Documente Academic
Documente Profesional
Documente Cultură
2003 By Default!
Catedra de protetic dentar fix i ocluzologie 2005 sef de lucrri Dr. Sergiu Drafta
Slide 2
2003 By Default!
Obiectivele cursului
Implantologie generaliti
Clasificarea implantelor
Elementele sistemului implantar
Indicatiile implantelor
Limitele anatomice ale pozitionarii implantelor
Integrarea tisulara a implantelor
Etapele clinico-tehnice de realizare a RPF pe
implante
Slide 3
2003 By Default!
Slide 4
2003 By Default!
Definiie :
Implantele endoosoase sunt materiale
Slide 5
2003 By Default!
Slide 6
2003 By Default!
Clasificarea implantelor
Dup raportul cu osul :endoosoase,
Slide 7
2003 By Default!
Slide 8
2003 By Default!
implants)
Implante lam
Implante ac
Implante disc
Implante combinate lam-rdcin
Implante transmandibulare
Implante transfixante
A Free sample background from www.powerpointbackgrounds.com
Slide 9
2003 By Default!
Implante rdcin
Slide 10
2003 By Default!
Implante lam
Slide 11
2003 By Default!
Slide 12
2003 By Default!
Slide 13
2003 By Default!
Implantul transmandibular
Slide 14
2003 By Default!
Implante transfixante
Slide 15
2003 By Default!
Corpul implantar
urub de acoperire
Extensie permucozal
Stlpul implantar
DTI,DTD
Capa
Implantul analog
Surubul de fixare
Slide 16
2003 By Default!
Slide 17
2003 By Default!
Baza
Capul
Colereta
Slide 18
2003 By Default!
Slide 19
2003 By Default!
Slide 20
2003 By Default!
Slide 21
2003 By Default!
Drepi
Angulai
Slide 22
2003 By Default!
Slide 23
2003 By Default!
Slide 24
2003 By Default!
Slide 25
2003 By Default!
Indicaiile implantelor
Edentaia total
Edentaie parial terminal
Brea edentat lung
Edentaia unidentar
Slide 26
2003 By Default!
Edentaia total
Slide 27
2003 By Default!
Edentaia terminal
Slide 28
2003 By Default!
Agregarea mixt
Slide 29
2003 By Default!
Slide 30
2003 By Default!
edentatia unidentara
Slide 31
2003 By Default!
Slide 32
2003 By Default!
Slide 33
2003 By Default!
Slide 34
2003 By Default!
Slide 35
2003 By Default!
Slide 36
2003 By Default!
Slide 37
2003 By Default!
A fost descris de
Branemark
Absena esutului
conjunctiv de la nivelul
interfeei os-implant
este cheia succesului
clinic n implantologia
endoosoas.
Slide 38
2003 By Default!
Biocompatibilitatea
materialului
Designul implantului
Suprafaa implantului
Statusul patului osos
Tehnica chirurgical
Condiiile de ncrcare
Slide 39
2003 By Default!
Biocompatibilitatea
Slide 40
2003 By Default!
Biocompatibilitatea
Slide 41
2003 By Default!
Designul implantului
Slide 42
2003 By Default!
Designul implantului
Slide 43
2003 By Default!
Designul implantului
Implante rdcin conice
Implante cu hexagon intern
Implant i stlp implantar = o singur pies
(Direct NobelBioCare)
