoring strut of 5 the present invention. [0047) Figure 3 is a bottom side perspective view of one possib]e embodiment of anchoring strnt of the present invention. (0048] Figure 4 is substantially a bottom side perspective view of one possible embodiment of the body. 10 (0049) Figure 5 is substantially a perspective top side view of one embodiment of the bone foundation guide. 10050) Figure 6 is substantially a bottom elevation view of one embodiment of the bone foundation guide.

[0051] Fi.gure 7 is substantially a flow cha.rt schematic showing a method of using the invention. 15 (0052I Figure 8 is substantia1ly an elevation view of patient's mouth showing exposed bone portion of the dental surgical site. [00531 Figure 9 is substantially an elevation view of patienfs mouth showing exposed bone portion of the dental surgical site in an edentu\ous preoperative sta1c, (0054] Figure lO is substantially a perspective front view of one embodiment of the bone 20 foundation guide with struts being applied to the dental surgical site. 10055] Figure 11 is substantially a front perspective view of the bone foundation guide with struts being bitten down upon by the patient. 12 Date Re9ue / Date Received 2022-09-08

[0056] Figure 12 is a front perspective view of the bone foundation guide with struts with the patient releasing its grip on the bone foundation guide and the strut fasteners being removed. 10057) Figure 13 is substantially a front perspective view of the bone foundation guide with struts, the strut fasteners being removed from the respective strut. 5 (0058) Figure 14 is substantially a front perspective view of the bone foundation guide with struts~ the strot being removed the bone foundation guide body.

[0059] Figure 15 is substantially a front perspective view of the bone foundation guide with struts removed and the harvested bone being removed from the dental surgical site, 10060) Figure 15A is substantiaHy a bottom elevation view of the bone foundation guide with to struts and the harvested bone removed from the dental surgical site.

[0061] Figure 16 is substantially an underside elevation view of the bone foundation guide with struts removed and the harvested bone removed from the dental surgical site [0062) Figure 17 is substantially oo underside perspective view of the combination bone foundation guide and dental implant surgical guide combination. 15 [00631 Figure }8 is substantially an underside elevation view of the combination bone foundation guide and dental implant surgical guide combination.

[0064] Figure 19 is substantially a cutaway, perspective view of the combination bone foundation guide and dental implant surgical guide combination. [0065) Figure 20 is substantially a perspective view of the tissue spacer gasket 20 [0066) Figure21 is substantially a perspective view of the bone foundation guide with abutments attached to the implants.

[0067] Figure 22 is substantially a perspective view of the bone foundation guide and tissue gasket combination. u Date Re9ue / Date Received 2022-09-08 [00681 Figure 23 is substantially a perspective view of the prosthesis applied to the bone foundation guide and tissue gasket combination. [0069) Figure 24 is substantially a perspective view of the dental surgical site with the bone foundation guide, tissue gasket and prosthesis removed. 5 [0070} Figure 25 is substantiaJiy a perspective view of the dental surgical site with the bone foundation guide, tissue gasket and prosthesis removed and gum tissue sutured back into place at the dental surgical site_ [0071) Figure 26 is substantially a perspective view of the dental surgical site with gum tissue sutured back into place and prosthesis relocated upon the implants. 10 )0072] Figure 27 is substantially a perspective view of the bone foundation guide prosthesis, the prosthesis being unitary with the anchoring struts. [0073) Figure 28 is substantially a pe,rspective view of the bone foundation guide prosthesis being non-unitary with the anchoring struts. [0074) Figure 29 is substantially a perspective cutaway view of the· bone foundation guide 15 prosthesis being combined with the bone foundation guide. [00751 Figure 30 is substantially a perspective view of opposing alveolar ridge brought into contact with the bone foundation guide prosthesis and the bone foundation guide combination. (00761 Figure 31 is substantiaUy a perspective view of the bone foundation guide prosthesis and denture base combined to fonn a denture, 20 (0077) Figure 32 is substantially a perspective view of multiple piece fastener that can connect a strut to the buccal wall and the buccal wall to the bone segment of the dental implant surgical site to allow a subsequent removal of the strut from the bone foundation guide while retaining the attachment of the buccal wall to the bone segment H Date Re9ue / Date Received 2022-09-08 [0078) DESCRIPTION OF CERTAIN EMBODIMENTS OF THE PRESENT INVENTION 10079) In the following detailed description of the preferred embodiments. reference is made to the accompanying drawings, which form a part of this application. The drawings show, by way 5 of illustration, specific embodiments in which the inventi.on may be practiced. It is to be understood that other embodiments. may be utilized and structural changes may be made without departing from the scope of the present invention.

