植牙報告完成版1.ppt

Introduction to Oral Implantology Universal scaler—Can be used in most areas to clean the abutment surfaces and apical portion of the framework Lingual ??scaler—Designed ??for ??cleaning ??the lingual side of the abutment. Posterior ?scaler—Designed ?to ?enable ?access ?to the posterior lingual abutment surfaces. Buccal scaler—Cleans the buccal surface of the abutment * 15 Tissue * D1密度最高，D4密度最鬆。一般而言，下顎骨頭密度較高，上顎骨頭密度較低。 Screw driver * Minnesota retractor Scalpel Handle Periosteal elevator Curette(彎) Curette(直) Tweezers Syringe Scissors Bone Collector Needle holder Mouth mirror Suture Syringe(NaOCl) Round bur Carbide bur Blade STAIN * 整形專科顧問索瑪孫達南（Somasundaram）解釋，富含血小板血漿（PRP）就是將紅血球去除，保留白血球、血漿及血小板，並在萃取過程中加入鈣，以刺激細胞因子（cytokine，一種血液荷爾蒙份子）增生，即PDGF及其他7種生長因子 7. Manual Torque Wrench, Surgical Do not exceed 45 Ncm torque on the Manual Torque Wrench, Surgical. 8. Closure Use a 6-0 suture to secure the flap. Position the flap at the coronal level of the TiUnite surface. 9a .Alteration of the Abutment Portion Alteration of the implant is sometimes required to establish the appropriate length, shape and margin for a temporary crown. Place a rubber dam using a lower anterior-size rubber dam clasp. 9b. Healing Cap 3.0 Note: Keep the Healing Cap/implant out of occlusion during the healing phase. Final Restoration 單件式標準型植體植入步驟： Tapered Drill (小→大) Dense Bone Drill ( optional) Screw tap Tapered 立即植牙的好處是在拔牙時有最原始最寬與最高的骨脊，因為牙齒拔除後，在前幾 個月內，骨脊寬度及高度就會吸收，一旦骨本變少，相較可提供植體的基底就少，因此為了有長期的成功率，常常須要額外的補骨手術。 另外立即植牙也可用拔牙槽來當植體放置時相對位置的指引，且馬上裝入臨時假牙冠，容易回復病人原有的外觀。 Case Report STAGE I(45,46,36,37)+Bone Graft 器械名 (右往左) Minnesota retractor Scalpel Handle Periosteal elevator Curette(彎,直) Tweezers Syringe Scissors Bone Collector Hemostat Needle holder Mouth mirror Suture Syringe(NaOCl) Round bur Carbide bur Blade Stent PRP Platelet Rich Plasma 骨粉 再生膜 mx-grafter? Autogenous Bone Grafting Instrumen Implant Abutment STAGE I (11,21,22) Hipbone Screw driver RPD(Positioning Stent) 1. 2