Implante lam nchise
Slide 44
2003 By Default!
Suprafaa implantului
Plasm de titan
Gravaj acid
Sablare cu particule de siliciu sau cu oxid de
aluminiu
Tratament cu laser
Combinaii ale acestor metode
Slide 45
2003 By Default!
Suprafaa implantului
Slide 46
2003 By Default!
Plasma de titan
Slide 47
2003 By Default!
Slide 48
2003 By Default!
Slide 49
2003 By Default!
Densitatea osoas
Slide 50
2003 By Default!
Tehnica chirurgical
Slide 51
2003 By Default!
Slide 52
2003 By Default!
fiziodispenser
Ser fiziologic rcit la 4 grade C
Piese cu reducie 20:1, 32:1
Slide 53
2003 By Default!
Condiiile de ncrcare
ncrcarea gradual tardiv are cea mai
Slide 54
2003 By Default!
Slide 55
2003 By Default!
Examinare
Stare general de sntate
Examen loco-regional (dini naturali restani,
Slide 56
2003 By Default!
Contraindicaii
Generale
ocluzale nefavorabile
Slide 57
2003 By Default!
Radiografia panoramic
Examenul de baz ,indispensabil n
implantologie
Nu permite aprecierea precis a calitii
osului spongios
Mrirea dimensiunilor n plan vertical de
aproximativ 1,3 ori
Se folosesc abloane radiologice cu bile
metalice cu diametru cunoscut
Slide 58
2003 By Default!
Slide 59
2003 By Default!
Slide 60
2003 By Default!
Slide 61
2003 By Default!
www.niznick.com
A Free sample background from www.powerpointbackgrounds.com
Slide 62
2003 By Default!
ocluzale
Slide 63
2003 By Default!
Proteze mobilizabile
Puni colate
Puni convenionale
Restaurri pe implante
Co n
Est fort
e ti
c
tat
bili
Du
ra
Co s
eco turi
n om
ice
Cos
bio turi
l og
ice
Tim
p
Opiuni terapeutice
Slide 64
2003 By Default!
Slide 65
2003 By Default!
Slide 66
2003 By Default!
Slide 67
2003 By Default!
Slide 68
2003 By Default!
Slide 69
2003 By Default!
Slide 70
2003 By Default!
Slide 71
2003 By Default!
Slide 72
2003 By Default!
Slide 73
2003 By Default!
Slide 74
2003 By Default!
Slide 75
2003 By Default!
Tomato on stick
Slide 76
2003 By Default!
Slide 77
2003 By Default!
Slide 78
2003 By Default!
Slide 79
2003 By Default!
Slide 80
2003 By Default!
Slide 81
2003 By Default!
Slide 82
2003 By Default!
Slide 83
2003 By Default!
Slide 84
2003 By Default!
Slide 85
2003 By Default!
Slide 86
2003 By Default!
Slide 87
2003 By Default!
Slide 88
2003 By Default!
Slide 89
2003 By Default!
Slide 90
2003 By Default!
Slide 91
2003 By Default!
Slide 92
2003 By Default!
Slide 93
2003 By Default!
Slide 94
2003 By Default!
Slide 95
2003 By Default!
Slide 96
2003 By Default!
Slide 97
2003 By Default!
Grefe onlay
Slide 98
2003 By Default!
ROG
Slide 99
2003 By Default!
Slide 100
2003 By Default!
Slide 101
2003 By Default!
Slide 102
2003 By Default!
Slide 103
2003 By Default!
Slide 104
2003 By Default!
Distracie osoas
Slide 105
2003 By Default!
Slide 106
2003 By Default!
Slide 107
2003 By Default!
Slide 108
2003 By Default!
Slide 109
2003 By Default!
Slide 110
2003 By Default!
Repoziionarea NAI
Slide 111
2003 By Default!
Slide 112
2003 By Default!
Slide 113
2003 By Default!
comar
Slide 114
2003 By Default!
ablonul chirurgical
Slide 115
2003 By Default!
ablonul chirurgical
Slide 116
2003 By Default!
ablonul chirurgical
Slide 117
2003 By Default!
ablonul chirurgical
Slide 118
2003 By Default!
ablonul chirurgical
Slide 119
2003 By Default!
Slide 120
2003 By Default!
Slide 121
2003 By Default!
Slide 122
2003 By Default!
Slide 123
2003 By Default!
Slide 124
2003 By Default!
Slide 125
2003 By Default!
Slide 126
