{"id":36008,"date":"2019-10-31T22:09:07","date_gmt":"2019-10-31T19:09:07","guid":{"rendered":"https:\/\/prohoster.info\/blog\/ustanovka-implantata-kak-eto-delaetsya\/"},"modified":"2019-10-31T22:09:07","modified_gmt":"2019-10-31T19:09:07","slug":"ustanovka-implantata-kak-eto-delaetsya","status":"publish","type":"post","link":"https:\/\/prohoster.info\/hu\/blog\/news\/ustanovka-implantata-kak-eto-delaetsya","title":{"rendered":"Implant\u00e1tum be\u00fcltet\u00e9se: hogyan t\u00f6rt\u00e9nik?","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Implant\u00e1tum
\nTisztelt bar\u00e1taim! Ma szeretn\u00e9m elmondani, \u00e9s ami a legfontosabb, megmutatni nektek \u2014 hogyan zajlik az implant\u00e1tum be\u00fcltet\u00e9se \u2014 minden eszk\u00f6zzel \u00e9s egy\u00e9b dologgal egy\u00fctt. Ha a fogsor elt\u00e1vol\u00edt\u00e1si folyamatr\u00f3l<\/a><\/noindex>, k\u00fcl\u00f6n\u00f6sen a b\u00f6lcsess\u00e9gfogr\u00f3l<\/a><\/noindex> m\u00e1r besz\u00e9ltem, itt az ideje, hogy valami komolyabbr\u00f3l besz\u00e9ljek.<\/p>\n

FIGYELEM!-Figyelem!-Pozor!-Attention!-Achtung!-Attenzione!-FIGYELEM!-Figyelem!-Pozor!<\/p>\n

Az al\u00e1bbiakban bemutat\u00e1sra ker\u00fclnek a m\u0171t\u00e9t k\u00f6zben k\u00e9sz\u00fclt f\u00e9nyk\u00e9pek! Fogak, \u00edny, v\u00e9r \u00e9s sz\u00f6vetek l\u00e1that\u00f3k. K\u00e9rem, akik \u00e9rz\u00e9kenyek, ne olvass\u00e1k el ezt a cikket.<\/b><\/p><\/blockquote>\n

<\/a><\/noindex>
\nM\u00e9g mindig itt vagy? Akkor n\u00e9zz\u00fck!<\/p>\n

Konzult\u00e1ci\u00f3 \u00e9s vizsg\u00e1lat<\/h3>\n

\nA vizu\u00e1lis ellen\u0151rz\u00e9s mellett:<\/p>\n

\"Implant\u00e1tum
\n
\nSz\u00fcks\u00e9g van r\u00f6ntgen vizsg\u00e1latra. Ebben az esetben a sima OPG (panor\u00e1ma r\u00f6ntgen) nem elegend\u0151. Sz\u00fcks\u00e9g lesz CBCT<\/b> (k\u00fapos sugar\u00fa sz\u00e1m\u00edt\u00f3g\u00e9pes tomogr\u00e1fi\u00e1ra).<\/p>\n

\"Implant\u00e1tum
\n<\/p>\n

Mi a k\u00fcl\u00f6nbs\u00e9g?<\/h3>\n

\nOPG<\/b> (ortopantomogr\u00e1fia) \u2014 a fog- \u00e9s \u00e1llkapocs rendszer \u00f6sszes\u00edt\u0151 k\u00e9pe. Ez a k\u00e9p s\u00edkbeli, teh\u00e1t minden r\u00e9sz az egym\u00e1sra helyezett r\u00e9tegekb\u0151l \u00e1ll. K\u00f6vetkez\u00e9sk\u00e9ppen a vizsg\u00e1lt objektum \u2014 k\u00fcl\u00f6n\u00f6sen a tervezett implant\u00e1ci\u00f3 helye \u2014 minden s\u00edkban, m\u00e1s sz\u00f6gb\u0151l vagy m\u00e1s vet\u00fcletben nem l\u00e1that\u00f3.<\/p>\n

CBCT<\/b> (k\u00fapos sugar\u00fa sz\u00e1m\u00edt\u00f3g\u00e9pes tomogr\u00e1fia) \u2014 a 3D t\u00e9rbeli k\u00e9peinknek \u00e9ppen ellenkez\u0151leg, lehet\u0151s\u00e9get ad erre.<\/p>\n

