Dental Asia March/April 2019

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User Report An X-ray is taken to check the arch obtained; the quantity of biomaterial used is 1 cm 3 or 0.5 g (Fig. 13). The implant (Fig. 14) is placed manually with the help of a universal screwdriver included in the kit. The postoperative X-rays show the bone increase obtained (Figs. 15-16). Fig. 5: Resumed initial drilling 2.0 deeper. Fig. 9: Re-insertion of material in the drilling channels. Fig. 6: Follow-up X-ray with drill bur in place. The first two osteotomes of the sequence are used, carefully placing previously hydrated biomaterial in the drilling channels before impaction (Figs. 7-10). Fig. 10: Osteotome No. 2 In order to avoid all risks of perforating the Schneiderian membrane, the depth of penetration of the osteotomes is the same as the initial bone height (4.5 mm in our case). The third osteotome will complement the elevation of the membrane through condensation, by interposing bone filling each time. The total volume of the biomaterial used must allow elevation sufficient to place a 10 mm implant (Figs. 10-12). Fig. 13: X-ray of arch obtained. Fig. 7: Placement of bone filling material before osteotomy. Fig. 11: Osteotome No. 3 Fig. 14: Implant placement. Fig. 8: Osteotomy is initiated (osteotome No. 1). Fig. 12: Final osteotomy No. 3 Fig. 15: Postoperative panoramic X-ray. 58 DENTAL ASIA MARCH / APRIL <strong>2019</strong>
User Report Fig. 16: Postoperative retro-alveolar X-ray. Case 2 A 43-year-old female non-smoker patient presented to do implants. Treatment planning for implants (Figs. 17-18) show that two Axiom PX implants measuring 4 mm in diameter and 10 mm in length can be placed after developing the bone through the Summers technique with concave end osteotomes (initial bone thickness = 6 mm). Fig. 19: X-ray with drill burs in place. Fig. 20: Placement of a small amount of bone filling material before osteotomy. The second and third inserts are later used automatically with interposition each time with a small amount of filling material in the drilling channels. The concave end “scrapes” the sides and collects bone particles that help increase bone volume when mixed with the biomaterial - the amount used is 0.5 cm 3 or 0.25 g per implant (Figs. 24-26). A follow-up X-ray of the arch obtained is always taken before placing the implants (Fig. 27). Thanks to the automatic impactions of Osteo Safe ® held with one hand, the surgery can take place quickly. The universal screwdriver allows the manual placement of implants with no excess torque, thereby controlling the insertion axis perfectly (Fig. 28). Fig. 17: Preoperative panoramic X-ray Fig. 21: Osteotome No. 1 (concave end). Fig. 24: Re-insertion of bone filling material in the drilling channels. Fig. 18: Preoperative 3D with implant planning. Drilling is initiated with a Ø2.0 mm bur at a depth of 5 mm (Fig. 19). The first osteotome is used with an amount of biomaterial (Figs. 20-22) which allows lifting the membrane by condensation. As the sinus floor is highly corticalised, the osteotomy is performed with a percussion technique by means of the same osteotome assembled on the manual handle included in the kit (hammer not included) (Fig. 23). Fig. 22: Osteotomy is initiated. Fig. 23: Floor perforation with hammering technique. Fig. 25: Osteotome No. 2 (concave end). Fig. 26: Osteotome No. 3 (concave end). MARCH / APRIL <strong>2019</strong> DENTAL ASIA 59
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CONTENTS MARCH / APRIL 2019 18 24 2
Page 6:
First Words The New Age of Digitali
Page 10 and 11: Dental Updates New VOCO Prophylaxis
Page 12: Dental Updates AACD Welcomes 2019 C
Page 15 and 16: Periodontal Disease Bacteria Linked
Page 18 and 19: Dental Updates Henry Schein One Acq
Page 20 and 21: Under the Spotlight 18 DENTAL ASIA
Page 22 and 23: Under the Spotlight It is easy for
Page 24 and 25: Word of Mouth by Dr. Christoper Ho
Page 26 and 27: CELEBRATING DIGITAL TRANSFORMATION
Page 28 and 29: Dental Profile achieve very good re
Page 31 and 32: Dental Profile TAKING DIGITAL IMPRE
Page 33 and 34: Dental Profile The high-precision S
Page 35 and 36: Dental Profile MARCH / APRIL 2019 D
Page 37 and 38: Clinical Feature The importance of
Page 39 and 40: Fig. 8: X-ray after extraction show
Page 42 and 43: Clinical Feature Glass Ionomer Seal
Page 44 and 45: Clinical Feature Fig. 1.1: An erupt
Page 46 and 47: Clinical Feature 7 TH GENERATION AD
Page 48 and 49: Clinical Feature 1. Decay is noted
Page 50 and 51: User Report CENTION N: REDEFINING D
Page 53 and 54: User Report Amalgam GIC Cention N P
Page 56: User Report Fig. 15: Teeth 46 and 4
Page 59: User Report initial drilling channe
Page 64 and 65: Behind the Scenes REPLACEMENT OF EX
Page 66 and 67: Behind the Scenes angles due to the
Page 68 and 69: Behind the Scenes and silanated for
Page 70 and 71: Behind the Scenes A JOURNEY THROUGH
Page 72 and 73: Behind the Scenes Fig. 11 Fig. 15 r
Page 74 and 75: Behind the Scenes The overall aesth
Page 77 and 78: In Depth With Fig. 1: Primescan - t
Page 79 and 80: In Depth With The blue light used b
Page 81: In Depth With The first set of data
Page 85 and 86: In Depth With Extending Dental Oper
Page 87 and 88: In Depth With combines the cutting-
Page 89 and 90: Product Highlight BRAVIA ® XL Spec
Page 91 and 92: Product Highlight COLTENE Unveils t
Page 93 and 94: Product Highlight 3Shape launches T
Page 96 and 97: Show Preview 9 th -12 th June 2019
Page 98 and 99: Giving Back to Society February is
Page 102: Advertisers’ Index Advertisers Pa
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Dental Asia March/April 2019

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