种植(手术培训)医学课件.ppt

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1、Manual of Manual of Implant SurgeryImplant Surgery种植手术指南种植手术指南11.Delayed Implantation 1.Delayed Implantation 延期种植延期种植 -IMPLANTIUM 3810(D-IMPLANTIUM 3810(D-3.8,L-10mm)3.8,L-10mm)-IMPLANTIUM 4310(D-IMPLANTIUM 4310(D-4.3,L-10mm)4.3,L-10mm)*2 stage(cover screw)2 stage(cover screw)覆盖螺丝覆盖螺丝 *1 stage(heali

2、ng abutment)1 stage(healing abutment)愈合基台愈合基台2.Immediate Implantation 2.Immediate Implantation 即刻种植即刻种植 -SuperLine 6010(D-SuperLine 6010(D-6.0,L-10mm)6.0,L-10mm)*1 stage(healing abutment)1 stage(healing abutment)愈合基台愈合基台21.Delayed Implantation 1.Delayed Implantation 延期种植延期种植 -IMPLANTIUM 3810(D-IMPLA

3、NTIUM 3810(D-3.8,L-10mm)3.8,L-10mm)-IMPLANTIUM 4310(D-IMPLANTIUM 4310(D-4.3,L-10mm)4.3,L-10mm)*2 stage(cover screw)2 stage(cover screw)覆盖螺丝覆盖螺丝 *1 stage(healing abutment)1 stage(healing abutment)愈合基台愈合基台3Crestal Incision Crestal Incision 牙槽脊切口牙槽脊切口4Flap Reflection Flap Reflection 翻瓣翻瓣5After Flap Ref

4、lection After Flap Reflection 翻瓣后翻瓣后6Select Lindemann Guide Drill Select Lindemann Guide Drill 选择选择LindemannLindemann导向钻导向钻73810 Fixture D.-3.8,L.-10mmLindemann Guide Drill LindemannLindemann Guide Drill Lindemann导向钻导向钻(1,000rpm with irrigation)(1,000rpm with irrigation)Surgical stent83810 Fixture D

5、.-3.8,L.-10mmLindemann Guide Drill LindemannLindemann Guide Drill Lindemann导向钻导向钻 (1,000rpm with irrigation)(1,000rpm with irrigation)Surgical stent94310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmLindemann Guide Drill LindemannLindemann Guide Drill Lindemann导向钻导向钻 (1,000rpm with irrigation)(1

6、,000rpm with irrigation)Surgical stent104310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmSurgical stentLindemann Guide Drill LindemannLindemann Guide Drill Lindemann导向钻导向钻 (1,000rpm with irrigation)(1,000rpm with irrigation)11Select Parallel Pin Select Parallel Pin 选择平行杆选择平行杆12Check the paralle

7、lism with adjacent tooth or implant Check the parallelism with adjacent tooth or implant 检查就位方向检查就位方向4310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm13Check the parallelism with adjacent tooth or implantCheck the parallelism with adjacent tooth or implant检查备孔的水平性检查备孔的水平性4310 Fixture D.-4.3,L.-

8、10mm3810 Fixture D.-3.8,L.-10mm14Select Lindemann First Drill LindemannSelect Lindemann First Drill Lindemann先锋钻先锋钻154310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmLindemann First Drill LindemannLindemann First Drill Lindemann先锋钻先锋钻 (1,000rpm with irrigation)(1,000rpm with irrigation)164310 F

9、ixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmLindemann First Drill LindemannLindemann First Drill Lindemann先锋钻先锋钻 (1,000rpm with irrigation)(1,000rpm with irrigation)17Select Depth Gauge Select Depth Gauge 测深尺测深尺18Check the depth Check the depth 确认深度确认深度*Place the Depth gauge on the wall of osteo

10、tomyPlace the Depth gauge on the wall of osteotomy4310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm19Select Select 3.4 Final Drill 3.4 Final Drill 选择选择3.43.4成型钻成型钻204310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm3.4 Final Drill 3.4 Final Drill 3.43.4成型钻成型钻 (1,000rpm with irrigation)(1,00

