口腔外科手术步骤

Caution
Make sure the remaining screw is not aspirated
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Removing the Implant
Mount 48h tool like an abutment Secure tool by handtightening the mounting screw
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Situation
Implant stuck & transfer piece breaks
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Situation
Implant stuck & transfer piece breaks
transfer part has predetermined breakage point: RC: 100 Ncm
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备洞
Step 5
Step 6
Step 7
扩孔 / 测量
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扩孔 / 测量
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扩孔 / 测量
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备洞
800 rpm
600rpm
500rpm
400rpm
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备洞
成型钻
由于种植体的顶端有膨大， 所以很有必要成型 300 rpm
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48h tool
Step by Step
Purpose of 48h tool
Available for NC and RC Removal of placed implant from patient Substitute for transfer part after transfer part failure Implants needs to be discharged after removal Can be done up to 48h after placement, afterwards osseointegration is too far advanced! Do not use for height correction
适应症
个性化牙龈成型
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个性化愈合基台
步骤
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无菌愈合螺丝
无菌愈合螺丝包装
描述: 无菌 “四合一”包装 (v4) 每个愈合螺丝可以单独打开
可供选择: RC: 0 mm高和 0.5mm 高 NC: 0 mm高和 0.5mm高
种植体上的4mm高种植体携 带器可以用作深度指示
4 mm
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牙龈愈合
牙龈愈合
概念
牙龈愈合部件:
钛 聚合树脂
描述
龈下愈合 龈上愈合 牙龈成型
优点
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愈合帽、愈合基台
NC 愈合帽 & 愈合基台
RC 愈合帽 & 愈合基台
外科手术步骤
Straumann® 骨水平种植体
与软组织水平种植体相比需要的新工具
to be adapted
BL
BL
BL
BL
BL
BL
+
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骨水平成型钻
2.8 mm
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3.5 mm
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4.2 mm
3
骨水平成型钻
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愈合螺丝 Narrow CrossFit
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愈合螺丝 Regular CrossFit
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愈合基台 Narrow CrossFit
5 mm
3,5 mm 2 mm
Ø 3,6 mm
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愈合基台 Narrow CrossFit
5 mm
3,5 mm 2 mm
Ø 4,8 mm
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愈合基台 Regular CrossFit
6 mm 4 mm 2 mm
Ø 4,5 mm
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愈合基台 Regular CrossFit
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Step 3 - Opening a blister pack
Peel off blister foil (A,B) Remove the press pad (C) Do not contaminate Closure Screw Place open blister on an unsterile base A B
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Removing the Implant
Mount ratchet and slowly unscrew implant
Remove and discharge implant
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Caution
Make sure the transfer nut is not aspirated
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Removing the Implant
Remove remaining screw
With tweezers or pliers by counter clock rotations
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备洞
选择性步骤: 骨密度较高时攻丝 用BL/TE 攻丝钻 100%攻丝
机用15 rpm 或者 手动植入
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用种植体扳手取出种植
手动方法
机用方法
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植入种植体
用棘轮扳手或者手机植入种植体 机用植入时，转速不能高于 15 rpm
NC: 80 Ncm
Up until this the internal connection will not be damaged The breakage point is located at the head of the transfer screw
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C
D
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Step 4 - picking up sterile Closure Screw
Closure Screw is fixated upright in A blister pack (A) pick up Closure Screw with SCS screwdriver Friction fit to secure Closure Screw C D B
Removing the Implant
Remove adapter with screw head
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Removing the Implant
Remove transfer nut from implant (No unscrewing needed) The remaining screw is still secured within the implant
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Straumann® 骨水平种植体
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BL/TE攻丝钻
3.3 mm
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4.1 mm
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4.8 mm
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手用、机用种植体携带器扳手
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需要用的钻头
球钻 先锋钻 麻花钻 成型钻 攻丝钻 (BL/TE 攻丝钻) 种植体携带器扳手
6 mm 4 mm 2 mm
Ø 6 mm
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愈合基台 Narrow CrossFit 瓶状
5 mm 3,5 mm
Ø 3,3 mm
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愈合基台 Regular CrossFit 瓶状
6 mm 3,5 mm
Ø 4,4 mm
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用棘轮扳手植入种植体
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植入种植体
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种植体垂直向位置
45°肩台外缘和骨平面平齐 对于扇贝型牙槽嵴顶，种植体肩台外缘中点和骨平面平齐
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美学病例的外科要求：
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第1步- 打开外包装
在外包装内有4个 小包装和使用说 A 明 外包装是有菌的
B
C
D
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第2步 - 撕下一个小包装
把一个小包装和 其他小包装折返 A 几次 (B) 取下其中一个小 包装 (C,D)
C D B
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Ø 4,7 mm
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愈合
埋入式愈合 用愈合螺丝封闭种植体
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龈下愈合 – 二次手术
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愈合
非埋入式愈合 拧入愈合基台使牙龈成型
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个性化愈合基台 (聚合树脂)