Basic information on the SURGICAL PROCEDURE - Straumann

More documents

Recommendations

Info

10 Risk factors p radiotherapy may induce vascular fibrosis and thrombosis, with subsequent tissue breakdown and development of chronic non-healing wounds (epstein et al. 1997; Wong et al. 1997). therefore, irradiated bone should be viewed as a risk factor for implant insertion, and an adequate waiting period after radiotherapy is recommended (esser & Wagner 1997; Jisander et al. 1997; Granström & tjellström 1997). p severe diabetes, especially juvenile diabetes (type 1), is considered a risk factor, whereas patients with well-controlled type 2 diabetes do not need to be excluded from implant therapy (shernoff et al. 1994; oikarinen et al. 1995). p Bleeding disorders such as hemorrhagic diathesis or drug-induced anticoagulation should be considered as risk factors for implant therapy. p heavy smoking has been shown to adversely affect the long-term prognosis of dental implants (Bain & moy 1993; Gorman et al. 1994; Bain 1996; haas et al. 1996; Lindquist et al. 1996). Prerequisites for implant placement p undisturbed wound healing capacity p Jaw growth completed risk factors p irradiated bone p severe diabetes p Bleeding disorders p heavy smoking high risk factors p serious systemic diseases p immunocompromised patients p Drug abuse p uncooparative patients Table 3.1 General and medical aspects
Local aspects General local prerequisites for implant placement are a stomatognathic system without infectious diseases and apparently healthy bone at the recipient site. Local contraindications include temporary contraindications and local risk factors. 1. Contraindications severe uncontrolled systemic diseases, metabolic bone disorders, -uncontrolled haemorrhagic diseases, uncooperative/unmotivated -patient, drug or alcohol abuse, psychosis, prolonged treatment-resistant functional disorders, xerostomia, reduced immunity, diseases with periodic use of steroids, titanium allergy, uncontrollable endocrine diseases. 2. Relative contraindications Previously irradiated bone, diabetes mellitus, medical anticoa-gulation/haemorrhagic diathesis, bruxism, parafunctional habits, -unfavorable bone anatomy, tobacco abuse, uncontrolled -periodontitis, temporomandibular joint disease, pathological jaw disease and oral mucosal abnomnalities amenable to treatment, pregnancy, inadequate oral hygiene. 3. Temporary contraindications p Insufficient bone volume at the future implant site is today considered only a temporary contraindication because a number of different bone reconstructive techniques have been developed for ridge augmentation prior to or simultaneous with implant placement (Buser et al. 1994; Buser et al. 1996; von arx et al. 1998; von arx & Kurt 1998). p Untreated periodontitis must be adequately addressed prior to initiation of implant therapy. Possible cross-infections from periodontally diseased teeth to implants should be prevented by periodontal therapy and a proper maintenance protocol (mombelli & Lang 1992; meffert 1993; mombelli 1993; cune & de Putter 1996; Gouvoussis et al. 1997). p a residual root at the implant site also poses a temporary contraindication and should be removed prior to implant placement. in special cases, the root can be immediately replaced by a dental implant. p any local infection or pathologic condition of the bone and the covering soft tissues must be adequately treated weil before implant placement. 11
Page 1 and 2: Basic info
Page 3 and 4: contents 1. Straumann ® Dental Imp
Page 5 and 6: Available surfaces: SLActive and SL
Page 7 and 8: p Contraindications p restorations
Page 9 and 10: Prosthetic restoration Notes rn syn
Page 11: 2. PrinciPLes of treatment PLanninG
Page 15 and 16: 3. treatment PLanninG careful treat
Page 17 and 18: in the examples given here, the mea
Page 19 and 20: Planning aids for determining the v
Page 21 and 22: Planning aids for implant selection
Page 23 and 24: Custom made drilling templates a cu
Page 25 and 26: 4. surGicaL instruments the instrum
Page 27 and 28: Cleaning and care of instruments Ca
Page 29 and 30: Tips on surgical procedure rapid su
Page 31 and 32: p Multi-use profile drill: there ar
Page 33 and 34: p Manual tapping at the top of the
Page 35 and 36: Preparation of the implant bed for
Page 37 and 38: Insertion Standard implant Ø 4.1 m
Page 39 and 40: Preparation of the implant bed for
Page 41 and 42: Correct fit of the Tapered Effect i
Page 43 and 44: Surgical auxiliary instruments Adap
Page 45 and 46: Implantation procedure SLA ® Openi
Page 47 and 48: p move the implant into final posit
Page 49 and 50: p attach the ratchet (the clockwise
Page 51 and 52: 7. imPLant cLosure after implantati
Page 53 and 54: Immediate restoration of Straumann
Page 55 and 56: Temporary restoration healing caps
Page 57 and 58: 9. aDDitionaL ProDucts Osteotomes p
Page 59 and 60: 10. aDDitionaL information<
Page 61: IMPORTANT NOTES Disclaimer of liabi

Basic information on the SURGICAL PROCEDURE - Straumann

Create successful ePaper yourself

Delete template?

Save as template?