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THE COMPLETE GUIDED SURGERY

THE COMPLETE GUIDED SURGERY. GUIDED SURGERY KIT. GUIDED SURGERY KIT. Positioning of the titanium sleeves To be able to make the customized guides and ensure optimal fit for all indications taking into account the following situations: Uneven gum thickness ,

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THE COMPLETE GUIDED SURGERY

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  1. THE COMPLETE GUIDED SURGERY

  2. GUIDED SURGERY KIT

  3. GUIDED SURGERY KIT • Positioning of the titanium sleeves • To be able to make the customized guides and ensure optimal fit for all indications taking into account the following situations: • Uneven gum thickness, • Implant angle greater than 20°, • Little available mesiodistal space. • The positioning of the titanium sheaths on the surgical guide can be different and the sheaths raised by: • +2 (distance between the stop of the implant holder and the neck of the implant is 10.5mm) • +4 (distance between the stop of the implant holder and the neck of the implant is 12.5mm) => sleeve RP+4 or WP+4 In standard situation (RP or WP: gum thickness greater than or equal to 4mm), the distance between the stop of the implant holder and the neck of the implant is 8.5mm. 1) GUIDE

  4. GUIDED SURGERY KIT 1) GUIDE Gumbetween 6 and 8 mm Gumbetween 4 and 6 mm Gum < 4 mm

  5. GUIDED SURGERY KIT • 2) COMPLETE KIT

  6. GUIDED SURGERY KIT • 3) GUIDE FIXATION Drill Ø1,5 Ref: UGC.FA.15.200 3 needles Ref: CGC.AA.15.280

  7. GUIDED SURGERY KIT • 4) SOFT TISSUE REMOVAL • AND BONE MARKING Gingival punch RP Ref: DGCG41 + Stop RP4 Ref: UGC.BU.RP.085 Gingival punch WP Ref: DGCG48 + Stop WP4 Ref: UGC.BU.WP.085 Stop RP6 Ref: UGC.BU.RP.085 Stop RP4 Ref: UGC.BU.RP.105 Stop WP4 Ref: UGC.BU.WP.085 Stop WP6 Ref: UGC.BU.WP.105 These common stops with cortical drills are “gold” anodized

  8. GUIDED SURGERY KIT • 4) SOFT TISSUE REMOVAL • AND BONE MARKING

  9. GUIDED SURGERY KIT • 5) DRILL Ø2.2 Drill Ø2.2 lg:6 Ref: NFI.22.145 Drill Ø2.2 lg:8 Ref: NFI.22.165 Drill Ø2.2 lg:10 Ref: NFI.22.185 Drill Ø2.2 lg:12 Ref: NFI.22.205 Guide Drill Ø2.2 RP & WP Ref: UGC.GP.22 Drill Ø2.2 lg:14 Ref: NFI.22.225

  10. GUIDED SURGERY KIT • 5) DRILL Ø2.2 For all drills, the rule for choosing the work height depending on the position of the titanium sheaths of the surgical guide is: • If the guide sheath is standard, RP or WP: • the necessary height is equal to the length of the implant. • If the guide sheath is RP+2 or WP+2: • the necessary height is equal to the length of the implant +2mm. • If the guide sheath is RP+4 or WP+4: • the necessary height is equal to the length of the implant +4mm

  11. GUIDED SURGERY KIT 6) INTERMEDIATE AND FINAL « D4 » DRILLING Select guide drill according to the drill diameter and the sleeve diameter (RP or WP) Drill Ø4 Ref: NFD.40.225 Drill short Ø4 Ref: NFD.40.185 Drill Ø2,8 Ref: NFD.28.225 Drill short Ø2,8 Ref: NFD.28.185 Drill Ø3,3 Ref: NFD.33.225 Drill short Ø3,3 Ref: NFD.33.185 Stop lg 6mm Ref: NHB.45.060 Stop lg 12mm Ref: NHB.45.120 Stop lg 10mm Ref: NHB.45.100 Stop lg 8mm Ref: NHB.45.080

  12. GUIDED SURGERY KIT 6) INTERMEDIATE AND FINAL « D4 » DRILLING Example for a long drill: A stop marked “lg10” means that the depth of the resulting well after installing the stop on the drill can be: - 10 mm if the titanium sheath of the surgical guide is standard, RP or WP - 8 mm if the titanium sheath of the surgical guide is RP+2 or WP+2 - 6 mm if the titanium sheath of the surgical guide is RP+4 or WP+4

