fig1 discloses a cylinder 2 with a long axis comprising an open top first end 3 and an open lower second end 4 , an exterior circular circumference 5 and a circular hollow interior 6 , the circular hollow interior 6 extending from the open top first end 3 to the open lower second end 4 wherein the external circular circumference 5 adjacent to the second end 4 has a circular circumferential ball - shaped enlargement 8 . fig2 discloses a housing 10 with a long axis 11 comprising an exterior 12 and a hollow interior 13 with a circular circumference , an open top first end 14 and an open lower second end 15 , the hollow interior 13 extending from the open top first end 14 to the open lower second end 15 , a circular ball - shaped enlargement 16 of the interior circumference adjacent to the lower second end 15 is shaped to receive the circumferential circular ball - shaped enlargement 8 of the cylinder 2 , the hollow interior 13 progressively enlarges 17 from the circular ball - shaped enlargement 16 towards the top first end 14 , the progressive enlargement 17 at 20 degrees 18 to the long axis 11 . fig3 shows the housing 10 second end 15 secured to a dental edentulous ridge 19 and adjacent teeth 54 with a putty 20 . in fig4 the cylinder 2 is fitted within the housing 10 . the circular circumferential ball - shaped enlargement 8 of the cylinder 2 fits within the circular ball - shaped enlargement 16 of the housing 10 and the first end 3 of the cylinder 2 fits within the top first end 14 of the housing 10 wherein the cylinder 2 may be pivoted 22 around the ball shaped enlargement 8 end 4 up to 20 degrees from the housing long axis 11 . referring to fig5 , a threaded set screw housing 30 containing a threaded channel 31 with a set screw 32 at a right angle to the housing 10 long axis 11 adjacent to the circumferential circular ball - shaped enlargement 16 , the threaded channel 31 opening into the housing interior 13 wherein when the set screw 32 is screwed inwards the set screw 32 is seated against 33 the circular circumferential ball - shaped enlargement 8 of the cylinder 2 locking the cylinder 2 in its axial position 34 within the housing 10 . fig6 discloses a longitudinal positioning guide 40 with a first 41 and second end 42 and an axial circumference 43 comprised of a platform 44 at the first end 41 , a longitudinal stem 45 extending from the platform 44 to the second end 42 and circumferential male keyways 46 on the longitudinal stem 45 adjacent to the platform 44 . fig7 discloses a surgical circular ring 50 with an interior 51 and an exterior 52 , the interior 51 containing keyway grooves 53 which engage the male keyways 46 of the positioning guide 40 when the stem 45 of the positioning guide 40 is placed , as in fig8 , within the interior 51 of the circular surgical ring 50 and turned clockwise wherein , with the surgical circular ring 50 attached to the positioning guide 40 , the second end 42 of the positioning guide 40 is placed , as in fig9 , in the first end 3 of the cylinder 2 and seated to the second end 4 of the cylinder 2 where the positioning guide 40 is used to position the cylinder 2 . fig9 discloses a preferred embodiment of the grs implant drilling guide . in fig1 , when the cylinder 2 is correctly positioned the set screw 32 is turned clockwise , which locks the cylinder 2 in position , the surgical circular ring 50 is then secured to the edentulous ridge 19 and adjacent teeth 54 with a putty 20 . the cylinder 2 , housing 10 , with set screw housing 30 and longitudinal positioning guide 40 , are removed . fig1 discloses a longitudinal surgical sleeve 60 with a first end 61 , second end 62 , an exterior 63 and an interior 64 wherein the first end 61 has a platform 65 , adjacent to the platform 65 the exterior 63 of the surgical sleeve 60 contains circumferential male keyways 46 , the interior 64 defines a longitudinal tube 66 sized to receive a drill . the positioning guide 40 has been removed , fig1 , from the circular surgical ring 50 . the second end 62 of the surgical sleeve 60 is placed , fig1 , within the surgical circular ring 50 seated and is turned clockwise , fig1 , wherein the male keyways 46 of the surgical sleeve 60 engage the keyway grooves 53 of the surgical circular ring 50 . the surgical sleeve 60 is now positioned in the same position as the positioning guide 40 occupied and functions as a drilling guide . successive sleeves with different size interior longitudinal tubes may be placed in exactly the same position relative to the edentulous dental ridge 19 . fig1 discloses a housing 10 exterior 12 which is round . fig1 also shows a housing 10 exterior 12 with an irregular surface 73 in order to enhance the adhesion of the putty 20 to housing exterior 12 . in fig1 the housing exterior 12 is rectangular 72 . fig1 shows the rectangular 72 housing exterior with an irregular surface 73 in order to enhance the adhesion of the putty 20 to the housing 10 exterior 12 . in fig1 a surgical circular ring 50 has a surface ; the surface is irregular 73 in order to enhance the adhesion of