INTERNAL SINUS LIFT - MH...

(Spain)

Edition: January 2016

INTERNAL SINUS LIFT

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May 2016 edition

CORPORATE MICRODENT

MICRODENT FACILITIES (MANUFACTURING AND COMMERCIAL SITES)

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CORTICAL-FIX, internal sinus lift 3

In order to completely and totally fulfil its customers’ requests, Microdent ensures that all products exceed the strictest regula-tory requirements set by international health authorities.

It is worth noticing that the raw material used in the manufacture of all Microdent products is of the hightest quality and strength, like the titanium used for the manufacture of dental implants.

All production processes, assessed and validated by the inter-national certification body DNV-GL, include cytotoxicity tests to ensure the correct cleaning of the Microdent products, as well as validation studies of the implant sterilization process, microbiolo-gical quality assessments, endurance, torque and fatigue tests... and a large number of studies with several national and interna-tional universities on clinical outcomes of Microdent’s implants.

Technology, innovation, professionalism...When choosing Microdent implants, customers are placing their trust in a large company with a professional career achieved with much effort, full of successes and supported by many of the most renowned implantologists in the country.

Microdent facilities are equipped with cutting-edge technology where implants and implant components are manufactured under a targeted and rigorous unit quality control.

Continuing EducationMicrodent has shown a special interest in the area of education since its inception. Therefore, it often organizes and teaches continuing education clinical courses, seminars and hands-on workshops in order to provide practitioners with the appropriate knowledge and tools to achieve success in their work with patients. These courses take place in the company itself, where there is an auditorium and some practice rooms, but also in different cities in Spain.

Human teamMicrodent has a team of highly-skilled, specialized technicians at the service of the professionals of implanlotlogy as well as a complete commercial network throughout the national territory which is complemented with an international distribution network in constant growth.

Quality as objective

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PRODUCT PRESENTATION

IMPLANT CATALOGUES

MANUALS

QUICK-GUIDES

OTHER CATALOGUES

DIGITAL INFORMATION

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nº1742465MICRODENT trademark registration.

nº9602250Patent for bone expanders in Spain.

nº6146138Patent for bone expanders in USA.

nº023801558Patent for bone expanders in Europe.

nº9800394Patent for prosthetic Micro-pik fixation system.

nº20002497Patent for transmucosal dental implant.

nº20002545Patent for overdenture flat-ball.

nº200102649Patent for surgery security device.

nº200102769Patent for impact fixation dental implant.

nº200102914Patent for bicortical provisional implant.

nº200200087Patent for internal connection implant.

nº200201614Patent for improved dental implant.

nºP200300602Patent for overdenture adjustable retention system.

nº200402082Patent for biomechanical connection system. nº200800195CORTICAL FIX patent - conformation of the maxillary sinus cavity.

nºP200503064NOVATECH patent - angular fixation system.

nº200700408Patent for dental implant.

nº200701138MRT patent - dental implant with integral locking system.

nº200402082RODAS system patent - bio-mechanical connection system between implant and prosthesis.

nº200703251Patent for implant retention key.

nº200300041Patent for fixation system of dental prosthesis.

nº200500306Patent for orthodontics implant.

nº200801197MV implant patent - insertion without drilling.

nº200930627/aPatent for endosseus platform for dental prosthesis implantation.

nº201031083/otPatent for bone expanders for guided dental surgery.

nº201030002/5Patent for disparallelism correction of dental implants.

nº200203054Patent for use of melatonin for bone regeneration for human and veterinary use as active product.

nº200701563CAPITEL abutment patent - prosthetic angular correction.

nº200702213OSSCILIA patent - spherical oscillating retainer for overdenture fixa-tion.

Driven by the constant desire to improve and continuous research, Microdent products are protected by several patents and utility models that back up and protect our approach to oral implantology.

Backed up by 30 patents...

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INDEX CORTICAL-FIX

PRESENTATION

SURGICAL INSTRUMENTS

SURGICAL PROTOCOL RECOMMENDED

CLINICAL PROCEDURE

CLINICAL CASES

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INTERNAL SINUS LIFTCORTICAL-FIX

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CF42C CF50C

Ø 3.80 Ø 4.60

L 5.0 L 5.0

Previous drilling for this model must not exceed a diameter of 3.20mm.

Previous drilling for this model must not exceed a diameter of 2.80mm.

The adjustable double-action Cortical-Fix sinus elevator is an innovative instrument for oral surgery developed and patented by Microdent, and intended to augment by compaction, in a slowly and controlled manner, the second cortex of the subantral sinus area.

With the help of this device, insertion of longer implants is achieved improving, then, stability and security conditions and osseointegration in the area, often with poor bone quality.