[0080] The present invention 10 could be a bone foundation guide system 18 and method or process I 00. As substantially shown in figures l, 1 7, and 19 the bone foundation guide system lO 20 could comprise a bone foundation guide 20, a dental implant surgical guide 50 and in at least one embodiment, a tissue spacing gasket 80 as welt The bone foundation guide body 22, the dental implant surgical guide 50 and tissue spacing gasket 80 may be designed and created together through digital dentistry in which scans of the patient's mouth 35 (along with impressions and castings thereof) may be used to create a virtual model (not shown) of the 15 patient's existing mouth; to develop a virtual model of the patient's mouth both pre-dental and post-dental surgery; and to develop a dental surgical plan that connects the two patient-specific virtual models. In this manner, the dental surgical planning can provide for the manufacture the bone foundation guide 20, dental implant surgical guide 50 and tissue spacing gasket SO so that the contours of the bone foundation guide body 22 may be created to fit upon the exposed bone 20 14 of the dental surgical site 12. Further, the dental implant surgical guide 50 contours may also match those of the dental implant surgical guide 50 and the tissue spacing gasket 80 to enable dental implant surgical guide 50 and the tissue spacing gasket 80 to alternately be rernovably attached to and be supported by the bone foundation guide 20. 15 Date Re9ue / Date Received 2022-09-08 (0081) As substantially shown in figures 1, 2, 3. 4, 5 and 6 the bone foundation guide 20, as substantially used by a dental healthcare professional such as a dental surgeon (not shown) to substantially modify (e+g., reduce, augment or both) the bone 14 of the dental surgical site 12 as needed for a successful dental surgery. The bone foundation guide 20 couJd comprise a bone 5 foundation guide body 22 with a buccal wall 24 and lingual wall 26 connected together at their respective ends by a first end 28 and a second end JO. The first end 28 and the second end 30 could be holding the buccal and lingual walls 24, 26 apart from one and other in a substantially parallel fashion to generally create and define an open surgical space 32 (e.g., that generally passes through the bone foundation guide body 22) to generally continuously connect a portion JO of the top 34 of the body 22 with a portion of the bottom 36 of the body 22. (00821 The bone foundation guide body 22 may be further penetrated by one or more attachment apertures 38 that may be oriented to pass through a buccal 24 wa]l. Body fasteners 40 may pass through the attachment apertures 38 to into tbe bone 14 of the dental surgical site 12 to removably secure the bone foundation guide body 22 to dental surgical site 12. (Substantially 15 shown in figure 13.) The attachment aperture 38 could further feature a reinforcement collar (not shown) to support and guide the fastener 40 through the attachment aperture 38. In other embodiments. the attachmen1 apertures 38 could pass though the body 22 connecting top 34 and bottom 36 or through the iingual wall 26 to provide body attachment to the dental surgical site 12. The body may further have a cutting guard 23 extending up from the top of the lingual wall 20 26 to p-revent a cutting implement (not shown) when used with the bone foundation guide in removing bone 14 from a dental surgical site from unwantedly cutting the tongue or other portions of the patient's mouth 19. This cutting guard 23 may further feature out or more cutouts 25 that may be used to anchor and align other portions. 16 Date Re9ue / Date Received 2022-09-08