11、0rpm with irrigation)214310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm3.4 Final Drill 3.4 Final Drill 3.43.4成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)22Select 3.8 Final Drill Select 3.8 Final Drill 选择选择3.83.8成型钻成型钻234310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm3.8 Fi

12、nal Drill 3.8 Final Drill 3.83.8成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)244310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm3.8 Final Drill 3.8 Final Drill 3.83.8成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)25Select Select 3.8 Countersink 3.8 Countersink 选择选择3.83

13、.8皮质骨成型钻皮质骨成型钻264310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm3.8 Countersink(1,000rpm with irrigation)3.8 Countersink(1,000rpm with irrigation)3.83.8皮质骨成型钻皮质骨成型钻*If bone density is high,recommended to drill up to top line of laser markIf bone density is high,recommended to drill up to top l

14、ine of laser mark274310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm3.8 Countersink(1,000rpm with irrigation)3.8 Countersink(1,000rpm with irrigation)3.83.8皮质骨成型钻皮质骨成型钻*If bone density is high,recommended to drill up to top line of laser markIf bone density is high,recommended to drill up to to

15、p line of laser mark283810 Fixture D.-3.8,L.-10mmTurn left the cap to openTurn left the cap to open左转打开瓶帽左转打开瓶帽Pull out the cap to openPull out the cap to open去除瓶帽去除瓶帽29*Connect adapter toConnect adapter to implant hex firmly implant hex firmly连接种植体连接种植体*Pull out implant carefullyPull out implant ca

16、refully取出种植体取出种植体304310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmFixture Fixture D.-D.-3.8,L.-10mm3.8,L.-10mm Installation Installation 植入植入3.83.8种植体种植体 *Top level of fixture be located 0.5mm below the crestal bone Top level of fixture be located 0.5mm below the crestal bone 310.5mmFixture F

17、ixture D.-D.-3.8,L.-10mm3.8,L.-10mm Installation Installation 植入植入3.83.8种植体种植体 *Top level of fixture be located 0.5mm below the crestal bone Top level of fixture be located 0.5mm below the crestal bone 4310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm32Select Path Pin Select Path Pin 选择定位杆选择定位杆

18、334310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmCheck the parallelism with Path pinCheck the parallelism with Path pin确认种植体植入方向确认种植体植入方向344310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmCheck the parallelism with Path pinCheck the parallelism with Path pin确认种植体植入方向确认种植体植入方向354310 Fixtu

19、re D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmLindemann First Drill LindemannLindemann First Drill Lindemann先锋钻先锋钻 (1,000rpm with irrigation)(1,000rpm with irrigation)364310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmLindemann First Drill LindemannLindemann First Drill Lindemann先锋钻先锋钻 (1,000rpm

20、with irrigation)(1,000rpm with irrigation)37Check the depth Check the depth 确认深度确认深度*Place the Depth gauge on the wall of osteotomyPlace the Depth gauge on the wall of osteotomy4310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm38 3.4 Final Drill 3.4 Final Drill 3.43.4成型钻成型钻 (1,000rpm with irriga

21、tion)(1,000rpm with irrigation)4310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm394310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm 3.4 Final Drill 3.4 Final Drill 3.43.4成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)404310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm 3.8

22、Final Drill 3.8 Final Drill 3.83.8成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)414310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm 3.8 Final Drill 3.8 Final Drill 3.83.8成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)42Select Select 4.3 Final Drill 4.3 Final Drill 4.34.

23、3成型钻成型钻434310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm 4.3 Final Drill 4.3 Final Drill 4.34.3成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)444310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm 4.3 Final Drill 4.3 Final Drill 4.34.3成型钻成型钻 (1,000rpm with irrigation)(1,000rpm w

24、ith irrigation)45Select Select 4.3 Countersink 4.3 Countersink 4.34.3皮质骨成型钻皮质骨成型钻464.3 Countersink(1,000rpm with irrigation)4.3 Countersink(1,000rpm with irrigation)4.34.3皮质骨成型钻皮质骨成型钻*If bone density is high,recommended drilling up to top line of laser markIf bone density is high,recommended drillin

