GIPGIP--ImplantImplant StepStep byby StepStep

QQ--Implant GIPImplant GIP

InstrumentariumInstrumentarium

Template

Trocar Drill

Drill

Trephine

Cortical Trephine – Upper jaw

Trephine – Lower jaw

GIP-Implant

Hand wheel

Driver Handle

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.

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

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

StepStep byby StepStep

IntoInto thisthis pilotpilot drillingdrilling thethe guidingguiding of of thethe trephinetrephine (3 mm) (3 mm) isis insertedinserted..

Trephine

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

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.

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

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..

StepStep byby StepStep

Condition Condition afterafter primaryprimary and and secondarysecondary drillingdrilling

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

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..

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..

Initial Initial situationsituation

Initial Initial situationsituation

Cut on Cut on thethe jawjaw ridgeridge

Opening the OP Situs and positioning of the template

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.

TheThe centralcentral drillingdrilling isis setset to a to a depthdepth of 4,5 mmof 4,5 mm

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.

SecondarySecondary drillingdrilling

TheThe trephinetrephine isis broughtbrought intointo thethe secondarysecondary drillingdrilling..

AccordingAccording to to thethe particularparticular lengthlength ( 4,5,6,7 mm ) ( 4,5,6,7 mm ) thethe final final trephinetrephine drillingdrilling isis performedperformed..

TheThe implantimplant isis insertedinserted firstfirst byby hand and hand and thenthen byby thethe insertioninsertion wrenchwrench

Horizontal Horizontal mattressmattress suturesuture

UseUse of of siliconesilicone capcap

XX--RayRay controllcontroll

KlinicalKlinical ExamplesExamples

3232--year year oldold patientpatient withwith interdental interdental spacespace 25,26. 25,26.

Condition Condition afterafter multiple multiple maxillarmaxillar sinusitissinusitis

11 mm

11 mm

ParamarginalParamarginalcutcut

GIPGIP--ImplantImplant