Basic information on the SURGICAL PROCEDURE - Straumann

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5. surGicaL ProceDure Drilling procedure for Standard and Standard Plus implants Preparation of the alveolar ridge after opening the gingiva, a narrowly tapering ridge can be carefully reduced and smoothed with a large round burr in order to obtain a flat bone surface and provide a sufficiently wide area of bone. When choosing the implant length (sLactive/sLa ® surface), the vertical reduction of the bone has to be considered. Rule of thumb: the orofacial bone wall around the implant must be at least 1 mm thick. after the alveolar ridge has been prepared appropriately, preparation of the implant bed can commence. Depending on the situation, bone scal- loping in the region of the subsequent implant bed (with the aid of a large round burr) is recommended prior to preparation of the implant bed. the implantation site is then marked with the smallest round burr. it is then widened with the remaining round burs in ascending order with constant cooling. this procedure makes it possible to correct the position slightly, if necessary. to insert an implant with an endosteal Ø 3.3 mm, the use of the round burr Ø 3.1 mm is not necessary and is not recommended. Ø 1.4 mm max. 800 rpm Ø 2.3 mm max. 800 rpm Ø 3.1 mm max. 800 rpm
Preparation of the implant bed for Standard and Standard Plus implants 1. the first step consists of drilling with pilot drill 1 (Ø 2.2 mm) to a depth of about 6 mm using light pressure and with adequate water cooling. 2. the alignment pin is then used to check that the drill orientation is correct. 3. the depth gauge with distance ring enables checking of the probable position of the implant shoulder. the distance ring visualises the shoulder diameter of 4.8 mm (rn). at this stage, an unsatisfactory implant axis orientation can still be corrected. 4. Drilling is continued to the desired depth with pilot drill 1. the correct insertion depth is measured, again with the aid of the alignment pin. Tip Particularly with vertically reduced bone availability, it is advisable to take an X-ray in this phase. The alignment pin is pushed in to visualise the drill hole relative to the anatomical structures. 5. the preparation of the implant bed is continued with pilot drill 2 (Ø 2.8 mm) to the appropriate insertion depth of the selected implant. 6. the correct drill depth is then checked with the depth gauge. the implant bed now has a diameter of 2.8 mm. 1. 2. 3. 4. 5. 6. 1. Pilot drill 1, Ø 2.2 mm 2. Alignment pin Ø 2.2 mm 3. Depth gauge with distance indicator Ø 2.2 mm/2.8 mm 4. Pilot drill 1, Ø 2.2 mm 5. Pilot drill 2 Ø 2.8 mm 6. Depth gauge with distance indicator Ø 2.2 mm/2.8 mm
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 and 12: 2. PrinciPLes of treatment PLanninG
Page 13 and 14: Local aspects General local prerequ
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: p Manual tapping at the top of the
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

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