implant principles

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,

,

@drhadihoseini

drhadihoseini@gmail.com

:http://www.slideshare.net/hadidezyan

Calcium phosphated

3 5

:

400 : :

CNC

SLA: - - S & E SL ActiveRBM: Resorbable Blast Media RBM Plus

(Gingival Former)

18

97% fail IA

:

HBA1CFBSBS

5 :

Cost/benefit

10 12 mm 4 mm

maxillary sinus pneumatization

1 mm 2 mm

CBCT

CBCT CBCTCBCT

CBCT ...

CBCT

CBCT CBCT

1 7 14 60 90 ...

:

:

:

: PSA : indirect Gow-gates

PAIN AND ANXIETY CONTROLLocal AnesthesiaSedation

DEVELOPING A SURGICAL DIAGNOSIS 37BASIC NECESSITIES FOR SURGERY 37ASEPTIC TECHNIQUE 38INCISIONS 38FLAP DESIGN 38Prevention of Flap Necrosis 38Prevention of Flap Dehiscence 39Prevention of Flap Tearing 39TISSUE HANDLING 39HEMOSTASIS 40Means of Promoting Wound Hemostasis 40Dead Space Management 41DECONTAMINATION AND DBRIDEMENT 41EDEMA CONTROL 41PATIENT GENERAL HEALTH AND WOUND HEALING

ASEPTIC TECHNIQUE

Aseptic technique includes minimizing wound contamination by pathogenic microbes

INCISIONS

Many oral and maxillofacial surgical procedures necessitate incisions. A few basic principles are important to remember when performing incisions.

FLAP DESIGNSurgical flaps are made to gain surgical access to an area or to move tissue from one place to another. Several basic principles of flap design must be followed to prevent the complications of flap surgery: necrosis, dehiscence,tearing.

TISSUE HANDLING

HEMOSTASIS

Prevention of excessive blood loss during surgery is important for preserving a patients oxygen-carrying capacity.

Instrumentation for Basic Oral SurgeryINCISING TISSUE 66ELEVATING THE MUCOPERIOSTEUM 68RETRACTING SOFT TISSUE 68GRASPING SOFT TISSUE 69CONTROLLING HEMORRHAGES 70REMOVING BONE 70Rongeurs 70Bur and Handpiece 71Mallet and Chisel 71Bone File 71REMOVING SOFT TISSUE FROMBONY CAVITIES 72SUTURING SOFT TISSUE 72Needle Holder 72Suture Needle 72Suture Material 73Scissors 74HOLDING THE MOUTH OPEN 74SUCTIONING 75HOLDING TOWELS AND DRAPESIN POSITION 76IRRIGATING 76EXTRACTING TEETH 76Dental Elevators 76Types of Elevators 77Periotomes 78Extraction Forceps 78Forceps Components 78Maxillary Forceps 80Mandibular Forceps 80INSTRUMENT TRAY SYSTEMS 83

INCISING TISSUE

INCISING TISSUE

INCISING TISSUE

ELEVATING THE MUCOPERIOSTEUM

RACTING SOFT TISSUE

RACTING SOFT TISSUE

GRASPING SOFT TISSUE

CONTROLLING HEMORRHAGES

REMOVING BONE

REMOVING BONE

REMOVING SOFT TISSUE FROMBONY CAVITIES

SUTURING SOFT TISSUE

SUTURING SOFT TISSUE

SUTURING SOFT TISSUE

SUTURING SOFT TISSUE

SUTURING SOFT TISSUE

SUCTIONING

HOLDING TOWELS AND DRAPESIN POSITION

IRRIGATING

EXTRACTING TEETHDental ElevatorsPeriotomesExtraction ForcepsRoot Extraction Forceps

Dental Elevators

Dental Elevators

Periotomes

113

Extraction Forceps

Extraction Forceps

surgical extraction tray

: :

GERAR RATIO . .

. . .

Program: #1Gear Ratio: 1;20-1;16Torque: 35-55Speed: 800-1200 rpmIrrigation flow:0-4Arrow: FWD

Program: #2Gear Ratio: 1;20-1;16Torque: 20-40Speed: 30-50 rpmIrrigation flow:0-4Arrow: FWD

Program: #3Gear Ratio: 1;1Torque: noSpeed: up to 9000Irrigation flow:0-4Arrow: FWD

User friendly

( )GBR-GTR

: 6 mm 4 mm 2 4 mm

short Implant

mini narrow

tissue level Bone level

0 15 25 UCLA

irrigation irrigation