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Tandheelkundige implantatie - Chirurgie

Dental Implant Clinical Technique

Proper planning before surgery and correct preparation of the implant site ensures efficient and accurate installation. It is also expected that clinicians working with the Neoss Implant System have a good understanding of the principles of implant surgery and the restorative phase.

The position of the implant sites are determined and can be marked on the bone with a round bur, lance drill or the 2.2mm twist drill. Incremental site preparation is carried out as recommended. The ideal distance between each implant is 3.5–4.0mm which gives a minimum centre to centre distance of 7.0mm.

Pre-operative clinical and radiographic evaluations, together with the established overview of the jaw morphology play important roles in clinical decisions.

In partially edentulous situations the position of the fixtures and their relationship to the remaining dentition must be considered.

All preparation of the bone tissue is carried out under profuse irrigation with saline using an intermittent drilling technique. This prevents overheating of the bone and creates a pumping effect for efficient removal of bone debris.

After careful preparation of the surgical site the Neoss implant is inserted by means of the Implant Inserter. This is placed into the implant and manually rotated to engage the internal connection design of the implant. To ensure proper carrying capacity the inserter is then lightly pushed into the implant before being lifted out of the vial.

The machine installation of the implant is carried out at low speed – recommended maximum of 20 rpm. Torque control can be used – a maximum of 45 Ncm is recommended.

For a one stage surgical procedure the implant is commonly inserted so that the flange is positioned above the alveolar crest.

For a two stage surgical procedure the implant is commonly inserted so that the flange is level with the alveolar crest.

The Neoss System implant may be loaded at anytime – immediately, 6-8 weeks or after such time as the clinician deems appropriate based on their experience and the abovementioned criteria.