\"Implant\u00e1tum
\n
\nEbben az esetben a csontsz\u00f6vet mennyis\u00e9ge elegend\u0151 az optim\u00e1lis m\u00e9ret\u0171 implant\u00e1tum stabiliz\u00e1l\u00e1s\u00e1hoz, \u00e9s az \u00edny min\u0151s\u00e9ge lehet\u0151v\u00e9 teszi a eszt\u00e9tikai kont\u00far kialak\u00edt\u00e1s\u00e1t tov\u00e1bbi elj\u00e1r\u00e1sok n\u00e9lk\u00fcl:<\/p>\n

\"Implant\u00e1tum
\n
\nA sz\u00fcks\u00e9ges vizsg\u00e1latok elv\u00e9gz\u00e9se ut\u00e1n k\u00f6zvetlen\u00fcl a be\u00fcltet\u00e9sre t\u00e9r\u00fcnk \u00e1t.<\/p>\n

Minden a helyi \u00e9rz\u00e9stelen\u00edt\u00e9ssel kezd\u0151dik. Senki sem akar f\u00e1jdalomt\u00f3l ki\u00e1ltani a m\u0171t\u00e9t sor\u00e1n, ugye?<\/p>\n

A diszkomfort \u00e9rz\u00e9sek minimaliz\u00e1l\u00e1sa \u00e9rdek\u00e9ben \u00e9s hogy a t\u0171sz\u00far\u00e1s ne legyen f\u00e1jdalmas \u2014 alkalmazott aneszt\u00e9zia ker\u00fcl sz\u00f3ba. Ezut\u00e1n<\/b><\/p>\n

\"Implant\u00e1tum
\n
\naz \u00e9rz\u00e9stelen\u00edt\u0151t beinjekci\u00f3zzuk a tervezett m\u0171t\u00e9ti ter\u00fcletre. A f\u00e9nyk\u00e9pen egy \u00fajrahaszn\u00e1lhat\u00f3 karpuly\u00e1s fecskend\u0151 l\u00e1that\u00f3, amelyet term\u00e9szetesen minden p\u00e1ciens ut\u00e1n steriliz\u00e1lnak, ak\u00e1rcsak b\u00e1rmely m\u00e1s eszk\u00f6zt. K\u00e9t eldobhat\u00f3 karpula \u00e9rz\u00e9stelen\u00edt\u0151vel \u00e9s k\u00e9t k\u00fcl\u00f6nb\u00f6z\u0151 hossz\u00fas\u00e1g\u00fa t\u0171: Hogyan n\u00e9z ki a sz\u00e1j\u00fcregben:<\/b> \u0430 helyi \u00e9rz\u00e9stelen\u00edt\u00e9s a tervezett m\u0171t\u00e9t ter\u00fclet\u00e9n. A k\u00e9pen egy \u00fajrahaszn\u00e1lhat\u00f3 kartuszfecskend\u0151 l\u00e1that\u00f3, amely term\u00e9szetesen minden p\u00e1ciens ut\u00e1n steriliz\u00e1l\u00f3dik, ak\u00e1rcsak b\u00e1rmely m\u00e1s eszk\u00f6z. K\u00e9t eldobhat\u00f3 kartusz \u00e9rz\u00e9stelen\u00edt\u0151vel \u00e9s k\u00e9t k\u00fcl\u00f6nb\u00f6z\u0151 hossz\u00fas\u00e1g\u00fa t\u0171:<\/p>\n

\"Implant\u00e1tum
\n
\nHogyan n\u00e9z ki a sz\u00e1j\u00fcregben:<\/p>\n

\"Implant\u00e1tum
\n
\nAneszt\u00e9zia ut\u00e1n skalpellel v\u00e9gzik a metsz\u00e9st<\/b>, valamint a k\u00f6zismert disszektorral - a csont szekt\u00e1l\u00e1sa<\/b>. (a periosteum elk\u00fcl\u00f6n\u00edt\u00e9se a csont kompakt anyag\u00e1t\u00f3l).<\/p>\n