[0083] Some embodiments of the the bone foundation guide body 22 may further comp.rise of a one or more anchoring struts 42 that may be removably attached to the buccal wall 24 and the lingual wail 26 between the first end 38 and the second end 30. The anchoring strut 42 may have at its outer apex 44 one or more indentations 46 that can match one or more portions of gum, S dentition or both the patient's first or opposing alveolar ridge 28 (e.g., the opposing alveolar ridge 13 is located opposite of or opposing to the second alveolar ridge IS that is supporting the dental surgical site 12. Meaning if the denta\ surgical site 12 is on the upper alveolar ridge then the opposing alveolar ridge 28 could be the lower alveolar ridge.) The front end 43 of anchoring struts 42 may be penetrated by strot apertures 47 that allow strut fasteners 49 (e-g., tapered pins) lO to penetrate through the anchoring strut 42 to the buccal wall 24. The s1rut fasteners 49 may removably attach to the anchoring strut 42 by the buccal wall 24 and be held in place by frictional force. The other or rear end 4 l of the anchoring strut 42 may have a strut groove 48 that fits over a respective cutout 25. A tab 45 within the strut groove 48 may be removably received within the respective cutout 25 to further reversibly attach the rear end 41 to the cutting 1.5 guard 23. [0084) The anchoring strut 42 may allow the patient itself press at least a portion of gum tissue, dentition or both of the opposing alveolar ridge l3 upon at least one anchoring strut 42 of the bone foundation guide 20 to generally bold the bone foundation guide 20 in place upon the dental surgical site 12 (e.g., the exposed bone.) In particular, that portion of gum tissue, 20 dentition or both of the opposing alveolar ridge 13 could be received with the indentation(s) 46. The patient's action (e.g .• substantially clamping down with patient's mouth upon the bone foundation guide 20 in situ could aHow the patient to tempornrily a□d removably l1old the bone foundation dental upon the dental surgical site while the dental health care professional (not t7 Date Re9ue / Date Received 2022-09-08 shown) is free to use both hands to attach the bone foundation guide 20 in place with body fasteners. Once the bone foundation guide 20 I is secured by body fas1eners 40 to the bone portion of the dental implant surgical site 12. the patient could remove one or more portions of the opposing alveolar ridge 28 from the one or more indentations 46 upon the one or more 5 anchoring struts 42 (e.g., the patient opens its mouth to stop biting upon the anchoring struts 42.) The dental health care professional can then proceed with the removal of the strut fasteners 49 from the bone foundation guide 20 so as to be able to lift the anchoring struts 46 free and clear from the body 22. [0085) The use of anchoring struts 42 can also be applied to bone reduction guides that lack the lo present inventions ability to combine or stack together with the dental implant surgical guide or tissue spacing gasket. In such instances, bone reduction guides are not contoured to ae<:ept the dental implant surgical guide or tissue spacing gasket but could have a body to which the anchoring struts 42 are applied to allow the patient to substantially clamping down with patient's mouth upon the bone reduction guide in situ could allow 1he patient to temporarily and 15 removably hold the bone reduction guide upon the dental surgical site. The portions of dentition, teeth or both of the opposing alveolar ridge could be received with the impressions located upon the apex of anchoring struts 42 to hold the bone reduction guide in place while the dental health care professional (not shown) is free to use both hands to attach the bone reduction guide in place with fasteners to the dental surgical site. Once the fasteners have secure the bone reduction 20 guide to the dental surgica] site, the patient could release its bite upon the anchoring struts. The dental healthcare professional can then remove the anchoring struts 42 from the body of the bone reduc1ion guide to allow the bone reduction guide to be used to alter bone structure at the dental surgical site. t8 Date Re9ue / Date Received 2022-09-08 10086} As substantially shown in figures I 6, 17, l 8, and l 9 once the anchoring strut(s) 42 are removed from the bone foundation guide body 22, the dental implant surgical guide 50 could be removably attached to the top 34 of the body 22. The dental implant surgical guide 50 could be so anchored to dental surgical site 12 to generally allow dental implant surgical guide 50 to be 5 substantially be used to guide and locate the placement of dental implants within dental surgical site 12. [0087) The dental implant surgical guide 50 could comprise a dental surgical guide body 20 having a first end side 52 and second end side 54 that tenninates the dentaJ SW'gical guide body 52 and along with a top side 58 and a bottom side 60 that continuously connect a bucca} side 62 10 with a lingual side 64. The bottom side 60 of the dental implant surgica] guide 50 can be digitally designed and manufactured to have a contour that substantially matches and removably accepts the top 34 of the bone foundation guide 20. The top 34 of the bone foundation guide body 22 may also be digitally designed ood created to substantially match and to receive the bottom side 60 of the reciprocal dental surgical guide body 52 to allow the conjoining of the two 15 guides 20, 50 in a stackable manner so that the bone foundation guide 20 acts as a base or foundation for the dental implant surgical guide SO. [00881 The dental surgical guide body 52 can be further penetrated by one or more implant apertures 66 that could continuously connect the top side 58 to the bottom side 60 to guide implant preparation and attachment to the dental operation site 12. The dental surgical guide 20 body 52 to removably attach to the body 22 could utilize a wide variety of attachment means. One such possible attachment means could make use one or more guide pins 70 and one or more guide tabs 71 and their frictional interplay with the body 22. The guide pins 70 could protrude out from the bottom side 60 by the buccal wall 62 to be removably received within pin apertures 19 Date Re9ue / Date Received 2022-09-08 on the top 34 of the body 22 along the buccal wall 24. The one or more guide tabs 71 could extend outwards from the lingual side 64 to be respectively received by the cutouts 25 of the cutting guard 23" The guide tabs 71 and guide pins 70 along with the lingua.I side 64 matching the contour of the cutting guard 23 could provide a snap-in fit of the denta] implant surgical s guide 50 to the bone foundation guide 20. [00891 The conjoining or stacking capability of the two guides 20, 50 cou]d alleviate the need to remove the bone foundation guide 20 from the dental surgical site 12 prior to attaching the dental implant surgical guide 50 to the dental surgical site 12 as well as alleviate the need to attach the dental implant surgical guide 50 directly to the dentaJ surgical site 12 and the like, This 10 combining of the two guides 20. 50 could also reduce the time, money, effort, patient discomfort and alike that would otherwise occur if the guides 20, 50 were used separately from one and other. When so combined together, the dental implant surgical guide 50 generally surrounds lhe bone founda1ion guide's open surgica1 space 32 to allow implant components, implants or both to pass through the dental implant surgical guide's implant aperture(s) 66 and on through the of 15 the open surgical space 32. (0090) As substantially shown in figure 20, 21, 22 and 23, one other possible embodiment of the invention l O could further comprise a tissue spacing gasket 80 that can be alternatively used with the bone foundation guide 50 instead of the dental implant surgical guide 50 or the anchoring strnt(s) 42, The tissue spacing gasket 80 could fit between the bottom 36 of the bone foundation 20 guide 20 and the dental surgical site 12 to allow the proper p]acement of prosthesis 21 upon the placed implants by providing an approximation of the distance or thickness of the gum tissue· 16 that otherwise covers the dental surgical site 12. The placement of the tissue spacing gasket 80 upon the bone foundation guide top 34 where the tissue spacing gasket 80 is generaJly 20 Date Re9ue / Date Received 2022-09-08 sandwiched between the bone foundation guide 20 and the prosthesis 21 could allow the tissue spacing gasket 80 provide additional benefits besides correcting for thickness of the missing (e.g ... peeled back) gum tissue 16. The tissue spacer guide 80 could help cmdle the prosthesis and maintain the prosthesis proper vertical and centric positions as the prosthesis is being fixed 5 upon the implants. When the prosthesis 21 is generally fixed about the implants (e.g., to the abutments 17 attached to the implants). dental acrylic could be injected into the prosthesis to secure implant abutments to the prosthesis. The tissue spacing gasket SO could help block out the undercut of the abutments 17 to generany prevent the acrylic from reaching the Wldercuts and thus preventing unwanted or premature attachment of the prosthesis to the imp1ants 17. The 10 tissue spacing gasket 80 could further prevent acrylic from reaching and contaminating the exposed bone 14. (0091] The tissue spacing gasket 80 could be made from a pliable polymer that forms a gasket top 84 upon which the prosthesis could rest and to a gasket bottom 82 which is reversibly received by the bone foundation top 34, the gasket top 84 and the gasket bottom 84 being 15 continually connected by one or more gasket apertures 86, The one or more gasket apertures &6 could have the same alignment and size of the impiant apertures 66 of the dental implant surgical guide 50. ln at least one embedment; the tissue spacing gasket 80 could denote a gasket open surgical space (not shown) that continuously connects gasket top 84 and gasket bottom 82, the gasket open surgical spa.ce generaHy matching the footprint of the bone foundation guidc's open 20 surgical space 32. 10092) To generally removably affix the tissue spacing gasket 80 to the bone foundation guide 20, the tissue spacing gasket 80 could have one or more gasket pins that protrude from the gasket bottom 82 and could be removab!y received within apertures on the bone foundation guide top 21 Date Re9ue / Date Received 2022-09-08 34 by the buccal wall 24 that received guide pins 70. The tissue spacing gasket 80 could further have the gasket tabs 88 that could be removably be received within the cutting guard cutouts 25. The tissue spacing gasket tabs 88 could generally match the size, placement and orientation of the dental implant surgical guide 's guide tabs 71. 5 10093] As substantially shown in figures 27-30, another possible embodiment of the invention 10 could further comprise a bone foundation guide prosthesis 200 that can be removably combined with the body 22 of the bone foundation guide to form a bone foundation guide prosthesis-body combination 202. The combination 202 can be applied to the unaltered bone segment 14 of the dental implant surgical site 12 and can further can be used in contact with the IO first alveolar ridge 13 that is opposing to the dental implant surgical site 12 to check the placement of the bone foundation guide 20 upon bone segment 14 of the dental implant surgical site 12. As the respective patient bites upon the combination, the opposing o:r first alveolar ridge 13 (e.g., opposing teeth) could be brought into contact with the teeth Portion 204 of tbe bone foundation guide prosthesis 200.) The various parameters (e.g., orientation, telemetry, l 5 positioning. aesthetics, and the like) as presented by the opposing alveolar ridge-to-bone foundation guide prosthesis bite 206 could reflect (e.g., generally act as an analogue representation) the final prosthesis-to-opposing first alveolar ridge bite, This bite compression could also ensure solid contact of the combination 202 upon the bone segment 14 of the dental implant surgical site 12 prior to any bone removal by use of the bone foundation guide 20. If the 20 observed parameters or the bone foundation guide-to-bone segment fit show any significant departure or inconstancy with the surgical dental implant plan, the dental implant surgery could be halted prior to any irreversible bone alteration at the dental implant surgical site 12, The combination 202 can then be removed from the dental implant surgical site 12 (e.g., the bone 22 Date Re9ue / Date Received 2022-09-08 segment 14) and the gum tissue can be re-sutured at the dental implant surgical site 12 to allow greater time to reformulate the associated surgical dental implant plan to take into further consideration those factors that caused the departure or inconsistency in the first place. {0094] As substantially shown in figure 31, in one possible version once the bone foundation 5 guide prosthesis (or suitable portion thereof} 200 i.s removed from the body 22, the tooth portion 204 of the multiple piece or non-unitary version of bone foundation guide prosthesis 200 could be further combined with a denture base 208 to form a denture 210. In that cases where the implant surgery was halted due to bite misalignment between the first alveolar ridge (not shown) and the bone foundation guide prosthesis 200; the denture 210 could then be used by the 10 respective patient (not shown) until proper adjustments had been made as necessary to correct the deviations or other imperfections that caused halting of the implant surgery that could allow the dental implan1 surgery to proceed forward again.

