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