C 13 Sisteme implantare microlok si silhouette.ppt
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Transcript of C 13 Sisteme implantare microlok si silhouette.ppt
Definirea tipului de implant
• Implanturi de tip Branemark, endoosoase, prezentate sub formă de şurub, cilindru şi cilindru cu şurub,autotarodante, cu hex extern şi suprafaţă de tip RBM (Resorbable Blast Media), destinate utilizării în doi timpi chirurgicali, la nivelul crestelor alveolare vindecate
Definirea tipului de implant
• Formă pe secţiune inovatoare: creşterea suprafeţei de contact şi a manierei de distribuţie a forţelor
Codificare cromatică
3.45 mm Platform
4.0 mm Platform
5.0 mm Platform
6.5 mm Platform
Think of Traffic Light
Principiul metodei• Se utilizează secvenţa de driluri indicată
de producător
!!!!!!!! Utilizarea frezei pentru realizarea platformei
Surgical Drill DesignMICRO-LOCK
•Pilot (2.0mm) and 2.5mm are end and side cutting
•All others are side cutting only-can’t accidentally go deeper
•Four cutting edges
•Six ports of irrigation for cooling
Implant Thread Design
Reverse Buttress Thread
2X “bite” of thread
2X space between threads
Bone compression on threading
Self-tapping design
Tapered Implant Design
• Coronal 6mm is parallel- remaining length is tapered
• Implant fits into osteotomy with minimal revolutions to seat
• Self-tapping thread design
• Coronal threads are wider than collar
• Tapered design creates significant primary stability and bone compression
Clinical Situations
• Maxillary anterior flare of alveolar process• Maxillary bicuspid region buccal concavity• Adjacent tooth roots• Mandibular lingual concavity distal to second
bicuspid• Adjacent to wall of maxillary sinus
Drilling Sequence
• Every drill create ALL implant lengths
• Pilot drill and 2.5 mm drill are same for ALL implants in system
• Each tapered drill is intermediate for next size implant
• Final tapered drill creates platform diameter- no countersinking
Prosthesis Abutment Cement Retained
Single Tooth or Bridge Cylinder/Tubular - HexedCustomTM Prepable Angled (15°, 25°) Cosmeticone - Hexed
Screw RetainedSingle Tooth Cylinder/Tubular - Hexed (gold)Custom. Prepable (Secondary Fixation Screw) Angled (25º only, Secondary Fixation Screw)Cosmeticone (Secondary Fixation Screw) Bridge Cylinder/Tubular - Non Hexed (gold) Tapered (Transmucosal) Custom. Prepable (Secondary Fixation Screw) Angled (25º only, Secondary Fixation Screw)Cosmeticone (Secondary Fixation Screw) Removable Overdenture O-Ring BallCast Bar Overdenture or HybridTapered (Transmucosal)Cylinder/Tubular - Non Hexed (gold)Correction of Implant Angle Angled (25º only)
Reconstrucţia protetică
• Cape de cicatrizare: diverse dimensiuni şi forme adaptate tipului de implant şi tipului de mucoasă