[0095] The bone foundation guide prosthesis 200 could be comprise the teeth portion 204 having a top side 212 substantially repiicating the teeth or the bite of the final prosthesis (not shown) 15 and a bottom side 214 that could support one or more anchor struts 42, The bottom side 214 could further define cutouts 216 that allow a visible inspection of the bone segment 14 where the bone segment 14 comes into contact with the bone foundation guide prosthesis 200 (e.g .• one or more widersides 215 of the anchor struts 42 could be contoured to receive and contact a portion of the bone segment 14). In one possible embodiment. the bone gu1de foundation prosthesis 20 bottom 214 coutd limit the bone segment contact to three points of contact to substantially prevent rocking of the bone guide foundation prosthesis 200 upon the bone segment 14. (0096] Removable attachment of the struts 42 to the body 22 could assist the attachment of the bone foundation guide prosthesis 200 to the bone foundation guide 20. The bone foundation 23 Date Re9ue / Date Received 2022-09-08 guide prosthesis 200 could have one or more support tabs 220 proximate to each end of the bone foundation guide prosthesis 200 that could be removably received within corresponding support slots 220 in the lingual wan cutting guard 23, Proximate to the rear end 41 ofthe anchor strut 48 could feature a securing tab 223 that could removably attached to a corresponding securing slot 5 230 also formed in the lingual wall cutting guard 23. 10097] At least one anchoring strut 48 could have its front end 43 form an attachment tab 222 that fits into a respective tab slot 224 formed by the body's buccal waU 24 that couid be accessed at the top 34. Both the attachment tabs 222 and their respective attachment slots 224 could be suitably angled to assist the attachment and removal of the bone foundation guide prosthesis 200 lO as the bone foundation guide prosthesis 220 moves over the bucca! wall 24 for attachment or removal A fastener channel 226 could traverse the buccal wall 24 and the attachment tab 222 (when inserted into the tab slot 224) to allow removable placement of a strut fastener 49 (not shown) placed into the fastener channel 226 to help hold the anchoring 42 strut to the top 34 of the buccal waH. lt should be noted that it may not he necessary for each anchoring strut 42 to 15 have support tab•support slot attachment capability. [0098) As substantially shown in figure 27, one possible version of the bane foundation guide prosthesis 200 could have the teeth portion 204 be unitary or one-piece with the one or more struts 4& substantially providing strength and rigidity to the combination 202. En another version as substantially shown in figure 28, the one or more anchor struts 42 are removably attached to 20 the bottom 214 of the bone foundation guide prosthesis 200. Friction fit based tab-slot coupling means could be utilized to removably attach the removable anchor struts 42 to the bone foundation guide prosthesis 200. [0099) As substantially sho'INn in figure 32, one possible embodiment the strut fastener 49 could 24 Date Re9ue / Date Received 2022-09-08 be a multiple piece strut fastener 232 that could both hold the strut front end 43 to the bucca] wall 24 as well as secure the buccal waU 24 to the bone segment 14. The multiple piece strut fastener 232 could have a taper pin 234 comprising a head 236 that could further form a threaded receptacle 238. The threaded receptacle 238 could removably receive a part of a threaded :5 portion 240 of a threaded fastener 242 to removably connect the taper pin 234 to the threaded fastener 242. The fastener head 246 could be larger in diameter than the head 236 of the tapered pin 234 to allow shoulders 248 as provided by the stepped configuration of the fastener channel 226 to support the head 236 of the tapered pin 234. The fastener head 246 could have a serrated edge 250 to allow a pliers or like (not shown) to grasp the threaded fastener 242 to pull out 10 combined threaded fastener and taper pin from the fastener channel 226 (e.g., and from contact the bone segment 12, attachment tab 222, buccal wall 24 and lingual wail 26.) The removaJ of just the threaded fastener 242 only could leave the tapered pin 234 in place to secure the body 22 to the bone segment 12 while allowing the bone foundation guide prosthesis 200 to be removed from the body 22. A cylinder 252 could be placed on the threaded portion 240 of the threaded 15 fastener 242 to assist the threaded fastener's placement into the fastener channel 226. (00100} As substantially shown in figures 7-26, one possible method or process l 00 for the use of the invention could start with step I 02, digital scanning and modeling for the patientspecific dental surgery. In this step, dental digital methods (digital dentistry) may be used in creating patient-specific map of the patient's mouth (which could include the digital scanning of 20 analogue appliances such as patient specific castings and impressions); in creating models for patient-specific bone remodeling (e.g., foundation and re-contouring) of th.e upper and / or lower dental struts in the patient's mouth; in creating models for dental implant surgical guides / bone foundation guides and prosthetics used post-patient-specific bone remodeling; in creaHng a 25 Date Re9ue / Date Received 2022-09-08 patient specific model of the patient's mouth post dental surgery. After this step is substanriaUy completed, the process 100 could proceed to step 104. creation of the guides, tissue spacing gaske1 and other dental appliances. 100101) Jn step 104, creation of the guides and other dental appliances, the acquired and 5 processed modeling data can be used to create the patient-specific bone foundation guide (e.g., d patient-specific bone foundation guide, tissue spacing gasket and dental implant surgical guide that be stacked together in various comb1nations. The anchoring struts can also be patientspecific made to have indentations at their respective apexes to match various portions of the dentition, tissue or both of the opposing alveolar ridge. Once manufactured, the anchoring struts JO could be removably attached to the bone foundation body. The strut fastener {e.g .• a tapered pin) could removably attach the anchoring st:rut's front end to the buccal waJI. The strut rear end could removably straddle the cutting guard's respective cutout with the strut groove allowing the strut groove's tab to be removably received within the cutouL '

