specifications are subject to change without notice ... · pn2434 (rev.1) 02/09 ssaalleess...
TRANSCRIPT
PN2434 (Rev.1) 02/09
SSaalleess ooffffiiccee:: 11075 Knott Ave., Suite A Cypress, CA 90630 Tel 1-877-304-6752 Fax 1-714-890-6360HHoommeeppaaggee // EE--mmaaiill:: www.DentiumUSA.com / [email protected]
Specifications are subject to change without notice.
Introduction to DASK
Crestal Approach
Lateral Approach
OSTEON Sinus&LiftingTM
C O N T E N T S
DAS
K M
anua
l
04
DAS
K M
anua
l
05
Introduction to DASKDASK Drills
The distance from the alveolar crest to the sinus floor should be measured on x-rays prior tosurgery. Site preparation is preformed with the twist drills in sequence up to 1mm short of thesinus floor. DASK Drill #1 or #2 is used and the sinus floor is carefully prepared under lightapical pressure. When you feel the sinus floor give, remove drill. Or, partial preparations withDASK Drill #1 or #2 and up-fracture with osteotomes can be performed.
* The internal irrigation not only has a cooling effect, it adds hydraulic pressure to slightly liftthe sinus during drilling.
When the sinus cavity is accessed, DASK Drill #3 is introduced and a much broader detachmentfrom the sinus floor can be facilitated horizontally with hydraulic pressure. DASK Drill #3 can beused for a lateral window approach.
* The internal irrigation not only has a cooling effect, it adds hydraulic pressure to slightly liftthe sinus during drilling.
(800~1200rpm)
(800~1200rpm)
To make a lateral window using the DASK Drill #4 or #5.
* DASK Drill #4 or #5 is used to prepare a lateral sinus window using light pressure androtating stokes. The DASK Drill #4 or #5 is designed to help prevent sinus perforation.
(800~1200rpm)
To make a lateral window using the DASK Drill #6, removing a the bone core which canthen be used to close the lateral window.
* DASK Drill #6 is used to prep a bony core into the lateral wall. Use careful considerationwhile drilling. Stop drilling when you start to see the shadow of sinus membrane. Overdrillingcan cause sinus perforation and possible damage to the membrane.
(800~1200rpm)
Drills for Crestal Approach
Drills for Lateral Approach
DASK Drill #1XRT332035
DASK Drill #3XED331035
DASK Drill #2XRT372035
DASK Drill #4XRT064025
DASK Drill #6XST083025
DASK Drill #5XRT084025
DASK Maintenance
SStteerriilliizzaattiioonn aanndd IInnssttrruummeenntt CCaarree PPrroocceedduurreess
• Please follow legal regulations, as well as hygienic guidelines to prevent contamination and infection.
• Please remember that you are responsible for the maintenance and sterility of your medical/dental products/device.It is important to use and follow proper cleaning, disinfection and sterilization procedures.
• It is also important to follow the manufacture's recommendation on usage of drills. Please keep a log as to how manytimes the drills are used.
• Drill usage is determined by surgical site not per patient. Bone density and usage determine the life of the drills.
• Drills should be considered for replacement around 15- 20 uses based on bone density. Check drills often for wear.
01 Pre-soaked all drills for 15-20 minutes in a 5% sodium hypochlorite bath to loosen and prevent debris fromattaching to drills, then rinse with running water. DO NOT SOAK OVER NIGHT.
02 Scrub with a soft brush to remove any debris.03 For internal irrigation drills use a reamer or small gauge needle to cleanout drill internally.04 Use an ultrasonic cleaner, wrap drills in a 2 x 2 to prevent rubbing against each other.05 Rinse thoroughly under warm water. 06 Clean all instrument trays with a germicidal cleaner prior to replacing instruments in kit.07 Dry completely and place back into kit.08 Always check for damage or corrosion after rinsing and drying.09 Seal the tray in a sterilization pouch.10 Sterilize using a steam autoclave in 121°C/250F for 30 minutes or refer to manufactures recommendations.11 Store in a dry area at room temperature.
MMaaiinntteennaannccee PPeerriioodd ffoorr DDAASSKK DDrriillllss
DASK Drill #2(800 ~1,200rpm, 30~45N.cm with irrigation)
All surgical drills shall be replaced after approximately 20 uses based on bone density
DASK Drill #1(800 ~1,200rpm, 30~45N.cm with irrigation)
DASK Drill #3(800 ~1,200rpm, 30~45N.cm with irrigation)
DASK Drill #5
DASK Drill #4(800 ~1,200rpm, 30~45N.cm with irrigation)
DASK Drill #6(800 ~1,200rpm, 30~45N.cm with irrigation)
(800 ~1,200rpm, 30~45N.cm with irrigation)
DAS
K M
anua
l
06
DAS
K M
anua
l
07
Postoperative panoramic view
Clinical Case
Preoperative panoramic view Prepare site with twist drills to the resistance of the cortical bone of the sinus floor.
When you feel the sinus floor "give" then use a dome-shaped sinus curette.
When a sunken sensation is felt, change to a dome-shaped curette.
Sinus membrane felt and detached.
OSTEON Lifting introduced. Graft material lightly condensed.
Implant placed (SuperLine). GBR to achieve verticohorizontalaugmentation.
Crestal Approach (Sinus Lifting)
After Ø3.8 Final drilling, eliminate the residualbone (1mm) using a DASK Drill #1 or #2.(in hard bone)
Use dome-shaped sinus curette to gently lift thesinus membrane.
Use a dome-shaped sinus curette to gently liftthe sinus membrane.