25、g up to top line of laser mark4310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm474310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mm4.3 Countersink(1,000rpm with irrigation)4.3 Countersink(1,000rpm with irrigation)4.34.3皮质骨成型钻皮质骨成型钻*If bone density is high,recommended drilling up to top line

26、 of laser markIf bone density is high,recommended drilling up to top line of laser mark484310 Fixture D.-4.3,L.-10mmTurn left the cap to openTurn left the cap to open左转打开瓶帽左转打开瓶帽Pull out the cap to openPull out the cap to open去除瓶帽去除瓶帽49*Connect adapter toConnect adapter to implant hex firmly implant

27、 hex firmly连接种植体连接种植体*Pull out implant carefullyPull out implant carefully取出种植体取出种植体504310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmFixture Fixture D.-D.-4.3,L.-10mm4.3,L.-10mm Installation Installation 植入植入4.34.3种植体种植体 *During insertion,3045N.cm at 20rpm is recommended During insertion,3045

28、N.cm at 20rpm is recommended 扭力扭力3045N3045Ncmcm,转速,转速2020转转/分分514310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmFixture Fixture D.-D.-4.3,L.-10mm4.3,L.-10mm Installation Installation 植入植入4.34.3种植体种植体 *During insertion,3045N.cm at 20rpm is recommended During insertion,3045N.cm at 20rpm is recom

29、mended 扭力扭力3045N3045Ncmcm,转速,转速2020转转/分分52Select Ratchet adapter and RatchetSelect Ratchet adapter and Ratchet扭力控制器用接头和棘轮扳手扭力控制器用接头和棘轮扳手534310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmFixture D.-Fixture D.-4.3,L.-10mm Installation with Ratchet 4.3,L.-10mm Installation with Ratchet 用棘轮扳手植入种植体

30、用棘轮扳手植入种植体(4.3)4.3)*Avoid applying 100N.cm torque or moreAvoid applying 100N.cm torque or more 540.5mm4310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmFixture D.-Fixture D.-4.3,L.-10mm Installation with Ratchet 4.3,L.-10mm Installation with Ratchet 用棘轮扳手植入种植体用棘轮扳手植入种植体(4.3)4.3)*Avoid applying 1

31、00N.cm torque or moreAvoid applying 100N.cm torque or more 552 stage(cover screw)2 stage(cover screw)二段式手术二段式手术(覆盖螺丝覆盖螺丝)56Select Hex Driver Select Hex Driver 六角扳手六角扳手57Cover screw installation with Hex Driver Cover screw installation with Hex Driver 用六角扳手固定覆盖螺丝用六角扳手固定覆盖螺丝4310 Fixture D.-4.3,L.-10mm

32、3810 Fixture D.-3.8,L.-10mm584310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmCover screw installation with Hex Driver Cover screw installation with Hex Driver 用六角扳手固定覆盖螺丝用六角扳手固定覆盖螺丝594310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmCover screw installation with Hex Driver Cover screw inst

33、allation with Hex Driver 用六角扳手固定覆盖螺丝用六角扳手固定覆盖螺丝60Suture Suture 缝合缝合611 stage(healing abutment)1 stage(healing abutment)一段式手术一段式手术(愈合基台愈合基台)62Healing abutment(Healing abutment(5.5M)installation with Hex Driver5.5M)installation with Hex Driver用六角扳手固定愈合基台用六角扳手固定愈合基台(5.5M)5.5M)4310 Fixture D.-4.3,L.-10m

34、m3810 Fixture D.-3.8,L.-10mm634310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmHealing abutment(Healing abutment(5.5M)installation with Hex Driver5.5M)installation with Hex Driver用六角扳手固定愈合基台用六角扳手固定愈合基台(5.5M)5.5M)644310 Fixture D.-4.3,L.-10mm3810 Fixture D.-3.8,L.-10mmHealing abutment(Healing ab

35、utment(5.5M)installation with Hex Driver5.5M)installation with Hex Driver用六角扳手固定愈合基台用六角扳手固定愈合基台(5.5M)5.5M)65Suture Suture 缝合缝合662.Immediate Implantation 2.Immediate Implantation 即刻种植即刻种植 -SuperLine 6010(D-SuperLine 6010(D-6.0,L-10mm)6.0,L-10mm)*1stage(healing abutment)1stage(healing abutment)67Carie

