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GIPGIP--ImplantImplant StepStep byby StepStep
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QQ--Implant GIPImplant GIP
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InstrumentariumInstrumentarium
Template
Trocar Drill
Drill
Trephine
Cortical Trephine – Upper jaw
Trephine – Lower jaw
GIP-Implant
Hand wheel
Driver Handle
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StepStep byby StepStep
• WithWith thethe helphelp of of thethe templatetemplate thethe correctcorrect positionposition is found.
•• ItIt isis importantimportant to to ensureensure thatthat vestibularvestibular and lingual at least and lingual at least 1.5 mm of 1.5 mm of bonebone spanspan existexist. .
•• That means the total 9mm bone in the vestibular / lingual (or That means the total 9mm bone in the vestibular / lingual (or palatinalpalatinal) area are necessary.) area are necessary.
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StepStep byby StepStep
With the With the trocartrocar--drill the situation on the bone is drill the situation on the bone is transferred trough the central hole of the template.transferred trough the central hole of the template.
Trocar
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StepStep byby StepStep
WithWith thethe 3,5 mm 3,5 mm shapingshaping drill of drill of thethe TrinonTrinon--systemsystem thethe pilotpilot drillingdrilling isis broughtbrought to 4,5 mm to 4,5 mm depthdepth. .
Drill
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StepStep byby StepStep
IntoInto thisthis pilotpilot drillingdrilling thethe guidingguiding of of thethe trephinetrephine (3 mm) (3 mm) isis insertedinserted..
Trephine
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StepStep byby StepStep
WithWith thethe trephinetrephine a a drillingdrilling isis performedperformed to a to a depthdepth of of 1,5 mm. 1,5 mm. TheThe guidingguiding withwith a a lengthlength of 3 mm of 3 mm stopsstops thethe
drillingdrilling..
} 3mm
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StepStep byby StepStep
ThroughThrough thethe dimensiondimension of of thethe pilotpilot drill and drill and guidingguiding thethe primaryprimary drillingdrilling isis limitedlimited to 1,5 mm.to 1,5 mm.
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StepStep byby StepStep
IntoInto thisthis primaryprimary drillingdrilling thethe trephinetrephine fitsfits veryvery well, well, and and thethe drillingdrilling isis brougthbrougth to final to final depthdepth..
Trephine
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StepStep byby StepStep
At At thethe end of end of thethe drillingdrilling thethe back of back of thethe trephinetrephine shouldshould bebe on on bonebone levellevel..
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StepStep byby StepStep
Condition Condition afterafter primaryprimary and and secondarysecondary drillingdrilling
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StepStep byby StepStep
TheThe implantimplant isis insertedinserted withwith thethe helphelp of of thethe QQ-- Implant Implant accessoryaccessory and and setset intointo thethe final final positionposition..
GIP Implant
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StepStep byby StepStep
On a On a nonnon--planarplanar parallel parallel jawjaw itit isis possiblepossible thatthat thethe shouldershoulder of of thethe implantimplant lies lies partiallypartially underunder bonebone
levellevel..
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KlinicalKlinical ExamplesExamples5858--year year oldold
patientpatient
withwith
lowerlower
jawjaw
atrophyatrophy
situationsituation
afterafter
implantationimplantation
in in sideside
dental dental fieldfield
mesialmesial
of of thethe
exitexit
of of thethe
foramenforamen
mentalismentalis..
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Initial Initial situationsituation
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Initial Initial situationsituation
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Cut on Cut on thethe jawjaw ridgeridge
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Opening the OP Situs and positioning of the template
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While respecting the inclination of the WilsonWhile respecting the inclination of the Wilson--curve curve the primary drilling with the the primary drilling with the trocartrocar is performed.is performed.
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TheThe centralcentral drillingdrilling isis setset to a to a depthdepth of 4,5 mmof 4,5 mm
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TheThe guidingguiding of of thethe trephinetrephine ( 3 mm) ( 3 mm) glidesglides intointo thethe primaryprimary drillingdrilling..
TheThe secondarysecondary drillingdrilling stopsstops at 1,5 mm.at 1,5 mm.
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SecondarySecondary drillingdrilling
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TheThe trephinetrephine isis broughtbrought intointo thethe secondarysecondary drillingdrilling..
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AccordingAccording to to thethe particularparticular lengthlength ( 4,5,6,7 mm ) ( 4,5,6,7 mm ) thethe final final trephinetrephine drillingdrilling isis performedperformed..
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TheThe implantimplant isis insertedinserted firstfirst byby hand and hand and thenthen byby thethe insertioninsertion wrenchwrench
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Horizontal Horizontal mattressmattress suturesuture
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UseUse of of siliconesilicone capcap
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XX--RayRay controllcontroll
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KlinicalKlinical ExamplesExamples
3232--year year oldold patientpatient withwith interdental interdental spacespace 25,26. 25,26.
Condition Condition afterafter multiple multiple maxillarmaxillar sinusitissinusitis
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11 mm
11 mm
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ParamarginalParamarginalcutcut
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GIPGIP--ImplantImplant