2003 By Default!
Slide 127
2003 By Default!
ablonul chirurgical
Dicteaz plasarea implantelor n poziia cea
Slide 128
2003 By Default!
Slide 129
2003 By Default!
Inserarea implantelor
Slide 130
2003 By Default!
Slide 131
2003 By Default!
Slide 132
2003 By Default!
Slide 133
2003 By Default!
Slide 134
2003 By Default!
Slide 135
2003 By Default!
Slide 136
2003 By Default!
Amprenta
La nivelul corpilor implantari sau la nivelul
stlpilor implantari
Slide 137
2003 By Default!
Slide 138
2003 By Default!
Dezavuat de coala
romneasc de
implantologie
Se folosete cnd se
utilizeaz stlpi implantari
UCLA
Se folosete cnd stlpii
implantari se selecteaz n
laborator
Este indicat n zonele n
care exigenele fizionomice
sunt maxime
Pe model analogii
corpurilor implantare
Slide 139
2003 By Default!
Slide 140
2003 By Default!
Slide 141
2003 By Default!
Slide 142
2003 By Default!
Amprenta cu DTI
DTI
Sunt confecionate din
metal sau plastic
Rmn pe cmpul
protetic la ndeprtarea
amprentei din cavitatea
bucal
Au feele laterele uor
conice i uneori au
poriuni plane pentru a
ajuta poziionarea lor n
amprent
A Free sample background from www.powerpointbackgrounds.com
Slide 143
2003 By Default!
Slide 144
2003 By Default!
Slide 145
2003 By Default!
Slide 146
2003 By Default!
Slide 147
2003 By Default!
Slide 148
2003 By Default!
Amprenta cu DTI
Avantaje
Se poate verifica la
vedere repoziionarea
ansamblului DTIanalogi
DTI rmn pe cmpul
protetic ca la
amprentarea clasic
Dezavantaje
Exist dificulti la
repoziionarea
ansamblului DTIanalogi
Exist posibilitatea
producerii deformrii
permanente la
dezinseria amprentei
Nu se aplic n cazul
existenei de
divergene implantare
Slide 149
2003 By Default!
Amprenta cu DTD
DTD
Au o form
paralelipipedic
retentiv
Au o gaur de acces
pentru uruburile de
fixare (tije ghid)
Tijele ghid au lungimi
de 10, 15, 20 mm.
Slide 150
2003 By Default!
Slide 151
2003 By Default!
Slide 152
2003 By Default!
Slide 153
2003 By Default!
Slide 154
2003 By Default!
Slide 155
2003 By Default!
Slide 156
2003 By Default!
Slide 157
2003 By Default!
Slide 158
Abutment
Analogues
A Free sample background from www.powerpointbackgrounds.com
2003 By Default!
Slide 159
2003 By Default!
Slide 160
2003 By Default!
Amprenta cu DTD
Avantaje
Risc sczut de
deformare a amprentei
la ndeprtarea din c.b.
Obinerea unui model
funcional mai fidel
Se poate aplica i n
cazul divergenelor
implantare
Dezavantaje
Posibilitatea de
deformare a amprentei
la montarea analogilor
Greu de realizat n
regiunile posterioare
ale arcadelor mai ales
n cazul unei
amplitudini mici a DM
cronofag
Slide 161
2003 By Default!
Confecionarea modelului
funcional
Slide 162
2003 By Default!
Slide 163
2003 By Default!
Confecionarea abloanelor de
ocluzie
Se pot folosi : -DTD
Slide 164
2003 By Default!
Confecionarea abloanelor de
ocluzie
Slide 165
2003 By Default!
Slide 166
2003 By Default!
nregistrarea de ocluzie
Slide 167
2003 By Default!
Slide 168
2003 By Default!
Slide 169
2003 By Default!
Slide 170
2003 By Default!
Slide 171
2003 By Default!
Testul Sheffield
Slide 172
2003 By Default!
Slide 173
2003 By Default!
Slide 174
2003 By Default!
Slide 175
2003 By Default!
Slide 176
2003 By Default!
Slide 177
2003 By Default!
Slide 178
2003 By Default!
Fixarea definitiv
Slide 179
2003 By Default!
Igienizarea
Regimul de ntreinere personal
permanent
ntrit periodic prin dispensarizare
Procedurile de igienizare:
-de 3 ori pe zi
-perii de dini medium i soft
-perii de dini interproximale
-nururi dentare i panglici dentare
-periue dentare electrice
-aparatul WATER PIK
-ape de gur de 2X pe zi
Slide 180
2003 By Default!
Slide 181
2003 By Default!
Slide 182
2003 By Default!
Slide 183
2003 By Default!
RX
1-2 sapt
6 sapt
6 luni
12 luni
24 luni
36 luni
Anual
da
da
da
da
La fiecare 3
ani
Slide 184
2003 By Default!
mobilitii
Absena durerii
Absena infeciei periimplantare
Absena sngerrii la palpare
Pierdere osoas 1.0-1.5mm n primul
an; apoi < 0.1mm anual
Rata de succes la 5 ani 95% iar la 10 ani de
85%
Slide 185
2003 By Default!
Complicaii
Complicaii imediate
Complicaii tardive
Slide 186
2003 By Default!
Complicaii imediate
Accidente la montarea SI pe corpul implantar
Imposibilitatea montrii SI dat.:
-alterrii filetului intern al implantului
-incongruenei SI-corp implantar
-fracturrii prii filetate a SI
-mobilitii corpului implantar prin lipsa stabilitii
primare
Accidente i greeli la montarea suprastructurii
protetice
-fractura urubului de fixare a lucrrii protetice
A Free sample background from www.powerpointbackgrounds.com
Slide 187
2003 By Default!
Complicaii tardive
Complicaii ale esutului moale:
Gingivita proliferativ
Expunerea filetului corpului implantar
Igienizare necorespunztoare
Complicaii osoase
Pierderea progresiv a osului marginal
Mobilizarea corpului implantar
Complicaii mecanice
Fractura corpului implantar
Slabirea SI sau a uruburilor de fixare
Fractura urubului SI
Fractura suprastructurii protetice
Slide 188
2003 By Default!
Slide 189
2003 By Default!
Slide 190
2003 By Default!
Slide 191
2003 By Default!
Slide 192
2003 By Default!
Slide 193
2003 By Default!
Slide 194
2003 By Default!
Slide 195
2003 By Default!
Slide 196
2003 By Default!
Slide 197
2003 By Default!
Slide 198
2003 By Default!
Slide 199
2003 By Default!
Implantele inserate,
att la mandibul, ct
i la maxilar realizeaz
o ocluzie mai medial
dect schema natural
ocluzal n care
cuspidul vestibular
mandibular este
cuspidul dominant
Slide 200
2003 By Default!
Slide 201
2003 By Default!
Slide 202
2003 By Default!
Slide 203
2003 By Default!
Slide 204
2003 By Default!
Zarb, Chapman
A Free sample background from www.powerpointbackgrounds.com
Slide 205
2003 By Default!
Slide 206
2003 By Default!
Cazul 1
Slide 207
2003 By Default!
Slide 208
2003 By Default!
Slide 209
2003 By Default!
Slide 210
2003 By Default!
Slide 211
2003 By Default!
Cazul 2
Slide 212
2003 By Default!
Slide 213
2003 By Default!
Slide 214
2003 By Default!
Slide 215
2003 By Default!
Caz 3
Slide 216
2003 By Default!
Slide 217
2003 By Default!
Slide 218
2003 By Default!
Slide 219
2003 By Default!
Slide 220
2003 By Default!
Slide 221
2003 By Default!
Slide 222
2003 By Default!
Slide 223
2003 By Default!
Slide 224
2003 By Default!
Slide 225
2003 By Default!
Slide 226
2003 By Default!
Slide 227
2003 By Default!
Caz 4
Slide 228
2003 By Default!
Slide 229
2003 By Default!
Slide 230
2003 By Default!
Slide 231
2003 By Default!
Slide 232
2003 By Default!
Slide 233
2003 By Default!
Slide 234
2003 By Default!
Slide 235
2003 By Default!
Slide 236
2003 By Default!
Slide 237
2003 By Default!
Slide 238
2003 By Default!
Slide 239
2003 By Default!
Slide 240
2003 By Default!
Slide 241
2003 By Default!
Caz 5
Slide 242
2003 By Default!
Slide 243
2003 By Default!
Slide 244
2003 By Default!
Slide 245
2003 By Default!
Caz 6
Slide 246
2003 By Default!
Slide 247
2003 By Default!
Slide 248
2003 By Default!
Slide 249
2003 By Default!
Caz 7
Slide 250
2003 By Default!
Slide 251
2003 By Default!
Slide 252
2003 By Default!
Slide 253
2003 By Default!
Caz 8
Slide 254
2003 By Default!
Caz 9
Slide 255
2003 By Default!
Slide 256
2003 By Default!
Slide 257
2003 By Default!
Slide 258
2003 By Default!
Slide 259
2003 By Default!
Slide 260
2003 By Default!
Caz 10
Slide 261
2003 By Default!
Slide 262
2003 By Default!
Slide 263
2003 By Default!
Slide 264
2003 By Default!
Slide 265
2003 By Default!