The innovative design of the Cortical-Fix enables a very simple functionality and has a low traumatic incidence since the fixation of the device in the bone is self-tapping and follows the same surgical protocol as if it were an implant. Furthermore, once the plunger has been activated, the Cortical-Fix body is removed from the alveolus to which it is fixed replacing it by a longer, final implant with appropriate measures for excellent primary retention.

PRESENTATION

Device for placement of Ø 4.20mm implants with length between 6 - 10mm.

4mm 4mm

Cortical-Fix Kit with all necessary instruments for its use.

PN-KCF

CORTICAL-FIXINTERNAL SINUS LIFT

Made of surgical stainless steel.

Available in two diameters:

Device for placement ofØ 5.00mm implants with length between 6 - 10mm.

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FC20C

Drills to mill and drill the cortex.

CORTICAL DRILL

(*) Due to its triangular shape, the created diameter is 2.20mm.

*1.90mm

CFFM280 CFFM320

Device well suited to remove the re-maining bone in the alveolus that the drill tip has not been able to remove.

MANUAL DRILLS (STEP PRIOR TO THE FIXATION OF THE DEVICE)

SURGICAL INSTRUMENTS

CF06L CF06C ACL44 CF07

Extender.Long key to control and push the plunger down.

Short key to control and push the plunger down.

Disassembly key for Cortical-Fix.

5mm

10mm

5mm

6mm

Ø 5.9mm

17mm

CF42R CF50R

Bone intermediate compactor (4.20mm).

Bone intermediatecompactor (5.00mm).

BONE INTERMEDIATE COMPACTORS

3. 5mm

8mm5mm

4.2mm

8mm5mm


CFFT280 CFFT320

Ø 2.80mm drill for Ø 4.20 implants.

Ø 3.20mm drill for Ø 5.00implants.

Also available separately: Ø 1.80mm drill.

IMPORTANTWhen inserting a Cortical-Fix, it must be verified that the adjustable plunger is completely deactivated (turning it counter-clockwise).

FINAL DRILL WITH DRILL STOPS

4mm 4mm

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The Cortical-Fix device does not have the same dimensions as the implant, therefore it requires a different sur-gical protocol regarding the preparation of the implant alveolus. The following surgical protocol must be particu-larised according to the patient’s bone conditions.

Opening of the flap to access the bone support.

Welding with cortical drill (maximum depth of 3.0mm).

Optionally, a drilling with a diameter of 1.80mm can be performed (preferably using a drill with a stop) controlling the depth until it reaches the resistant and hard second cortex. Very low rotation speed, maximum between 300-400rpm.

Drilling with stop drill.Maximum diameter of 2.80mm for the placement of a 4.20mm implant.Maximum diameter of 3.20mm for the placement of a 5.00mm implant.IMPORTANTThe drilling sequence must be performed with extreme caution, paying close attention to the substantial change in density and hardness of the second cortex. Maximum rotation speed between 200-300rpm.

Manual drilling.Manual drills are very useful to remove the remaining bone in the alveolus that the drill tip has not been able to eliminate.

Use of the bone compactor. By using a compactor in an area with poor bone quality before using the Cortical-Fix, the bone will harden and compact.IMPORTANTThe compactor is inserted by pressing it in the alveolus in order to mould the thread until the drilling depth previously established is reached. It is necessary not to exceed the required depth with the compactor due to risk of destroying the thread in the alveolus and, consequently, annul the retentive capacity of the device body.

Fixing of the Cortical-Fix.The body of the device must be completely screwed in in order to achieve good retention and to prevent any backward movement when the plunger shaft is activated.

IMPORTANTThe device body is fixed in the maxillary with the plunger in non-activated position.

The plunger drive must be done slowly to ensure the displacement and lift of the bony wall of the sinus by the pressure exerted, avoiding at the same time a possible fracture of the bone, until the appropriate height is reached.

Once the lift has been achieved, completely unscrew the Cortical-Fix from the area.

Insertion of the widest and longest implant, according to the elevation achieved, and suturing of the soft tissue.

SURGICAL PROCEDURE RECOMMENDED


Prior to starting the surgical protocol for the Cortical-Fix device, practitioners need to have as much information as possible about the morphology and dimensions of the subantral area.The technique described below can be supplemented, if required, with the use of a bone graft made of either autologous materials, biomaterials of animal origin or synthetic materials.

1º

2º

3º

4º

5º

6º

7º

8º

9º

10º

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Previous periostomy and drilling.

Periapical where the lift can be seen. Removal of Cortical-Fix and placement of implants.

Sutures.

Placing of Cortical-Fix. Activation of Cortical-Fix.

Practice using animal head, where the lift of the membrane can be clearly seen.

CLINICAL PROCEDURE


IN VITRO PROCEDURE

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CLINICAL CASE Nº1

Observe the pneumatisation of the maxil-lary sinus in quadrant II.

Once a Ø M-4210mm implant has been placed, proceed to drill the implant bed to place the implants corresponding to teeth 2.5 and 2.6.

