{"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\/ro\/blog\/news\/ustanovka-implantata-kak-eto-delaetsya","title":{"rendered":"Implantare: cum se face aceasta?","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

\"Implantare:
\nBun\u0103 ziua, dragi prieteni! Ast\u0103zi a\u0219 dori s\u0103 v\u0103 povestesc \u0219i, mai ales, s\u0103 v\u0103 ar\u0103t cum decurge opera\u021bia de implantare - cu toate instrumentele \u0219i celelalte. Dac\u0103 despre procesul de extragere a din\u021bilor<\/a><\/noindex>, \u00een special dintele de \u00een\u021belepciune<\/a><\/noindex> despre care am vorbit deja, a venit momentul s\u0103 discut\u0103m despre ceva mai serios.<\/p>\n

ATEN\u021aIE!-Uwaga!-Pa\u017enju!-Attention!-Achtung!-Attenzione!-ATEN\u021aIE!-Uwaga!-Pa\u017enju!<\/p>\n

Mai jos vor fi prezentate fotografii realizate \u00een timpul opera\u021biei! Cu imagini ale din\u021bilor, gingiilor, s\u00e2ngelui \u0219i a altor detalii. Cei cu nervi slabi sunt ruga\u021bi s\u0103 se ab\u021bin\u0103 de la citirea acestui articol.<\/b><\/p><\/blockquote>\n

<\/a><\/noindex>
\n\u00cenc\u0103 sunte\u021bi aici? Atunci s\u0103 \u00eencepem!<\/p>\n

Consulta\u021bie \u0219i examinare<\/h3>\n

\n\u00cen afar\u0103 de examenul vizual:<\/p>\n

\"Implantare:
\n
\nTrebuie s\u0103 efectu\u0103m o investiga\u021bie radiologic\u0103. \u00cen acest caz, o simpl\u0103 OPG (radiografie panoramic\u0103 a din\u021bilor) nu va fi suficient\u0103. Va fi necesar\u0103 CBCT<\/b> (Computer Tomografie cu Fascicul Conic).<\/p>\n

\"Implantare:
\n<\/p>\n

Care este diferen\u021ba?<\/h3>\n

\nOPG<\/b> (Ortopantomogram\u0103) - o radiografie general\u0103 a sistemului dento-maxilar. Aceast\u0103 radiografie este bidimensional\u0103, ceea ce \u00eenseamn\u0103 c\u0103 se suprapun fiecare detaliu al imaginii strat cu strat. Prin urmare, este imposibil s\u0103 se examineze obiectul de studiu, \u00een special locul planificat pentru implantare, din toate planurile, din unghiuri diferite sau \u00een proiec\u021bii diferite.<\/p>\n

CBCT<\/b> (Computer Tomografie cu Fascicul Conic) - imagine volumetric\u0103 3D care, dimpotriv\u0103, ne ofer\u0103 aceast\u0103 posibilitate.<\/p>\n

\"Implantare:
\n
\n\u00cen acest caz, volumul \u021besutului osos este suficient pentru stabilizarea implantatului de dimensiuni optime, iar calitatea gingiei face posibil\u0103 formarea conturului estetic f\u0103r\u0103 proceduri suplimentare:<\/p>\n

\"Implantare:
\n
\nDup\u0103 finalizarea investiga\u021biilor necesare, trecem direct la implantare.<\/p>\n

Totul \u00eencepe, desigur, cu anestezia. Nimeni nu vrea s\u0103 strige de durere \u00een timpul opera\u021biei, nu-i a\u0219a?<\/p>\n

Pentru a minimiza toate senza\u021biile nepl\u0103cute \u0219i pentru ca injec\u021bia s\u0103 fie mai pu\u021bin dureroas\u0103, se folose\u0219te a\u0219a-numita anestezie prin aplicare<\/b><\/p>\n

\"Implantare:
\n
\nApoi se efectueaz\u0103 infiltra\u021bia<\/b> anestezicului \u00een zona planificat\u0103 pentru opera\u021bie. \u00cen fotografie este prezentat\u0103 o sering\u0103 cu cartu\u0219 reutilizabil, care, desigur, este sterilizat\u0103 dup\u0103 fiecare pacient, la fel ca orice alt instrument. Dou\u0103 cartu\u0219e de unic\u0103 folosin\u021b\u0103 cu anestezic \u0219i dou\u0103 ace de lungimi diferite:<\/p>\n

\"Implantare:
\n
\nCum arat\u0103 \u00een cavitatea bucal\u0103:<\/p>\n

\"Implantare:
\n
\nDup\u0103 anestezie, se realizeaz\u0103 \u2014 incizia<\/b>, iar a\u0219a-numitul disector \u2014 squeletonizarea osului<\/b>. (separarea periostului de substan\u021ba compact\u0103 a osului).<\/p>\n

\"Implantare:
\n
\nIncizie:<\/p>\n

\"Implantare:
\n
\nSqueletonizarea osului:<\/p>\n

\"Implantare:
\n
\nApoi, se preg\u0103te\u0219te g\u0103urirea pentru implant (preparare).<\/p>\n

Mai jos este prezentat un set dintr-unul dintre sistemele germane de implantologie pe care le folosesc \u00een practica mea.<\/p>\n