36、s tooth extraction Caries tooth extraction 拔除龋坏牙拔除龋坏牙686010 Fixture D.-6.0,L.-10mmLindemann Guide Drill LindemannLindemann Guide Drill Lindemann导向钻导向钻 (1,000rpm with irrigation)(1,000rpm with irrigation)696010 Fixture D.-6.0,L.-10mmLindemann Guide Drill LindemannLindemann Guide Drill Lindemann导向钻导向钻

37、 (1,000rpm with irrigation)(1,000rpm with irrigation)706010 Fixture D.-6.0,L.-10mmLindemann First Drill LindemannLindemann First Drill Lindemann先锋钻先锋钻 (1,000rpm with irrigation)(1,000rpm with irrigation)716010 Fixture D.-6.0,L.-10mmLindemann First Drill LindemannLindemann First Drill Lindemann先锋钻先锋钻

38、 (1,000rpm with irrigation)(1,000rpm with irrigation)726010 Fixture D.-6.0,L.-10mm3.4 Final Drill 3.4 Final Drill 3.43.4成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)736010 Fixture D.-6.0,L.-10mm3.4 Final Drill 3.4 Final Drill 3.43.4成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irriga

39、tion)746010 Fixture D.-6.0,L.-10mm3.8 Final Drill 3.8 Final Drill 3.83.8成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)756010 Fixture D.-6.0,L.-10mm3.8 Final Drill 3.8 Final Drill 3.83.8成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)766010 Fixture D.-6.0,L.-10mm4.3 Final Dril

40、l 4.3 Final Drill 4.34.3成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)776010 Fixture D.-6.0,L.-10mm4.3 Final Drill 4.3 Final Drill 4.34.3成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)786010 Fixture D.-6.0,L.-10mm4.8 Final Drill 4.8 Final Drill 4.84.8成型钻成型钻 (1,000rpm with ir

41、rigation)(1,000rpm with irrigation)796010 Fixture D.-6.0,L.-10mm4.8 Final Drill 4.8 Final Drill 4.84.8成型钻成型钻 (1,000rpm with irrigation)(1,000rpm with irrigation)80Select Select 6.0 Countersink 6.0 Countersink 6.06.0皮质骨成型钻皮质骨成型钻816.0 Countersink 6.0 Countersink 6.06.0皮质骨成型钻皮质骨成型钻(1,000rpm with irriga

42、tion)(1,000rpm with irrigation)6010 Fixture D.-6.0,L.-10mm826010 Fixture D.-6.0,L.-10mm6.0 Countersink 6.0 Countersink 6.06.0皮质骨成型钻皮质骨成型钻(1,000rpm with irrigation)(1,000rpm with irrigation)83Fixture Fixture D.-D.-6.0,L.-10mm6.0,L.-10mm Installation Installation 植入植入6.06.0种植体种植体 *Top level of fixture

43、 be located 0.5mm below the crestal bone Top level of fixture be located 0.5mm below the crestal bone 6010 Fixture D.-6.0,L.-10mm846010 Fixture D.-6.0,L.-10mmFixture Fixture D.-D.-6.0,L.-10mm6.0,L.-10mm Installation Installation 植入植入6.06.0种植体种植体 *Top level of fixture be located 0.5mm below the crest

44、al bone Top level of fixture be located 0.5mm below the crestal bone 85Healing abutment Healing abutment(7.0M)7.0M)installation with Hex Driver installation with Hex Driver用六角扳手固定愈合基台用六角扳手固定愈合基台(7.0M)7.0M)6010 Fixture D.-6.0,L.-10mm866010 Fixture D.-6.0,L.-10mmHealing abutment Healing abutment(7.0M)7.0M)installation with Hex Driver installation with Hex Driver用六角扳手固定愈合基台用六角扳手固定愈合基台(7.0M)7.0M)87Suture Suture 缝合缝合88Thank You!Thank You!89

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