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Basic information on the SURGICAL PROCEDURE - Straumann

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Planning aids for determining <strong>the</strong> vertical b<strong>on</strong>e availability<br />

X-ray reference spheres<br />

to make it easier to determine <strong>the</strong> vertical b<strong>on</strong>e availability, use of an X-ray template<br />

with X-ray reference spheres is recommended. <strong>the</strong> selected implant positi<strong>on</strong>s are<br />

marked <strong>on</strong> <strong>the</strong> study cast. <strong>the</strong> X-ray reference spheres are fixed at <strong>the</strong> marked points<br />

and <strong>the</strong> vacuum-formed template is <strong>the</strong>n made with <strong>the</strong> spheres. <strong>the</strong> subsequently<br />

taken X-ray shows <strong>the</strong> vertical b<strong>on</strong>e availability and mucosal thickness from which <strong>the</strong><br />

corresp<strong>on</strong>ding implant length and type (standard or standard Plus) can be derived,<br />

under c<strong>on</strong>siderati<strong>on</strong> of <strong>the</strong> enlargement factor.<br />

<strong>the</strong> X-ray reference sphere has a diameter of 5 mm. <strong>the</strong> image of <strong>the</strong> sphere <strong>on</strong> <strong>the</strong><br />

X-ray provides <strong>the</strong> reference value for <strong>the</strong> magnificati<strong>on</strong> scale.<br />

X-ray templates<br />

<strong>the</strong> X-ray templates are used for measurement and comparis<strong>on</strong> and assist <strong>the</strong> user in<br />

selecting <strong>the</strong> suitable implant type, diameter and length. <strong>the</strong> following X-ray templates<br />

are available:<br />

p for standard and standard Plus implants, art. no. 150.215<br />

p for tapered effect implants, art. no. 150.230<br />

analogous to <strong>the</strong> distorti<strong>on</strong>s that occur in X-rays, <strong>the</strong> implant dimensi<strong>on</strong>s are shown <strong>on</strong><br />

<strong>the</strong> individual templates with <strong>the</strong> corresp<strong>on</strong>ding distorti<strong>on</strong> factors (1.0:1 to 1.7:1).<br />

Determinati<strong>on</strong> of each magnificati<strong>on</strong> factor or scale is facilitated by showing <strong>the</strong><br />

X-ray reference sphere <strong>on</strong> <strong>the</strong> template (in additi<strong>on</strong> to <strong>the</strong> scale in each case).<br />

<strong>the</strong> first stage c<strong>on</strong>sists of comparing <strong>the</strong> size of <strong>the</strong> X-ray reference sphere <strong>on</strong> <strong>the</strong><br />

patient’s X-ray with <strong>the</strong> size of <strong>the</strong> reference sphere <strong>on</strong> <strong>the</strong> template. By superimposing<br />

<strong>the</strong> two pictures, <strong>the</strong> correct scale can be found. <strong>the</strong> spatial relati<strong>on</strong>s around <strong>the</strong><br />

implant positi<strong>on</strong> are <strong>the</strong>n determined and <strong>the</strong> implant length and inserti<strong>on</strong> depth are<br />

established.<br />

Tapered Effect Implant<br />

1.0 : 1<br />

0<br />

2<br />

4<br />

6<br />

8<br />

10<br />

12<br />

14<br />

16<br />

Tapered Effect Implant<br />

1.1 : 1<br />

0<br />

2<br />

4<br />

6<br />

8<br />

10<br />

12<br />

14<br />

16<br />

(049.076V4) = Ø 5,0 mm<br />

S<br />

Ø 3,3 mm<br />

RN<br />

S<br />

Ø 3,3 mm<br />

RN<br />

S<br />

Ø 4,1 mm<br />

RN<br />

S = <strong>Straumann</strong> Standard implant<br />

SP = <strong>Straumann</strong> Standard Plus implant<br />

(049.076V4) = Ø 5,5 mm<br />

Ø 3,3 mm<br />

RN<br />

Ø 3,3 mm<br />

RN<br />

S<br />

Ø 4,1 mm<br />

RN<br />

(049.076V4) = Ø 5,0 mm<br />

Ø 4,1 mm<br />

RN<br />

(049.076V4) = Ø 5,5 mm<br />

Ø 4,1 mm<br />

RN<br />

S<br />

Ø 4,8 mm<br />

RN<br />

S<br />

Ø 4,8 mm<br />

RN<br />

Ø 4,8 mm<br />

WN<br />

Ø 4,8 mm<br />

WN<br />

S<br />

Ø 4,8 mm<br />

WN<br />

S<br />

Ø 4,8 mm<br />

WN<br />

0,4 mm<br />

SP<br />

Ø 3,3 mm<br />

NN<br />

NN = Narrow Neck (Ø 3,5 mm)<br />

RN = Regular Neck (Ø 4,8 mm)<br />

max. 0,4 mm<br />

SP<br />

Ø 3,3 mm<br />

NN<br />

0<br />

2<br />

4<br />

6<br />

8<br />

10<br />

12<br />

14<br />

16<br />

0<br />

2<br />

4<br />

6<br />

8<br />

10<br />

12<br />

14<br />

16<br />

SP<br />

Ø 3,3 mm<br />

RN<br />

SP<br />

Ø 3,3 mm<br />

RN<br />

Ø 3,3 mm<br />

RN<br />

Ø 3,3 mm<br />

RN<br />

RN = Regular Neck (Ø 4,8 mm)<br />

WN = Wide Neck (Ø 6,5 mm)<br />

SP<br />

Ø 4,1 mm<br />

RN<br />

SP<br />

Ø 4,1 mm<br />

RN<br />

SP<br />

Ø 4,8 mm<br />

RN<br />

SP<br />

Ø 4,8 mm<br />

RN<br />

SP<br />

Ø 4,8 mm<br />

WN<br />

WN = Wide Neck (Ø 6,5 mm)<br />

Ø 4,1 mm<br />

RN<br />

Ø 4,1 mm<br />

RN<br />

Ø 4,8 mm<br />

WN<br />

Ø 4,8 mm<br />

WN<br />

SP<br />

Ø 4,8 mm<br />

WN<br />

X-ray template for Standard and Standard<br />

Plus implants (Art. No. 150.215)<br />

0<br />

2<br />

4<br />

6<br />

8<br />

10<br />

12<br />

14<br />

16<br />

0<br />

2<br />

4<br />

6<br />

8<br />

10<br />

12<br />

14<br />

16<br />

X-ray template for Tapered Effect Implants<br />

(Art. No. 150.230)<br />

����������������������<br />

Example: scale 1.1:1 = ball-bearing<br />

Ø 5.5 mm<br />

07/07 150.215 E20807<br />

07/07 150.230 E20807<br />

1

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