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Surgical Protocol - ImplanTize Compact

The surgical protocol document outlines the steps for placing an Implantize Compact implant. It describes: 1) Incising the skin and exposing the bone either with a supracrestal horseshoe incision for maxilla or supracrestal incision with relief for mandible. 2) Placing the surgical guide and drilling pilot holes using a 2.0 drill. 3) Placing 3 pins to stabilize the guide and drilling osteotomies with different sized burs according to the implant design. 4) Removing the guide and pins then placing the implant, checking for passive fit and using fixation screws varying by location and bone type.

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Gonçalo Cunha-Coutinho
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102 views

Surgical Protocol - ImplanTize Compact

The surgical protocol document outlines the steps for placing an Implantize Compact implant. It describes: 1) Incising the skin and exposing the bone either with a supracrestal horseshoe incision for maxilla or supracrestal incision with relief for mandible. 2) Placing the surgical guide and drilling pilot holes using a 2.0 drill. 3) Placing 3 pins to stabilize the guide and drilling osteotomies with different sized burs according to the implant design. 4) Removing the guide and pins then placing the implant, checking for passive fit and using fixation screws varying by location and bone type.

Uploaded by

Gonçalo Cunha-Coutinho
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
You are on page 1/ 12

SURGICAL PROTOCOL

Before placing an Implantize


Compact, the Scanning protocol
should be followed for better
design implant.
02

Packaging
Implantize Compact packaging is composed by the following items:

Implantize Compact Blister


Implantize Compact;
Surgical guide;
Fixation screws;
Printed bone biomodel (mimetizing the needed osteotomy);
Technical file;
Medical device declaration.

BONEEASY
03

Incision
Maxilla
Supra crestal horse shoe incision design with two relief
incisions for zygoma access.

Mandible
Supra crestal incision with relief towards anterior border of
the ramus with exposure of the dental nerve.

BONEEASY
04

Placing the surgical


guide
Place the guide on the buccal bone and search the place where it
get stable.

Use 2.0 drill to drill through the holes.

BONEEASY
05

Place the 3 pins existing in the kit.

BONEEASY
06

Drilling
There are 3 osteotomy burs that should be used according
to the technical file.

Technical file
color system
for the bur
selection:
Each color
corresponds
to a different
type of bur
design.

BONEEASY
07

The implant design, on the technical file, displays one color for each
connection. To inform the bur to be selected for that location.

Ostomotomy should be done using 1000rpm program.


It is very important to use irrigation, during osteotomy, to avoid
bone over heating.

After the osteotomy, remove the surgical guide pins and the
guide.

BONEEASY
08

Implant placement
After removing the guide, implant should be unscrewed from the box, with
drive 1.2 hex + wrench adaptor (photo) and make a passivity try in. If some
interference exists that doesn’t allow good fitting of the implant, bone
should be trimmed in ths area until a good fitting be achieved.

Maxila
After passive seating we need to place fixation screws,
starting by the 2.0 screws on pyramidal apophysis, then the
pyriform apophysis and finally the palate screw. All this
screws are self perforating, So it doesn’t need to be drilled.

BONEEASY
09

The 2.0 long drill,


should bu used on a
straight handpiece to
make the bone
preparation through
the blue guides
screwed on the
zygoma screw hole,
always using irrigation.

Remove the guide and test the 2.7mm screw, if the torque is
too high, remove the screw and use drill again till the end
without the blue guide, if still the torque is high, pass the
2.3mm drill once.

BONEEASY
10

Screw the 2.7mm screws till they engage on the threads of the
plate (screw lock system).

During zygoma fixation, please confirm if the implant doesn’t


moved ways from its correct position.

BONEEASY
11

Mandible
After passive seating we start with the screws from the retromolar
area, in the number of 3;
Then the 3 screws of the mentalis area;
After the 2 screws from the ramus;
And finally the buccal and the lingual screw in the middle of the
implant.

Note: although this is self perforating screws, due to the


corticalization of the mandible, a 1.3 drill may need to be used to
drill the bone through the hole on the plate. In this case do not
insert the total length of the drill.
Insert the screw manually.

Insert the multiunit abutments.


Torque: 35N

Closure
Make some periosteum cut to release the tension of the flaps and close with
sutures.
Carefully look to occlusion when doing the prosthesis loading.

BONEEASY
TAILORED DESIGN SOFTWARE

DECEMBER 2022

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