NSK NAKANISHI
Socket Lift Tip Oral Surgery Procedure Manual May 2013
Procedure Manual
2 Pages
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Socket Lift Tip Oral Surgery Procedure Manual
Setting value: mode S, 80% power, water level 5
OM-Z0222E
Process examples for elevation of maxillary sinus membrane
maxillary sinus
*A case of around 5mm from the base of cortical bone to maxillary sinus. *Bone tissue is type 3 and good condition. *In addition to positive diagnosis by CT image, the vertical bone width should be diagnosed well and the implant preparation site could be formed until the base of maxillary antrum.
Clinical example: the implant preparation site is formed by using SG16B tip. The implant preparation site is ø2.8mm.
7. Using sufficent water irrigation, the implant preparation site is formed by using SCL2D tip. The water level is set to 5. Please be careful not to force the tip into the implant preparation site. Too much water pressure may exert on the maxillary antrum membrane. At the case of using drilling, this step is excluded.
1. A type of implant preparetion site for a regular size implant ø4.0mm. At the case of using VarioSurg Setting value: mode S, 50% power, water level 1
Setting value: mode S, 50% power, water level 1
Setting value: mode S, 50% power, water level 1
Setting value: mode S, 80% power, water level 5
Setting value: mode S, 50% power, water level 5
1. Bone cutting to within 1mm to the base of maxillary antrum by using SG15A tip. Please be careful not to push the tip too much.
2. Repeat bone cutting by using SG15B tip to increase width. Please be careful not to push the tip too much.
3.Repeat bone cutting by using SG15C tip. The implant preparation site is formed with seeking in the same way as the depth gauge is used.
Setting value: mode S, 50% power, water level 1
8. Using sufficent water irrigation, the implant preparation site is continued to be formed by using SCL1D tip. The water level is set to 5. The cavity floor of the implant preparation site is cut by using the edge of the top of the tip. Please be careful not to force the tip into the implant preparation site. Too much water pressure may exert on the maxillary antrum membrane.
9. The maxillary antrum membrane is exfoliated by using SCL1 tip. The water level is set to 5. Slowley insert the top of the tip between the membrane and bone. Moving the tip along the wall of the implant preparation site will exfoliate the membrane. Please be careful, since the membrane can be torn at the edge (arrow part) between the bone and the membrane.
membrane elevation peripheral part
center part
4. Bone cutting continued by using SG15D tip. The implant preparation site is formed with seeking in the same way as the depth gauge is used. Site preparation at this stage is ø1.7mm.
Setting value: mode S, 50% power, water level 5
This image shows the elevated membrane which you will see from the maxillary antrum side. Please check the condition of maxillary antrum membrane using the endoscope.
10. The Maxillary antrum membrane can now be elevated by using SCL1 tip.
Clinical example: Before the mucous membrane of maxillary sinus is elevated.
Clinical example: The state of elevation of the mucous membrane of the maxillary sinus by using SCL1 tip.
At the case of using drilling Drill diameter ø3.0mm
1. By using a drill up to ø3.0mm, the implant preparation site is perforated to 1mm before the base of maxillary antrum at low-speed rotation.
Setting value: mode S, 50% power, water level 1
5. Bone cutting by using SG16A tip. The implant preparation site is formed until little of the base of cortical bone remains.
Setting value: mode S, 50% power, water level 1
6. Repeat bone cutting by using SG16B tip. The implant preparation site is formed until little of the base of cortical bone remains.
11. The completed formation of the implant preparation site. At the case of using drilling, the straight implant preparetion site of ø3.2mm is formed.
2. A type of implant preparetion site for a wide size implant ø5.0mm. At the case of using VarioSurg Setting value: mode S, 50% power, water level 1
Setting value: mode S, 50% power, water level 1
Setting value: mode S, 50% power, water level 1
Setting value: mode S, 50% power, water level 5
1. Bone cutting to within 1mm to the base of maxillary antrum by using SG15A tip. Please be careful not to push the tip too much.
