Surgical Manual Cerrahi El Kitabı - Bicon Dental · PDF fileCerrahi El Kitabı Step y Step...

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Transcript of Surgical Manual Cerrahi El Kitabı - Bicon Dental · PDF fileCerrahi El Kitabı Step y Step...

  • Cerrahi El KitabAdm Adm TekniklerStep By Step Techniques

    Surgical Manual

  • 3

    Pre-Surgical | Bone Classification Type I-IV

    Integra-CP Approximately 16-20 weeksType IV

    Integra-CP Approximately 12 weeksType III

    Integra-CP Approximately 10-12 weeksType II

    Integra-CP Approximately 16 weeksType I

    Fine TrabecularFlute of a 3.5mm reamer bur

    devoid of bone

    Porous Cortical and Fine Trabecular

    Flute of a 3.5mm reamer bur only partially lled with

    blood wetted bone

    Porous Cortical and Course Trabecular

    Flute of a 3.5mm reamer bur lled with blood

    wetted bone

    Dense Cortical Flute of a 3.5mm reamer bur lled with bone and

    minimal blood

    DescriptionRecommended

    Implant Surface* Integration TimeBone Type

    *Integra-CP is the trade name for Bicons surface treatment which was formerly referred to as HA.3

    Pre-Surgical | Bone Classification Type I-IV

    Integra-CP Approximately 16-20 weeksType IV

    Integra-CP Approximately 12 weeksType III

    Integra-CP Approximately 10-12 weeksType II

    Integra-CP Approximately 16 weeksType I

    Fine TrabecularFlute of a 3.5mm reamer bur

    devoid of bone

    Porous Cortical and Fine Trabecular

    Flute of a 3.5mm reamer bur only partially lled with

    blood wetted bone

    Porous Cortical and Course Trabecular

    Flute of a 3.5mm reamer bur lled with blood

    wetted bone

    Dense Cortical Flute of a 3.5mm reamer bur lled with bone and

    minimal blood

    DescriptionRecommended

    Implant Surface* Integration TimeBone Type

    *Integra-CP is the trade name for Bicons surface treatment which was formerly referred to as HA.

    erik

    Cerrahi ncesi ...................................................................................................................................................1-8

    Kemik lm .......................................................................................................................................................2

    Kemik Snflandrlmas ....................................................................................................................................3

    mplant Boyut Seimi .........................................................................................................................................4-5

    Cerrahi Kalp Yapm ..........................................................................................................................................6-8

    Aletler ..............................................................................................................................................................................9-11

    Set erii ...................................................................................................................................................................10

    Alet Tanmlar ..........................................................................................................................................................11

    Cerrahi Uygulamalar ..................................................................................................................................12-20

    ki Aamal Cerrahi Teknik .............................................................................................................................13-16

    Tek Aamal Cerrahi Teknik ...........................................................................................................................17

    ki Aamal Mandibular Ridge Split .......................................................................................................18

    Sins Lift ................................................................................................................................................................19

    Ek ............................................................................................................................................................................................20

    Abutment lm ..............................................................................................................................................20

  • 3

    Pre-Surgical | Bone Classification Type I-IV

    Integra-CP Approximately 16-20 weeksType IV

    Integra-CP Approximately 12 weeksType III

    Integra-CP Approximately 10-12 weeksType II

    Integra-CP Approximately 16 weeksType I

    Fine TrabecularFlute of a 3.5mm reamer bur

    devoid of bone

    Porous Cortical and Fine Trabecular

    Flute of a 3.5mm reamer bur only partially lled with

    blood wetted bone

    Porous Cortical and Course Trabecular

    Flute of a 3.5mm reamer bur lled with blood

    wetted bone

    Dense Cortical Flute of a 3.5mm reamer bur lled with bone and

    minimal blood

    DescriptionRecommended

    Implant Surface* Integration TimeBone Type

    *Integra-CP is the trade name for Bicons surface treatment which was formerly referred to as HA.11

    Pre-SurgicalCerrahi ncesi

  • 3

    Pre-Surgical | Bone Classification Type I-IV

    Integra-CP Approximately 16-20 weeksType IV

    Integra-CP Approximately 12 weeksType III

    Integra-CP Approximately 10-12 weeksType II

    Integra-CP Approximately 16 weeksType I

    Fine TrabecularFlute of a 3.5mm reamer bur

    devoid of bone

    Porous Cortical and Fine Trabecular

    Flute of a 3.5mm reamer bur only partially lled with

    blood wetted bone

    Porous Cortical and Course Trabecular

    Flute of a 3.5mm reamer bur lled with blood

    wetted bone

    Dense Cortical Flute of a 3.5mm reamer bur lled with bone and

    minimal blood

    DescriptionRecommended

    Implant Surface* Integration TimeBone Type

    *Integra-CP is the trade name for Bicons surface treatment which was formerly referred to as HA.2 3

