口腔外科手术步骤

外科手术步骤,Straumann骨水平种植体,2,Education,与软组织水平种植体相比需要的新工具,+,3,Education,2.8mm,3.5mm,4.2mm,骨水平成型钻,4,Education,骨水平成型钻,5,Education,Straumann骨水平种植体,6,Education,3.3mm,4.1mm,4.8mm,BL/TE攻丝钻,7,Education,手用、机用种植体携带器扳手,8,Education,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,9,Education,Step5,扩孔/测量,Step6,扩孔/测量,Step7,扩孔/测量,备洞,10,Education,备洞,800rpm600rpm500rpm400rpm,11,Education,备洞,成型钻由于种植体的顶端有膨大，所以很有必要成型,300rpm,12,Education,备洞,机用15rpm或者手动植入,选择性步骤:骨密度较高时攻丝用BL/TE攻丝钻100%攻丝,13,Education,手动方法,机用方法,用种植体扳手取出种植,14,Education,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15rpm,15,Education,用棘轮扳手植入种植体,16,Education,植入种植体,17,Education,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,种植体垂直向位置,18,Education,4mm,美学病例的外科要求：,种植体上的4mm高种植体携带器可以用作深度指示,牙龈愈合,20,Education,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,21,Education,愈合帽、愈合基台,NC愈合帽&愈合基台,RC愈合帽&愈合基台,22,Education,愈合螺丝NarrowCrossFit,23,Education,愈合螺丝RegularCrossFit,24,Education,愈合基台NarrowCrossFit,3,6mm,3,5mm,5mm,2mm,25,Education,愈合基台NarrowCrossFit,4,8mm,3,5mm,5mm,2mm,26,Education,愈合基台RegularCrossFit,4,5mm,2mm,4mm,6mm,27,Education,愈合基台RegularCrossFit,6mm,2mm,4mm,6mm,28,Education,愈合基台NarrowCrossFit瓶状,3,5mm,5mm,3,3mm,29,Education,愈合基台RegularCrossFit瓶状,4,4mm,4,7mm,3,5mm,6mm,30,Education,愈合,埋入式愈合用愈合螺丝封闭种植体,31,Education,龈下愈合二次手术,32,Education,愈合,非埋入式愈合拧入愈合基台使牙龈成型,33,Education,个性化愈合基台(聚合树脂),适应症个性化牙龈成型,34,Education,个性化愈合基台,步骤,无菌愈合螺丝,36,Education,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:0mm高和0.5mm高NC:0mm高和0.5mm高,37,Education,第1步-打开外包装,在外包装内有4个小包装和使用说明外包装是有菌的,A,B,C,D,外包装由未消毒护士打开,38,Education,第2步-撕下一个小包装,把一个小包装和其他小包装折返几次(B)取下其中一个小包装(C,D),A,B,C,D,外包装由未消毒护士打开,39,Education,Step3-Openingablisterpack,Peeloffblisterfoil(A,B)Removethepresspad(C)DonotcontaminateClosureScrewPlaceopenblisteronanunsterilebase,A,B,C,D,外包装由未消毒护士打开,40,Education,Step4-pickingupsterileClosureScrew,ClosureScrewisfixateduprightinblisterpack(A)pickupClosureScrewwithSCSscrewdriverFrictionfittosecureClosureScrew,A,B,C,Thisstepisperformedbythesurgeon.,D,48htool,StepbyStep,42,Education,Purposeof48htool,AvailableforNCandRCRemovalofplacedimplantfrompatientSubstitutefortransferpartaftertransferpartfailureImplantsneedstobedischargedafterremovalCanbedoneupto48hafterplacement,afterwardsosseointegrationistoofaradvanced!Donotuseforheightcorrection,43,Education,Situation,Implantstuck&transferpiecebreaks,44,Education,Situation,Implantstuck&transferpiecebreakstransferparthaspredeterminedbreakagepoint:RC:100NcmNC:80NcmUpuntilthistheinternalconnectionwillnotbedamagedThebreakagepointislocatedattheheadofthetransferscrew,45,Education,RemovingtheImplant,Removeadapterwithscrewhead,46,Education,RemovingtheImplant,Removetransfernutfromimplant(Nounscrewingneeded)TheremainingscrewisstillsecuredwithintheimplantCautionMakesurethetransfernutisnotaspirated,47,Education,RemovingtheImplant,RemoveremainingscrewWithtweezersorpliersbycounterclockrotationsCautionMakesuretheremainingscrewisnotaspirated,48,Education,RemovingtheImplant,Mount48htoo