2. Repeat bone cutting by using SG15B tip to increase width. Please be careful not to push the tip too much.
3.Repeat bone cutting by using SG15C tip. The implant preparation site is formed with seeking in the same way as the depth gauge is used.
10. The maxillary antrum membrane is exfoliated by using SCL3 tip. The water level is set to 5. Slowley insert the top of the tip between the membrane and bone. Moving the tip along the wall of the implant preparation site will exfoliate the membrane. Please be careful, since the membrane can be torn at the edge (arrow part) between the bone and the membrane.
11. The maxillary antrum membrane can now be elevated by using SCL1 tip.
12. The completed formation of the implant preparation site.
3. A type of implant preparetion site for a wide size implant ø6.0mm.
Setting value: mode S, 50% power, water level 1
At the case of using drilling Drill diameter ø4.5mm
4. Bone cutting continued by using SG15D tip. The implant preparation site is formed with seeking in the same way as the depth gauge is used. Site preparation at this stage is ø1.7mm.
1. Using a drill up to ø4.5mm, the implant preparation site is perforated before 1mm to the base of maxillary antrum at low-speed rotation.
Setting value: mode S, 50% power, water level 1
2. Bone cutting by using SG16A tip. The implant preparation site is formed until little of the base of cortical bone remains.
Setting value: mode S, 50% power, water level 1
3. Repeat using a SG16B tip to increase width. The implant preparation site is formed until little of the base of cortical bone remains.
At the case of using drilling Drill diameter ø3.5mm
Setting value: mode S, 50% power, water level 1
Setting value: mode S, 50% power, water level 1
Setting value: mode S, 80% power, water level 5
Setting value: mode S, 50% power, water level 5
1. By using a drill up to ø3.5mm, the implant preparation site is perforated to 1mm before the base of maxillary antrum at low-speed rotation.
5. Bone cutting by using SG16A tip. The implant preparation site is formed until little of the base of cortical bone remains.
6. Repeat bone cutting by using SG16B tip. The implant preparation site is formed until little of the base of cortical bone remains.
Setting value: mode S, 80% power, water level 5
Setting value: mode S, 80% power, water level 5
Setting value: mode S, 80% power, water level 5
7. Using sufficent water irrigation, the implant preparation site is formed by using SCL2D tip. The water level is set to 5. Please be careful not to force the tip into the implant preparation site. Too much water pressure may exert on the maxillary antrum membrane. At the case of using drilling, this step is excluded.
8. Using sufficent water irrigation, the implant preparation site is formed by using SCL4D tip. The water level is set to 5. Please be careful not to force the tip into the implant site. Too much water pressure may exert on the maxillary antrum membrane. At the case of using drilling, this step is excluded.
9. Using sufficent water irrigation, the implant preparation site is continued to be formed by using SCL3D tip. The water level is set to 5. The cavity floor of the implant preparation site is cut by using the edge of the top of the tip. Please be careful not to force the tip into the implant preparation site. Too much water pressure may exert on the maxillary antrum membrane.
4.Using sufficent water irrigation, the implant preparation site is continued to be formed by using SCL5D tip. The water level is set to 5. The cavity floor of the implant preparation site is cut by using the edge of the top of the tip. Please be careful not to force the tip into the implant preparation site. Too much water pressure may exert on the maxillary antrum membrane.
5. The maxillary antrum membrane is exfoliated by using SCL5 tip. The water level is set to 5. Slowley insert the top of the tip between the membrane and bone. Moving the tip along the wall of the implant preparation site will exfoliate the membrane. Please be careful, since the membrane can be torn at the edge (arrow part) between the bone and the membrane.
Setting value: mode S, 50% power, water level 5
6. The maxillary antrum membrane can now be elevated by using SCL5 tip.
7. The completed formation of the implant preparation site.
2013.06.20 005 S