[00102] The design and manufacturing imparted stacking capabiHty could allow the two 15 guides and gasket to come together to various stacked combinations. This stacking capability allows the bone foundation guide, once removably secured to the dental surgical site by the dental health care profession. to generally act as foundation for the dental implant surgical guide or the spacing tissue gasket to secure them ahemately to the dental surgical site. This stacking capability could allow the implant, implant components~ implant instruments and the like to be 20 guided through the dental implant surgical guide implant apertures and the bone foundation guide's open surgical space to properly interact with the dental surgical site. After this step is substantially completed, the process 100 could proceed to step 106, surgical _prep. [001031 In step I 06, surgical prep,, the dental health care professional could (after properly 26 Date Re9ue / Date Received 2022-09-08 anesthetizes the patient and instituting other required dental surgical pre-operation protocols) could make incisions in the gum area of the dental surgical site, and peel back the gum tissue to expose the portion of bone being operated upon at the dental surgical site. Any teeth at the dental implant surgical site can be removed. Jf the patient's dental health has declined enough, 5 the alveolar ridge supporting the dental surgical site could be made edentulous After this step is substantially completed, the process t 00 could proceed to step 108, use of the bone foundation guide. (001041 In step 1081 use of the bone foundation guide, the bone foundation guide could be removably attached to the bone foundation guide prosthesis to generally fonn the bone 10 foundation guide-bone foundation guide prosthesis combination. For the non-unitary version of the bone foundation guide prosthesi~ the anchoring struts cou]d then be attached to the bottom of the teeth portion. The anchoring struts (both for unitary and non-unitary versions of the bone foundation guide prosthesis) could then be moved into place over the bone foundation guide body so that support tabs on the teeth portion and securing tabs near the rear end of the anchoring I 5 struts can rernovably engage their respective slots fonned by the lingual walJ cutting guard. The front ends of the struts can then be swung down upon the top of the buccal wall of the body of the bone foundation guide to respectively engage the attachment tabs with 1he attachment tab slots fonned by the bucca\ wall. Suitable fasteners can then be placed into the fastener channels to removably secure the attachment tabs in their respective attachment slots to generally hold the 20 bone foundation guide prosthesis in place upon the body to form the combination. The dental healthcare professional can then initially set the combination upon the bone segment of the dental implant surgical site without first having to remove or aher the bone segment 1001051 The patient could "bite" upon the bone foundation guide prosthesis to bring the 27 Date Re9ue / Date Received 2022-09-08 opposing aJveolar ridge (e.g,, the opposing the dentition, tissue or both) into contact with the teeth portion of the combination, By biting upon the combination, the patient generally holds the bone foundation guide initially in place upon the dental implant surgical site. This bite compression could aUow the dental healthcare professional to view the resulting bite of the teeth 5 portion and opposing alveolar ridge to help ensure that as the surgical plan is carried out that the final (e .. g .• implant attached) prosthesis will have the same bite and lockup as one shown by the bone foundation guide prosthesis. This allows the dental heahhcare professional to examine the bite as well as resulting orientation, telemetry, positioning, aesthetics and the like as generally provided by the bite. Further, the dental healthcare professional can examine the bone segment Io and combination interface located below the teeth portion and between the anchoring arches to make sure the combination is properly set upon the bone segment. The dental heaJthcare professional may also use the cutouts to further examine the bone segment-combination interface. 100106) If the alveolar ridge-teeth portion bite does not result in proper or desired 15 telemetry, positioning. orientation, aesthetics; if the combination cannot fit properly upon the bone segment or both then the dental implant surgery can be halted until such deficiencies can be properly rectified., At that point, the combination can be removed from the bone segment, and gum tissue can be re-sutured up to cover the exposed bone segment. lf non~unitary version of the bone foundation guide prosthesis is used, then the teeth portion can be removed from the 20 arches and body. The teeth portion can be: attached {e.g .• glued or cemented) to a denture base to form a denture. The patent can then use the formed denture until corrections have been made to the aspects of the dental implant surgical plan, models and alike to allow the dental implant surgery to resume. 28 Date Re9ue / Date Received 2022-09-08 100107) If the alveolar ridge-teeth portion bite results in proper or desired telemetry, positioning, orientation, aesthetics and if the combination fits properly upon the bone segment or then dental implant surgery can proceed with the dental healthcare professional with both hands free to use a drill to make channels in the dental surgical site (e.g., the exposed bone portion) 5 utilizing the attachment apertures. Body fasteners are placed into the attachment apertures and channels to generally removably attach the bone foundation guide to the exposed bone at the dental surgical site, If muhiple piece fasteners are used, those fasteners can further secure the through the fastener attachment of the bucca1 waU through the bone segment to the lingual wall of the bone foundation guide. The dental healthcare professional askes the patient to relax its lO grip upon the bone foundation guide to generally bring the portion of the dentition, tissue or both of the opposing alveolar ridge out of contact with the indentation(s). When the anchoring struts are cleared from the body (e.g., the threaded fasteners are removed), the bone foundation guide prosthesis could be removed from the bone foundation guide. 100108] The removal of bone foundation guide prosthesis could clear the bone foundation 15 guide to allow the bone foundation guide top to be used to guide a cutting implement (e.g., blade saw) to reduce the dental implant surgical site's bone structure. The harvested bone (e.g., or bone analogue) could then be used to augment the dental surgical site if needed. Known dental techniques for reducing or augmenting the bone could be employed to provide the proper bone contour for the dental implant surgical site. Once this step is substantially completed, the 20 process 100 could proceed to step 110, use of the dental implant surgical guide.