\"Implant\u00e1tum
\n
\nMetsz\u00e9s:<\/p>\n

\"Implant\u00e1tum
\n
\nCsont szekt\u00e1l\u00e1s:<\/p>\n

\"Implant\u00e1tum
\n
\nEzut\u00e1n elv\u00e9gezz\u00fck az implant\u00e1tum hely\u00e9nek el\u0151k\u00e9sz\u00edt\u00e9s\u00e9t (prepar\u00e1l\u00e1s).<\/p>\n

Az al\u00e1bbiakban bemutatunk egy n\u00e9met implantol\u00f3giai rendszer k\u00e9szlet\u00e9t, amelyet a gyakorlatomban haszn\u00e1lok.<\/p>\n

\"Implant\u00e1tum
\n
\nA seb\u00e9szeti k\u00e9szlet mellett rendelkez\u00e9s\u00fcnkre \u00e1ll egy speci\u00e1lis eszk\u00f6z, amelyet fiziodispencernek h\u00edvnak:<\/p>\n

\"Implant\u00e1tum
\n
\nA hagyom\u00e1nyos fogorvosi f\u00far\u00f3val ellent\u00e9tben lehet\u0151v\u00e9 teszi nemcsak a fordulatsz\u00e1m pontos szab\u00e1lyoz\u00e1s\u00e1t \u00e9s a v\u00e1g\u00f3szersz\u00e1m h\u0171t\u00e9s\u00e9t fiziol\u00f3giai s\u00f3oldattal, hanem a nyomat\u00e9k ellen\u0151rz\u00e9s\u00e9t is.<\/p>\n

A be\u00fcltet\u00e9s a jel\u00f6l\u00e9ssel kezd\u0151dik. Ezt g\u00f6mbf\u00far\u00f3val v\u00e9gezz\u00fck:<\/p>\n

\"Implant\u00e1tum
\n
\nEzut\u00e1n, 2 mm \u00e1tm\u00e9r\u0151j\u0171 pil\u00f3taf\u00far\u00f3val megadjuk a j\u00f6v\u0151beli implant\u00e1tum hely\u00e9nek tengely\u00e9t, amelyet c\u00e9lt\u0171kkel ellen\u0151rz\u00fcnk*<\/p>\n

\"Implant\u00e1tum
\n*Eszk\u00f6z az implant\u00e1tum helyzet\u00e9nek ellen\u0151rz\u00e9s\u00e9re<\/p>\n

Ha a lyuk tengely\u00e9t helyesen meghat\u00e1roztuk, csak annyit kell tenn\u00fcnk, hogy a lyukat a megfelel\u0151 \u00e1tm\u00e9r\u0151re b\u0151v\u00edtj\u00fck. Ehhez az alap munkaf\u00far\u00f3kat haszn\u00e1ljuk. Az els\u0151 3.0 mm \u00e1tm\u00e9r\u0151j\u0171:<\/p>\n

\"Implant\u00e1tum
\n
\nEzut\u00e1n ellen\u0151rizz\u00fck a helyzetet a k\u00e9szletben l\u00e9v\u0151 implant\u00e1tum anal\u00f3gok seg\u00edts\u00e9g\u00e9vel:<\/p>\n

\"Implant\u00e1tum
\n
\nK\u00f6vetkezik a k\u00f6vetkez\u0151 f\u00far\u00f3, 3.4 mm \u00e1tm\u00e9r\u0151j\u0171:<\/p>\n

\"Implant\u00e1tum
\n
\nMost k\u00f6vetkezik a legkritikusabb l\u00e9p\u00e9s - a v\u00e9gs\u0151 f\u00far\u00f3 az implant\u00e1tumunkhoz, 3.8 mm \u00e1tm\u00e9r\u0151j\u0171. Most cs\u00f6kkentj\u00fck a fordulatokat a fiziodispencerben a minimumra, hogy elker\u00fclj\u00fck a t\u00falmeleged\u00e9st \u00e9s a csontsz\u00f6vet s\u00e9r\u00fcl\u00e9s\u00e9t, majd nagyon-nagyon \u00f3vatosan \u00e1thaladunk a lyukon:<\/p>\n

\"Implant\u00e1tum
\n
\nM\u00e9g egyszer ellen\u0151rizz\u00fck mindent az implant\u00e1tum anal\u00f3gok seg\u00edts\u00e9g\u00e9vel. Ahogy mondani szokt\u00e1k, h\u00e9tszer m\u00e9rj, egyszer v\u00e1gj:<\/p>\n