the putty 20 to the surgical circular ring 50 exterior 52 . fig1 shows the surgical sleeve 60 platform 65 with an outside surface facing away from the sleeve platform 65 . various thicknesses of spacers 75 are placed on the outside surface controlling the depth a dental pilot drill penetrates a dental edentulous ridge 19 , fig1 . a thicker spacer 75 results in less penetration . fig2 shows multiple longitudinal surgical sleeves 60 , each having an interior longitudinal tube 66 , each interior tube 66 with an increasingly larger diameter sized to fit increasingly larger diameter dental pilot drills . putties 20 , for securing the surgical circular ring 50 , depicted in fig3 , 10 , 12 , 13 and 14 , are dental materials such as : sticky wax , light cure putty , such as triad , acrylics such as jet used for denture repair and temporary filling materials . in another preferred embodiment , fig2 , the grs implant drilling guide is comprised of the same cylinder 2 housing 10 and threaded set screw housing 30 as disclosed in fig1 , 2 , 3 , 4 and 5 . fig2 wherein fig2 discloses a combination longitudinal positioning guide and surgical sleeve 70 with a first end 71 , second end 71 , an exterior 73 and an interior 66 wherein the first end 71 has a platform 74 , adjacent to the platform 74 the exterior 73 of the sleeve contains circumferential male keyways 46 , the interior 66 defines a surgical sleeve 66 sized to receive a pilot drill . fig7 and 22 disclose a circular surgical circular surgical ring 56 with an interior 51 and an exterior 52 , the interior 51 containing keyway grooves 53 which engage the male keyways 46 of the combination longitudinal positioning guide and surgical sleeve 70 , fig2 , when the combination longitudinal positioning guide and surgical sleeve 70 second end 72 is placed within the interior of the surgical circular surgical ring 56 and turned clockwise wherein , with the surgical circular surgical ring attached to the combination longitudinal positioning guide and surgical sleeve 70 , the second end of the positioning guide is placed in the first end of the cylinder 2 and seated to the second end of the cylinder where the combination longitudinal positioning guide and surgical sleeve 70 is used to position the cylinder 2 , when the cylinder 2 is correctly positioned the set screw 32 , fig5 and 22 is turned clockwise which locks the cylinder 2 in position . in fig2 the surgical circular ring 50 is then secured to the edentulous ridge 19 , fig1 , and adjacent teeth 54 with a putty 20 and the cylinder 2 within the housing 10 with the set screw housing 30 may remain or be removed . in fig2 the combination longitudinal positioning guide and surgical sleeve 70 platform 74 has an outside surface facing away from the sleeve wherein various thicknesses of spacers 75 are placed on the outside surface controlling the depth a dental pilot drill penetrates a dental edentulous ridge 19 . a thicker spacer 75 results in less penetration . fig2 discloses a dental model with an alveolar ridge 19 and teeth 54 . in fig2 there is a thermo - vacuum - forming plate 80 which is vacuum - formed over the dental model . the thermo - vacuum - forming plate 80 ideally is a material that adhesives will adhere to , such as polycarbonate . in fig2 the longitudinal sleeves 60 are placed on the alveolar ridge 19 in the positions the implant holes are to be drilled . the longitudinal sleeves 60 are attached to the thermo - vacuum - forming plate 80 with putty 20 that is removable . dental sticky wax is an example . at this point each cylinder 2 is angled into the correct position to guide the drills in the process of forming the implant shaft . the locking pins are tightened to secure the chosen cylinder 2 positions . fig2 has the surgical circular rings 50 separately secured to the adjacent thermo - vacuum - forming plate 80 . in an alternative embodiment the surgical circular rings 50 may be secured with a thermo - vacuum - forming plate 80 . fig2 discloses the longitudinal sleeves 60 removed and the housings 10 removed leaving the surgical circular rings 50 suspended over the alveolar ridge 19 . the thermo - vacuum - forming plate 80 with the mounted surgical circular rings 50 is removed from the dental model and holes are drilled in the thermo - vacuum - forming plate 80 underneath each circular surgical ring 50 . the holes allow for the dental drill to have access to the alveolar ridge 19 . fig3 shows thermo - vacuum - forming plate 80 with the mounted surgical circular rings 50 placed in the mouth with the longitudinal sleeves 80 ready to be placed into the mounted surgical circular rings 50 . each surgical circular ring 50 receives successively larger sleeves to accommodate each larger diameter drill .
a template for drilling channels in a dental alveolar ridge to receive dental implants wherein interchangeable drilling guides are precisely located in a manner that each channel is formed with successive drills that are guided in the same predetermined location , axial inclination and penetration depth in the alveolar ridge .