Sunday, November 19th 2017 8:56PM EST

Two Stage Surgical Technique: Implant Placement

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Two Stage Surgery Implant Insertion Technique

Extraction site, Envelope, Scalloped Drill 2.0mm pilot hole with external irrigation to a depth 2.0mm–3.0mm deeper than chosen implant when practical.
Use paralleling pins to facilitate alignment when placing multiple implants. Place an abutment with a 2.0mm post into pilot hole and confirm appropriateness with a vacu-press template.
Widen socket with sequentially larger reamers without irrigation at a maximum of 50 RPM. In this case, a 5.0 x 6.0mm implant has been chosen so the final bur used also has a diameter of 5.0mm. Place harvested autogenous bone, intermittently removed from the flutes of the reamer burs, into a silicone dappen dish for later use.
Harvest bone debris from reamer flutes and socket. The implant’s sterile blister pack is dropped onto a sterile tray prior to removing its Tyvek® backing before the implant’s inner packaging is cut with a pair of scissors.
Remove implant from poly bag. Seat implant by tapping gently on healing plug or directly into the implant well with an appropriate seating tip.
Cut healing plug. Ensure that no sharp edges remain that could irritate soft tissue. Place harvested bone graft over shoulder of implant. See Step #6 above. Close and wait a minimum of ten to twelve weeks for osseointegration.

 

 

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