[00109] In step 110. use of the dental implant surgical guide, the dental_ health care professional could place the bottom side of the dental implant surgical guide upon the top of the bone foundation guide generally enclosing the open surgical space. In one embodiment, the 29 Date Re9ue / Date Received 2022-09-08 tissue spacing gasket is sandwiched between the bone foundation guide and the dental implant surgical guide. Pins on the underside of the dental implant surgical guide could attach to tl}e attachment apenmes in the bone foundation guide top (e.g., by the buccal wall) while the guide tabs extending out from the lingual side cou!d removably engage the cutting guard cutouts to 5 provide a snap fit of the dental implant surgical guide into the bone foundation guide. 1001101 The dental healthcare professional could use the bone foundation guide and the dental implant surgical guide stacked or o1herwise combined together to substantiaUy direct and operate implant preparation implements (e.g., drills, reamers, and the like), implant components, or both by passing them through the dental implant surgical guide and into the open surgical 10 space to properly prepare the dental surgical site to receive the imp]ant(s) This implant preparation could ensure there was proper orientation and telemetry of the implant components and implants into the generally exposed bone of the dental surgical site, Once the bone is properly prepared to receive the implants, the implant(s) could then pass through the combination to be anchored into the bone. Once this step is substantially completed. the process ts 100 could proceed to step 112, using tissue spacing gasket. [001111 In step 112, using tissue spacing gasket, once the implants were properly located and set within the dental surgical site, the surgical implant dental guide could be removed from the bone foundation guide and the tissue spacer gasket could alternatively be connected to the bone foundation guide. In one embodiment, the pins located on the gasket bottom can be 20 generally be removably received in the same apertures on the bone foundation guide top that the accommodated the guide pins of the dental implant surgical guide.

[00112] In one possible embodiment, once the tissue spacing gasket is removably attached to the bone foundation guide then temporary abutments can be placed upon the implants. A 30 Date Re9ue / Date Received 2022-09-08 temporary prosthesis can be placed over the tissue spacer gasket to come into contact the temporary abutments. The tissue spacing gasket could cradle the temporary prosthesis at this point holding it in the proper vertical and concentric orientation as dental acrylic is injected into the temporary prosthesis to secure the abutments to the temporary prosthesis. The tissue spacing 5 gasket may further prevent the acrylic from leaking upon and contaminating the exposed bone. The tissue spacing gasket may as well as prevent any acrylic leaking onto the abutment undercut (e.g., to generally prevented unwanted premature attachment of the prosthesis to the implants.) The tissue spacing gasket may help to insure that proper distance between bone and prosthesis is maintained to account for presence of tissue when the gum tissue is placed back over the bone. o

