Ghiduri chirurgicale

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8/16/2019 Ghiduri chirurgicale http://slidepdf.com/reader/full/ghiduri-chirurgicale 1/78 Planificarea tratamentului implanto-protetic UMF Carol Davila Facultatea de Medicina Dentara Catedra de Implantologie Orala

Transcript of Ghiduri chirurgicale

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Planificarea tratamentuluiimplanto-protetic

UMF Carol Davila

Facultatea de Medicina Dentara

Catedra de Implantologie Orala

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Care este scopul tratamentului cuimplanturi dentare?

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Tratamentul conven ionalț

 Examinare intraorală

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Examinare radiologică

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 Îndepărtarea lucrării protetice

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Inserarea implantului

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Grefă osoasă + membrană

  Membrană PTFE

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Vindecare i osteointegrareș

3 luni de la primainterven ie cirurgicalăț

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Grefă de esut moale pentru mucoasa !eratini"atăț

G#E$% GI&GIV%'( 'I)E#( *$GG $ree Gingival Graft, PRINCIPII:

-. Inci"ia la /.01-mm deasupra gingiei !eratini"ate

2. reparare mai largă cu 213mm fa ă de $GG prearan4atăț

3. 5ub ierea marginii apicale a $GG 16 potrivire naturalăț

7. Îmbinare cap1la1cap 1 marginea coronară la linia inci"ală

0. %daptare $GG

8. $ixare c9t mai fermă a $GG

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% doua etapă cirurgicală

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#estaurări provi"orii

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roceduri de laborator pentru restaurarea finală

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roceduri de laborator pentru restaurarea finală

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roceduri de laborator

 Îmbunătă irea raportuluiț

 :năl ime1lă imeț ț

1 contur gingival superficial

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  #estaurarea finală

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 Înainte i ;upăș

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$ollo<1up - an

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 Încărcarea oclu"ală

 ÎNCĂRCARE OCLUZALĂ IMEDIAĂ => 2 săptăm9ni de la inserareaimplantului

 ÎNCĂRCARE OCLUZALĂ RAPIDĂ 2 săptăm9ni 3 luni de lainserarea implantului

RE!AURARE IMEDIAĂ NE"UNC IONALĂȚ  lucrare protetică la =>2 săpt. de la inserarea implamntului fără :ncărcare oclu"alăfunc ională directăț

RE!AURARE RAPIDĂ NE"UNC IONALĂȚ  2 săpt. 3 luni de lainserarea implantului

 ÎNCĂRCARE OCLUZALĂ ÎN#RZIAĂ 6 3 luni de la inserareaimplantului

Mi$c% et al& Rationale for t%e application of imme'iate loa' in implant 'enti$tr(: Part I& Implant;ent. 2//7 5ep-3*3,@2/A1-A.

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rincipiul Bne1;aD Implant

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rincipiul Bne1;aD Implant

Ca" clinic

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C)CT

%mprentă alginat %legerea nuan eiț

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0 luni mai t9r"iu

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Ca" clinic 2

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#eali"area amprentelorF modelelor si :nregistrarearapoartelor de oclu"ie

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C)CT arcadele :n oclu"ie

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5canare modele pentru digitali"are

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lanificare tratament cu soft<are1ul #2Gate

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Transmiterea informa iilorț

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Ca" clinic 3 E;E&T%T TT%'

%mprentă alginat 16 model gips

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C)CT

5e decid #E'% I% CE&T#IC( si ;IE&5IH&E% VE#TIC%'(Ț

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5canaredigitală

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;iagnostic <ax1up 1 C%;

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Imagine digitală 3;

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Condi ie favorabilăț

Bne ;aD Implant

Contraindica ie pentru -ț

singur implant

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  ;esign bonturi ;esign restaurare provi"orie

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C%;C%

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Ca" clinic 7

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ul umesc pentru aten ieJț ț

rof. ;r. Ioan 5:rbu