\"Implant\u00e1tum
\n
\nA lyukat 11 mm m\u00e9lys\u00e9g\u0171re \u00e9s 3.8 mm \u00e1tm\u00e9r\u0151j\u0171re \u00e1ll\u00edtottuk be. De ezzel az implant\u00e1tum el\u0151k\u00e9sz\u00edt\u00e9se m\u00e9g nem \u00e9r v\u00e9get.<\/p>\n

Ez az\u00e9rt van, mert a csontsz\u00f6vet rugalmas k\u00f6zeg, \u00e9s hogy cs\u00f6kkents\u00fck a terhel\u00e9st a kortik\u00e1lis lemezen (\u00e9s megel\u0151zz\u00fck a peri-implantitiszt), speci\u00e1lis kortik\u00e1lis f\u00far\u00f3t haszn\u00e1lunk:<\/p>\n

\"Implant\u00e1tum
\n
\nNagyon s\u0171r\u0171 csontsz\u00f6vet eset\u00e9n tov\u00e1bbi speci\u00e1lis menetf\u00far\u00f3t is haszn\u00e1lunk:<\/p>\n

\"Implant\u00e1tum
\n
\nMost m\u00e1r megkezdhetj\u00fck az implant\u00e1tum be\u00fcltet\u00e9s\u00e9t.<\/p>\n

A megfelel\u0151 m\u00e9ret\u0171 implant\u00e1tum (3.8x11 mm) r\u00f6gz\u00edtve van a hatsz\u00f6glet\u0171 kulccsal, majd behelyezz\u00fck az el\u0151k\u00e9sz\u00edtett lyukba:<\/p>\n

\"Implant\u00e1tum
\n
\nM\u00e9g egyszer ellen\u0151rizz\u00fck az implant\u00e1tum helyzet\u00e9t:<\/p>\n

\"Implant\u00e1tum
\n
\nEzut\u00e1n elt\u00e1vol\u00edtjuk a ideiglenes abutmentet, amely ebben az esetben implant\u00e1tumtart\u00f3k\u00e9nt funkcion\u00e1lt:<\/p>\n

\"Implant\u00e1tum
\n
\nA k\u00f6vetkez\u0151 l\u00e9p\u00e9s a gumiform\u00e1l\u00f3 telep\u00edt\u00e9se:<\/p>\n

\"Implant\u00e1tum
\n
\nFigyelembe v\u00e9ve a klinikai k\u00f6r\u00fclm\u00e9nyeket, a telep\u00edtett implant\u00e1tumhoz egy Slim form\u00e1l\u00f3 alakot v\u00e1lasztottunk (meghosszabb\u00edt\u00e1sok n\u00e9lk\u00fcl), 3 mm-es magass\u00e1ggal:<\/p>\n

\"Implant\u00e1tum
\n
\nBefejezz\u00fck a m\u0171veletet a varratok felhelyez\u00e9s\u00e9vel:<\/p>\n

\"Implant\u00e1tum
\n
\n\u00c9s a kontrollfelv\u00e9tellel:<\/p>\n

\"Implant\u00e1tum
\n
\nAz implant\u00e1tum integr\u00e1ci\u00f3ja \u00e1tlagosan 4 h\u00f3napot vesz ig\u00e9nybe. Ezt p\u00e1rhuzamosan a l\u00e1gy sz\u00f6vetek alakform\u00e1l\u00e1sa is folyik, \u00edgy k\u00f6r\u00fclbel\u00fcl 12 h\u00e9t eltelt\u00e9vel k\u00e9sz \u00e1llapotban kapjuk meg a koron\u00e1t.<\/p>\n

Ez m\u00e1ra minden.<\/p>\n

K\u00f6sz\u00f6n\u00f6m a figyelmet!<\/p>\n

Tisztelettel, Andrej Dashkov<\/p>\n

Mit \u00e9rdemes m\u00e9g olvasni a fogimplant\u00e1ci\u00f3r\u00f3l?<\/b><\/p>\n

\u2014<\/b> Szinusz-lifting \u00e9s azonnali implant\u00e1ci\u00f3<\/a><\/noindex>
\n
Forr\u00e1s: habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

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