[00113] Once the acrylic has set, the above abutment prosthesis attachment process may repeated used for a clear or analogue prosthesis that later can be sent back to the lab. The ana.logue prosthesis with its affixed abutments may be applied to implant bone model that was devised through the dental model to see how the dental healthcare professional may have devia1ed from the original dental surgical plan in attaching the implants to the dental surgical 15 site. In that manner, the analogue prosthesis will allow the final changes of the actual dental surgery (on site changes made by the dental healthcare professional to take into account issues not foreseen by the dental surgical plan) to be imparted onto the dental model and to the final prosthesis, 100114) Once the temporary prosthesis (and analogue prosthesis) is removed from the 20 tissue spacing gasket-bone foundation guide combination. the tissue spacing gasket could be removed from the bone foundation guide.. The gum tissue flaps could be sutured back over the exposed bone (but not necessarily over the implants) and the temporary prosthesis could be reattached to the implants. As the dental surgical site heals and the implants further incorporate 31 Date Re9ue / Date Received 2022-09-08 themselves into the bone structure, the temporary prosthesis could help maintain the implant positioning as set during the surgery, so that the permanent prosthesis should be able to replace the temporary prosthesis with minimal adjustment and fitting. [001151 This process 100 could atso allow as needed. use of temporary cylinder, 5 associated seals, additional filling, and other sealing methods that may be used to properly prepare the dental implant for the attachment of prosthesis and the like. If healing abutments are used instead, then they can be fitted to the implants as needed. The gum tissues can then be sutured or otherwise cover~up the exposed bone to meet up with the abutment / implants. If the gum tissues need to heal or need to heal around the healing abutments or the implants require JO oss.ification to secure them in place to the bone, then after these event(s) have occurred / or a suitable amount of healing time bas passed then the final prosthesis (or prosthetic) could be placed upon the implants in a secure fashion. After this step is substantially completed, the process 100 could proceed back to step 102 as needed. {00116] CONCLUSION [001171 Although the description above contains many spedfications, these should not be construed as limiting the scope of the invention but as merely providing illustrations of some of the presently preferred embodiments of this invention. Thus, the scope of the invention should be determined by the appended claims and their legal equivalents rather than by the examples 20 given, 1001181 As shown in the specification, drawings. claims and abstract, the invention, a bone foundation guide provides for the combining a bone foundation guide and a bone guide foundation prosthesis: and a method of use for the resulting combination. The prosthesis can 32 Date Re9ue / Date Received 2022-09-08 have a teeth portion representing a bite of a final prosthesis as well as one or more anchoring struts that removably attach the prosthesis to the bone foundation guide. The patient could apply the opposing alveolar ridge to the teeth portion to ho]d the combination in place upon the bone segment of the dental implant surgical site as well as check the bite of the teeth portion and s alveolar ridge. The action al1ows the dental healthcare professional check in situ the representation or analogue of final prosthesis with opposing alveolar ridge to detect any inconsistency or deviation from the dental implant surgical plan. If any inconsistence or deviation is detected, the combination cart be removed from the dental implm1t surgical site prior to any bone removal; the gum tissue can be re-sutured and the patent can use a denture formed 10 from the teeth portion attached to a denture base while inconsistence or deviation are being suitably addressed, If no significant deviation or inconsistency is detected, the dental implant surgery can proceed with the attachment of the combination 10 the dental implant surgical site; the removal of the pros1hesis from the bone foundation guide; and the removal of bone from the dental implant surgical site. 15 JJ Date Re9ue / Date Received 2022-09-08

Claims

CLAIMS 1. A kit, comprising: (A) a bone foundation guide having a first side anti a second side, the first side of the bone foundation guide being configured to engage at least a portion of a bone segment of an alveolar ridge of a patient; (B) a dental implant surgical guide, the dental implant surgical guide having a body ,,.~th one or more apertures to locate one or more implants in the alveolar ridge of the patient; and (C) a gasket, the gasket having a thickness corresponding to a depth of tissue removed from the bone of the alveolar ridge of the patient; wherein the second side of the bone foundation guide is configured to support the dental implant surgical guide or the gasket while the first side of the bone fountfation guide engages the alveolar ridge of the patient; the gasket including one or more protmsions, the bone foundation guide defining one or more receptacles configured to receive the one or more protrusions of the gasket to thereby secure the gasket to the bone foundation guide.

2. The kit of claim I, the bone foundation guide including a buccal wall configured to face outwardly from a mouth of the patient when the bone foundation guide rests upon the alveolar ridge of the patient.

3. The kit of claim I, the bone fountfation guide including a lingual wall configured to face inwardly toward a mouth of the patient when the bone foundation guide rests upon the alveolar ridge of the patient. 34 Date reçue / Received date 2024-10-21 4. The kit of claim 3, the bone foundation guide further including a buccal wall configured to face outwardly from a mouth of the patient when the bone foundation guide rests upon the alveolar ridge of the patient.

5. The kit of claim 4, the lingual wall and the buccal wall being held apart from each other by a first end of the bone foundation guide and a second end of the hone foundation guide.

6. The kit of claim 5, the lingual wall, the huccal wall, the first end, and the second end cooperating to define an open surgical space.

7. The kit of claim 1, the gasket defining a plurality of apertures.

8. The kit of claim 7, the aperh1res of the gasket being configured to correspond with the aperhtres of the dental implant surgical guide.

9. The kit of claim 1, the hone foundation guide defining one or more cutouts, the dental implant surgical guide defining one or more guide tabs configured to fit in the one or more cutouts of the bone foundation guide.

10. The kit of claim 9, the one or more cutonts and the one or more guide tabs being configured to provide a snap fit between the hone foundation guide and the dental implant surgical guide. 35 Date reçue / Received date 2024-10-21 11. The kit of claim 1, further comprising one or more anchoring struts configured to couple \Vith the bone foundation guide, the one or more anchoring struts being configured to engage a first alveolar ridge of the patient while the bone foundation guide engages a second alveolar ridge of the patient, the first alveolar ridge of the patient opposing the second alveolar ridge of the patient.