Use of anaesthesia at crestal level. Note the good quality of the keratinized gums.

Full-thickness incision, slightly palatalized.

Drilling of the cortex in tooth 2.6 with a cortical drill. With a 1.8mm drill, drilling 1mm before the sinus floor. Radiographic control.

Next, insertion of a Ø 2.80mm drill to a depth of 4mm and finally a Ø 3.20mm drill to a depth of 2mm.

Insertion of a Cortical-Fix with the plunger open (deactivated).

Placing of an adaptor on the Cortical-Fix, it is then activated by slowly turning it clock-wise to its stop. It is internally acting.

Control radiography of the position of the Cortical-Fix in contact with the maxillary sinus floor.

Drill touching the maxillary sinus floor

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Opening of the Cortical-Fix plunger conse-quently lifting the maxillary sinus floor.

Observe on the Cortical-Fix control radiogra-phy how the plunger has lifted the maxillary sinus membrane.

Placing of MP3 bone graft (pre-hydrated gra-nules and collagen gel) in the space opened by the Cortical-Fix.

Placement of a Microdent Ø M-5010 wide platform implant.

Stitching with braided silk. Observe on the implant control radiography the bone graft.

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CLINICAL CASE Nº2

32-year-old female patient with tooth 2.6 extracted. 16 months later, the patient decided to get an implant to replace the missing tooth.

Observe on the radiography the pneuma-tisation of the sinus in its middle part with 6.7mm. It is decided to place a Microdent 5.0 x 10mm implant.

Crestal incision followed by drilling with a cortical drill.

Continuation of protocol with a pilot drill (Ø 1.80mm). Drilling 1mm before the sinus floor.

Control radiography to check the depth of the drilling, in this case 5.5mm.

Drilling in a staggered fashion: with a Ø 2.8mm drill down to 2mm and with a Ø 3.2mm drill down 1mm more.

Placing of a Cortical-Fix with an extraoral key.

Control radiography with the Cortical-Fix inserted.

Observe on the control radiography how the Cortical-Fix is starting to lift the maxillary sinus floor. Lifting of the plunger 3mm to gain 10mm in height.

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3 months later.Removal of the Cortical-Fix. Placement of Apatos material (radiopaque hydroxyapatite granules) and a 5.0 x 10mm wide platform implant with a torque of 45Ncm.

Observe on the control radiography the heterologous bone.

Before taking impressions. Placement of the prosthesis.

Clinical cases by:

Dr. Holmes Ortega Mejía

Degree in Dentistry. International Master’s degree in Implantology and Periodontics from the Paris Descartes University (Paris, France – Madrid, Spain). International Master’s degree in Periodontics from the Paris Descartes University. Specialist in Oral Implantology from the Universidad de Veracruz (México). International Master’s degree in Advanced Surgery from the Paris Descartes University. Founder and general director of the Canal de Cirugía Bucal. Director of the Advanced Surgery for Experts clinical course (Alexandria, Egypt). Director of the clinical course in Advanced Surgery aimed at Professional Training (Barcelona, Spain). Lecturer at many national and international courses and congresses. Member of Microdent’s scientific committee.

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GENERAL CONDITIONSCustomer serviceTel. 0034 - 93 844 76 50 from Monday – Thursday: 9h-18h and Friday: 8h-15h.

Purchase order• Tel. 0034 - 93 844 76 50, extension 1.• Fax: 0034 - 93 844 76 93.• E-mail: [email protected].• Webpage: www.microdentsystem.com.

Delivery timesPeninsula: Orders placed before 14h will be delivered on the next business day. Canary Islands: Orders placed before 14h will be delivered on the next 24-48 h. Province of Barcelona: consult about same day deliveries.

* For deliveries outside Spain, please contact us.

Shipping policyThe following shipment methods are available for orders placed before 14h:• Service 8.30• Priority: delivery between 8.30h and 10h.• Express: delivery between 10h and 13h.• Service 19h: delivery before 19h.• Urgent: delivery time out of the established timetable (in the evening) has an extra charge.

* Available for the Peninsula (for Canary Islands, please contact us).* For deliveries outside Spain, please contact us.

Product return policyAll returns must be accompanied by the return form, duly completed, and a copy of the delivery note.Any returns or refunds of items that have been opened, tampered with or not in their original condition will not be accepted.

Billing and payment methodsAsk our customer service or your local representative about different payment plan options.

* Microdent reserves the right to improve, modify or discontinue products and equipment at any time without incurring any obligation or without prior notice. * For commercial schedules and deliveries outside Spain, please ask about conditions by country.

ImportantThe use of foreign-brand surgical instruments may compromise the stability and fixation of the prosthesis, as well as cause situations of loosening or fracture. Moreover, it also voids the product warranty.

(Spain)

Edition: January 2016

INTERNAL SINUS LIFT

INTERNAL SINUS LIFT - MH...

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