    Pre-Surgical | Bone Classification Type I-IV

    Integra-CP Approximately 16-20 weeksType IV

    Integra-CP Approximately 12 weeksType III

    Integra-CP Approximately 10-12 weeksType II

    Integra-CP Approximately 16 weeksType I

    Fine TrabecularFlute of a 3.5mm reamer bur

    devoid of bone

    Porous Cortical and Fine Trabecular

    Flute of a 3.5mm reamer bur only partially lled with

    blood wetted bone

    Porous Cortical and Course Trabecular

    Flute of a 3.5mm reamer bur lled with blood

    wetted bone

    Dense Cortical Flute of a 3.5mm reamer bur lled with bone and

    minimal blood

    DescriptionRecommended

    Implant Surface* Integration TimeBone Type

    *Integra-CP is the trade name for Bicons surface treatment which was formerly referred to as HA.

    Cerrahi ncesi | Kemiin llmesi

    Baar AnahtarHasta, planlanan protez iin yeterli interoklzal aklk olup olmadn kontrol etmek iin, az kapal ekilde en ideal pozisyonda muayene edilmelidir.

    Planlanan protezin etrafndaki yumuak dokuyu dzenlemek iin frenektomi dnlebilir.

    Bilgisayarl tomografi (CAT scan), her zaman gerekli olmamasna ramen, kemik seviyesinin yetersiz olduu hastalarda implant uygulanabilecek en ideal blgenin tespitinde veya anatomik blgelerin tam yerlerinin tespitinde kolaylk salar. Mandibular sinirin de genellikle koronale eimli

    olduu premolar blgedeki inferior alveolar sinir ve mental foramene dikkat edilmelidir.

    Reamer ya da implant tarafndan istemsiz penetrasyonlarn nlenmesi iin burun taban ve maksiller sins blgeleri dikkatli saptanmaldr.

    Mylohyoid izginin altnda bulunan sublingual fossaya ve zellikle de sublingual arterin bulunduu anterior mandibular blgedeki sublingual bolua dikkat edilmelidir. Bu lingual blgelere olabilecek istemsiz penetrasyonlar, pilot ve reamer frezleri bukkale ynlendirerek ve drill srasnda dijital grntleme yntemlerinden faydalanlarak nlenebilir.

    Genel olarak, implant osteotomisinin apeks blgesi ve mandibular kanal arasnda 2.0mm kemik bulunmas yeterli saylmaktadr.

    Mylohyoid Line

    Submandibular Fossa

    2.0mm

  • 3

    Pre-Surgical | Bone Classification Type I-IV

    Integra-CP Approximately 16-20 weeksType IV

    Integra-CP Approximately 12 weeksType III

    Integra-CP Approximately 10-12 weeksType II

    Integra-CP Approximately 16 weeksType I

    Fine TrabecularFlute of a 3.5mm reamer bur

    devoid of bone

    Porous Cortical and Fine Trabecular

    Flute of a 3.5mm reamer bur only partially lled with

    blood wetted bone

    Porous Cortical and Course Trabecular

    Flute of a 3.5mm reamer bur lled with blood

    wetted bone

    Dense Cortical Flute of a 3.5mm reamer bur lled with bone and

    minimal blood

    DescriptionRecommended

    Implant Surface* Integration TimeBone Type

    *Integra-CP is the trade name for Bicons surface treatment which was formerly referred to as HA.3

    Pre-Surgical | Bone Classification Type I-IV

    Integra-CP Approximately 16-20 weeksType IV

    Integra-CP Approximately 12 weeksType III

    Integra-CP Approximately 10-12 weeksType II

    Integra-CP Approximately 16 weeksType I

    Fine TrabecularFlute of a 3.5mm reamer bur

    devoid of bone

    Porous Cortical and Fine Trabecular

    Flute of a 3.5mm reamer bur only partially lled with

    blood wetted bone

    Porous Cortical and Course Trabecular

    Flute of a 3.5mm reamer bur lled with blood

    wetted bone

    Dense Cortical Flute of a 3.5mm reamer bur lled with bone and

    minimal blood

    DescriptionRecommended

    Implant Surface* Integration TimeBone Type

    *Integra-CP is the trade name for Bicons surface treatment which was formerly referred to as HA.3

    Cerrahi nce