12. The kit of claim 1, further compnsmg a dental prosthesis, the gasket being configured to fit between the dental prosthesis and the bone foundation guide.

13. The kit of claim 12, the dental prosthesis fonning a full dental arch.

14. The kit of claim 1, the gasket being formed of a pliable polymeric material.

15. The kit of claim 1, the second side of the bone foundation guide being opposite to the first side of the bone foundation guide.

16. A kit, comprising: (A) a bone foundation guide having a first side and a second side, the first side of the bone foundation guide being configured to engage at least a portion of a bone segment of an alveolar ridge of a patient; (B) a dental implant surgical guide, the dental implant surgical guide having a body with one or more apertures to locate one or more implants in the alveolar ridge of the patient; and 36 Date reçue / Received date 2024-10-21 (C) a gasket, the gasket having a thickness conesponding to a depth of tissue removed from the bone of the alveolar ridge of the patient; wherein the second side of the bone foundation guide is configured to support the dental implant surgical guide or the gasket while the first side of the bone foundation guide engages the alveolar ridge of the patient; the bone foundation guide defining one or more cutouts, the gasket defining one or more tabs configured to fit in the one or more cutouts of the bone foundation guide.

17. A kit, comprising: (A) a bone foundation guide configured to engage an alveolar ridge of a patient; (B) a dental implant surgical guide, the dental implant surgical guide having a body ·with a plurality of apertures to locate a plurality of implants in the alveolar ridge of the patient; and (C) a gasket, the gasket having a thickness corresponding to a depth of tissue removed from bone of the alveolar ridge of the patient, the gasket defining a plurality of apertures positioned to correspond with locations of implants in the alveolar ridge of the patient; wherein the bone foundation guide is configured to support the dental implant surgical guide or the gasket while the bone foundation guide engages the alveolar ridge of the patient; the gasket including one or more protmsions, the bone foundation guide defining one or more receptacles configured to receive the one or more protrusions of the gasket. 37 Date reçue / Received date 2024-10-21 18. The kit of claim 17, the bone foundation guide including a buccal wall configured to face outwardly from a mouth of the patient when the bone foundation guide engages the alveolar ridge of the patient.

19. The kit of claim 13, the bone foundation guide further including a lingual wall configured to face inwardly toward the mouth of the patient when the bone foundation guide engages the alveolar ridge of the patient.

20. The kit of claim 19, the lingual wall and the buccal wall being held apart from each other by a first end of the bone foundation guide and a second end of the bone foundation guide, the lingual wall, the buccal wall, the first end, and the second end cooperating to define an open surgical space.

21. The kit of claim 17, the one or more protrusions of the gasket comprising one or more tabs, the one or more receptacles of the bone foundation guide comprising one or more cutouts.

22. The kit of claim 17, the dental implant surgical guide defining one or more protrusions configured to fit in the one or more receptacles of the bone foundation guide.

23. The kit of claim 22, the one or more receptacles of the bone foundation guide and the one or more protrusions of the dental implant surgical guide being configured to provide a snap fit between the bone foundation guide and the dental implant surgical guide. 38 Date reçue / Received date 2024-10-21 24. The kit of claim 17., further comprising an anchoring sttut configured to removably couple with the bone foundation guide, the anchoring sttut being configured to provide positioning of the bone foundation guide on the alveolar ridge of the patient.

25. The kit of claim 17, further comprising a dental prosthesis, the gasket being configured to fit between the dental prosthesis and the alveolar ridge of the patient and thereby position the prosthesis at a predetem1ined distance from the bone of the alveolar ridge of the patient, the predetermined distance corresponding to a depth of tissue removed from the bone of the alveolar ridge of the patient.

26. The kit of clainl 25, the dental prosthesis forming a full dental arch.

27. The kit of clainl 17, the gasket being fo1med of a pliable polymeric material.

28. The kit of clainl 17, the bone foundation guide having a first side and a second side, the first side of the bone foundation guide being configured to engage the alveolar ridge of the patient, the second side of the bone foundation guide being configured to support the dental implant surgical guide or the gasket while the first side of the bone foundation guide engages the alveolar ridge of the patient. 39 Date reçue / Received date 2024-10-21 29. The kit of claim 28, the first side of the bone foundation guide being configured to engage at least a potiion of a bone segment of the alveolar ridge of the patient 30. The kit of claim 28, the second side of the bone foundation guide being opposite to the first side of the bone foundation guide.

31. A kit, comprising: (A) a bone foundation guide configured to engage an alveolar ridge of a patient, the bone foundation guide defining a plurality of receptacles; (B) a dental implant surgical guide, the dental implant surgical guide having a body with a plurality of apertures to locate a plurality of implants in the alveolar ridge of the patient, the dental implant surgical guide further including a plurality of protrusions, the plurality of receptacles of the bone foundation guide being configured to receive the plurality of protrusions of the dental implant surgical guide; (C) a gasket, the gasket having a thickness corresponding to a depth of tissue removed from bone of the alveolar ridge of the patient, 1he gasket defining a plurality of apertures positioned to correspond with locations of implants in the alveolar ridge of the patient, the gasket further including a plurality of protrusions, the plurality of receptacles of the bone foundation guide being configured to receive the plurality of protrusions of the gasket; and (D) a dental prosthesis, the gasket being configured to fit between the dental prosthesis and the alveolar ridge of the patient and thereby position the prosthesis at a predetermined distance from the bone of the alveolar ridge of the patient, the predetennined distance corresponding to a depth of tissue removed from the bone of the alveolar ridge of the patient; 40 Date reçue / Received date 2024-10-21 , wherein the bone foundation guide is configured to support the dental implant surgical guide or the gasket while the bone foundation guide engages the alveolar ridge of the patient. 41