\"Implantare:
\n
\nPe l\u00e2ng\u0103 setul chirurgical, avem un dispozitiv special numit fiziolaser:<\/p>\n

\"Implantare:
\n
\nSpre deosebire de freza stomatologic\u0103 obi\u0219nuit\u0103, acesta permite nu doar reglarea precis\u0103 a frecven\u021bei de rota\u021bie \u0219i r\u0103cirea instrumentului de t\u0103iere cu solu\u021bie salin\u0103, ci \u0219i controlarea cuplului.<\/p>\n

Implantarea \u00eencepe cu marcarea. Aceasta se face cu ajutorul unui burghiu sferic:<\/p>\n

\"Implantare:
\n
\nApoi, cu ajutorul unei freze pilot cu diametrul de 2 mm, se stabile\u0219te axa g\u0103urii viitorului implant, pe care o verific\u0103m cu ajutorul pinilor*<\/p>\n

\"Implantare:
\n*Un dispozitiv pentru controlul pozi\u021biei implantului<\/p>\n

Apoi, dac\u0103 axa g\u0103urii este corect stabilit\u0103, trebuie doar s\u0103 aducem gaura la diametrul dorit. Pentru aceasta, se folosesc frezele de lucru principale. Prima dintre ele are diametrul de 3.0 mm:<\/p>\n

\"Implantare:
\n
\nDup\u0103 care \u2014 controlul pozi\u021biei cu ajutorul analogilor implanturilor incluse \u00een set:<\/p>\n

\"Implantare:
\n
\nPe r\u00e2nd urmeaz\u0103 urm\u0103toarea frez\u0103, cu diametrul de 3.4 mm:<\/p>\n

\"Implantare:
\n
\n\u0218i acum urmeaz\u0103 cea mai responsabil\u0103 etap\u0103 \u2014 freza de finisare pentru implantul nostru cu diametrul de 3.8 mm. Acum reducem rota\u021biile pe fiziolaser la minimum, pentru a evita supra\u00eenc\u0103lzirea \u0219i trauma \u021besutului osos, dup\u0103 care trecem foarte-foarte cu aten\u021bie prin dreapta g\u0103urii:<\/p>\n

\"Implantare:
\n
\nVerific\u0103m din nou totul cu ajutorul analogilor implantului. A\u0219a cum se spune, m\u0103soar\u0103 de \u0219apte ori, \u00eenv\u00e2rte o dat\u0103:<\/p>\n

\"Implantare:
\n
\nAm adus gaura la o ad\u00e2ncime de 11 mm \u0219i un diametru de 3.8 mm. Dar preg\u0103tirea g\u0103urii nu se termin\u0103 aici.<\/p>\n

\u0218i asta pentru c\u0103 \u021besutul osos este un mediu elastic, iar pentru a reduce tensiunea pe pl\u0103cu\u021ba cortical\u0103 (\u0219i pentru a preveni periimplantita), folosim o frez\u0103 cortical\u0103 special\u0103:<\/p>\n

\"Implantare:
\n
\n\u00cen cazul lucrului cu \u021besut osos foarte dens, folosim suplimentar un metru special:<\/p>\n

\"Implantare:
\n
\nAcum putem \u00eencepe instalarea implantului.<\/p>\n

Implantul de dimensiunea corect\u0103 (3.8x11 mm) este fixat pe cheia hexagonal\u0103, apoi este instalat \u00een gaura preg\u0103tit\u0103:<\/p>\n

\"Implantare:
\n
\nVerific\u0103m din nou pozi\u021bia implantului:<\/p>\n

\"Implantare:
\n
\nA\u0219adar, \u00eendep\u0103rt\u0103m abatonul temporar, care \u00een acest caz a \u00eendeplinit func\u021bia de suport pentru implant:<\/p>\n

\"Implantare:
\n
\nUrm\u0103toarea etap\u0103 este instalarea formatorului de gingie:<\/p>\n

\"Implantare:
\n
\n\u021ain\u00e2nd cont de condi\u021biile clinice, am ales pentru implantul instalat formatorul Slim (f\u0103r\u0103 extensii) cu o \u00een\u0103l\u021bime de 3 mm:<\/p>\n

\"Implantare:
\n
\n\u00cencheiem opera\u021bia noastr\u0103 prin sutur\u0103:<\/p>\n

\"Implantare:
\n
\n\u0218i cu o radiografie de control:<\/p>\n

\"Implantare:
\n
\nIntegrarea implantului dureaz\u0103, \u00een medie, 4 luni. \u00cen acela\u0219i timp, are loc formarea \u021besuturilor moi, a\u0219a c\u0103 dup\u0103 aproximativ 12 s\u0103pt\u0103m\u00e2ni vom ob\u021bine un sistem gata pentru instalarea coroanei.<\/p>\n

Asta a fost tot pentru ast\u0103zi.<\/p>\n

V\u0103 mul\u021bumesc pentru aten\u021bie!<\/p>\n

Cu respect, Andrei Dashkov<\/p>\n

Ce altceva s\u0103 citim despre implantarea din\u021bilor?<\/b><\/p>\n

\u2014<\/b> Lift sinusal \u0219i implantare imediat\u0103<\/a><\/noindex>
\n
Sursa: habr.com<\/a><\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

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