Lift the sinus membrane using a DASK Drill #3with internal irrigation.
Use (OSTEON Lifting) bone graft material to fill the sinus through the osteotomy.
Lightly condense OSTEON into the sinus. Placement of implant into the osteotomy.TM
After drilling, use an osteotome. Use an osteotome to make a greenstick fracture.
Crestal Approach using DASK Drill #1, #2, #3
Using Osteotomes
TM
Crestal Approach
TM
DAS
K M
anua
l
08
DAS
K M
anua
l
09
Lateral Approach (Sinus Elevation)
Lateral Approach using DASK Drill #4 or #5
Lateral Approach using DASK Drill #6
DASK Drill #6 is used to prep a bony core into the lateral wall. Use careful considerationwhile drilling. Stop drilling when you start to see the shadow of sinus membrane.Overdrilling can cause sinus perforation and possible damage to the membrane.
Detach Sinus membrane using a dome-shapesinus curette.
Elevate the sinus membrane to create adequatespace for graft material.
After lifting the sinus membrane with a curretteuse DASK Drill #3 to hydraulic lift the sinus.
Fill bone graft material (OSTEON Sinus) intothe sinus cavity.
Implant placed (SuperLine).
TM
If the lateral wall needs to be a expanded, Grind andmove with DASK Drill #4 or #5 simultaneously asshown on the left.
In the case of thick bone, drill with caution.The second laser mark is 3.0mm.
■Thin wall ■Thick wall
In the case of thin bone, drill with caution.The first laser mark is 1.5mm.
Place DASK Drill #4 or #5 at a 45 degree angle against the lateral wall, and make pivoting sweeping motions until a shadow of the sinus wall shows through.
Clinical Case
Preoperative panoramic view Postoperative panoramic view Lateral window prepared with DASK Drill #4or #5.
Lateral wall of the maxilla exposed, preparedand the schneiderian membrane reflected.
Implant (SuperLine 5010SW) used for installation. Bone graft material (Osteon Sinus) placed intothe sinus cavity and around the periimplantdefect.
Preoperative panoramic view Postoperative panoramic view Bony window prepared with DASK Drill #6.
Dome-shaped sinus curette introduced toseparate the seal around the bony window.
Osteoconductive graft material(OSTEON Sinus)introduced.
The bony core repositioned.
Clinical Case 1 : Lateral Approach using DASK Drill #4 or #5
Clinical Case 2 : Lateral Approach using DASK Drill #6
TM
TM
DAS
K M
anua
l
10
DAS
K M
anua
l
11
Type DASK Drill # REF
DASK Drill #1 XRT 332035
DASK Drill #2 XRT 372035
DASK Drill #3 XED 331035
DASK Drill #4 XRT 064025
DASK Drill #5 XRT 084025
DASK Drill #6 XST 083025
DASK (Dentium Advanced Sinus Kit)
XRT064025
XRT084025
XST083025
XRT332035
XED331035
Ø6.0
4.0
Ø8.0
Ø8.0
1.5 1.5
Ø3.3
24681012
Ø3.3Ø1.6
0
XRT372035 Ø3.7
24681012 0
24681012 1 0
Ø6.6
XFDST08XFDST06
XFDST04
Ø5.14Ø5.14 Ø5.14 Ø5.14
14.612.610.6
16.6
XFDST02
Lateral Approach
DASK Drill | Scale 1 : 1.2 / mm
Crestal Approach
Drilling Depth L REF
08 10.6 XFDST 08
06 12.6 XFDST 06
04 14.6 XFDST 04
02 16.6 XFDST 02
Stopper | For XRT332035, XRT372035, XED331035 | Scale 1 : 1 / mm
※Note: Drill speed 800 to 1,200rpm, 30~45N.cm with irrigation.
DASK• Simple & easy access to sinus cavity• Broad exposure of bony walls with special instruments
REF DASK
DASK (Dentium Advanced Sinus Kit)
Osteotome Kit
ØAØB
Osteotome KitOsteotome s compress the bone laterally, providing denser bony interfacerather than removing valuable bone from the surgical site.
XOF 20 A1
Osteotomes | Final drill type / Scale 1 : 0.5 / mm
XOF 34 A1
XOF 38 A1
XOF 43 A1
XOF 48 A1
XOFK
REF ØA ØB
XOF 20 A1 Ø1.7 Ø2.8
XOF 34 A1 Ø2.3 Ø2.8
XOF 38 A1 Ø2.7 Ø3.2
XOF 43 A1 Ø2.8 Ø3.8
XOF 48 A1 Ø3.0 Ø4.3
Sinus Elevation Instrument | Scale 1 : 0.6 / mm
REF XSE1L
REF XSE2L
REF XSE3L
REF XSE4L
'
Dentium developed by clinicians for clinicians
DAS
K M
anua
l
12
Easy & Simple Bone Graft
GBR, Sinus Bone Substitute Material
OSTEONTMSinus
Simple & Fast Bone Graft
The 0.3~0.5mm particle size of OSTEONTM
OSTEONTMLifting
GBG 0510S-05
GBG 0510S-100.5~1.0mm
0.5cc
1.0cc
0.5cc
1.0cc
OSTEONTM Sinus
GBG 0305S-02
GBG 0510S-02
0.3~0.5mm
0.5~1.0mm
0.25ccOSTEONTM Lifting
Product REF Particle Size Volume
Product REF Particle Size Volume
OSTEONTM Sinus & Lifting
GBG 1020S-05
GBG 1020S-101.0~2.0mm