  13. GUIDED SURGERY KIT 6) INTERMEDIATE AND FINAL « D4 » DRILLING Example for a short drill: The short drill is 4mm shorter than the long. You therefore need to reduce by 4mm. When using a stop this means that the resulting well depth is: - 10 mm if the titanium sheath of the surgical guide is standard, RP or WP - 8 mm if the titanium sheath of the surgical guide is RP+2 or WP+2 - 6 mm if the titanium sheath of the surgical guide is RP+4 or WP+4

  14. GUIDED SURGERY KIT 6) INTERMEDIATE AND FINAL « D4 » DRILLING

  15. GUIDED SURGERY KIT 7) INTERMEDIATE AND FINAL «D2-D3» DRILLING Select guide drill according to the drill diameter and the sleeve diameter (RP or WP) Drill long Ø4,2 Ref: NFV.42.225 Drill short Ø4,2 Ref: NFV.42.185 Drill long Ø3 Ref: NFB.30.225 Drill short Ø3 Ref: NFB.30.185 Drill long Ø3,5 Ref: NFR.35.225 Drill short Ø3,5 Ref: NFR.35.185 Stop lg 6mm Ref: NHB.45.060 Stop lg 12mm Ref: NHB.45.120 Stop lg 10mm Ref: NHB.45.100 Stop lg 8mm Ref: NHB.45.080 Drillingdepth idem « bone D4 »

  16. GUIDED SURGERY KIT • 8) CORTICAL DRILLING STANDARD Cortical drill RP Ø3,6 Ref: UFE.41.30 + Stop RP4 Ref: UGC.BU.RP.085 Cortical drill RP Ø4,8 Ref: UFE.49.42.06 + Stop WP4 Ref: UGC.BU.WP.085 Stop RP6 Ref: UGC.BU.RP.085 Stop WP4 Ref: UGC.BU.WP.105 Cortical drill RP Ø4,1 Ref: UFE.41.35 + Stop RP4 Ref: UGC.BU.RP.085 Stop RP4 Ref: UGC.BU.RP.105 Stop WP6 Ref: UGC.BU.WP.085

  17. GUIDED SURGERY KIT Select guide drill according to the drill diameter and the sleeve diameter (RP or WP) • 9) FINAL DRILLING « D1» Drill long Ø3,3 Ref: NFD.33.225 Drill short Ø3,3 Ref: NFD.33.185 Drill long Ø3,8 Ref: NFD.38.225 Drill short Ø3,8 Ref: NFD.38.185 Drill long Ø4,5 Ref: NFD.45.225 Drill short Ø4,5 Ref: NFD.45.185 Stop lg 6mm Ref: NHB.45.060 Stop lg 12mm Ref: NHB.45.120 Stop lg 10mm Ref: NHB.45.100 Stop lg 8mm Ref: NHB.45.080 Drillingdepth idem « bone D4 »

  18. GUIDED SURGERY KIT • 10) TAPPING • There is no drilling guide that can tap through the guide. The operator must therefore perform the tapping carefully: the tap must be inserted to match the surgical line. The tap has visual reference marks (no stop for this accessory) that let you do the tapping through the surgical guide in total safety. • The tap can be used at a contra-angle at a speed of 15 to 20 rpm, or manually, with a click wrench with a square socket. • for standard sheaths, RP and WP, tap to the desired length • for RP+2 and WP+2 sheaths, tap to the desired length + 2 mm • for RP+4 and WP+4 sheaths, tap to the desired length + 4 mm Key Tap Ref: CEC.40 Tap Ø3,6 Ref: UET.36.225 Tap Ø4,8 Ref: UET.48.225 Tap Ø4,1 Ref: UET.41.225

  19. GUIDED SURGERY KIT • 11) IMPLANTS INSERTION STANDARD Long implant-Holder WP Ref: UGC.PI.UHD48L + screw Ref: NPS.VG.20.156 Long implant-Holder RP Ref: UGC.PI.UHD36L + screw Ref: NPS.VG.20.156 INSERTION WITH CONTRA-ANGLE Mandrel PI 23mm Ref: CMI.230 MANUAL INSERTION WITH KEY Implant support tube for changing implant-holder Key PI 7mm Ref: CPI.170

  20. GUIDED SURGERY KIT • 11) IMPLANTS INSERTION Level RP or WP After having opened the tube, put the extremity of the key or of the mandrel directly on the implant-holder without taking it out of the tube. The clipping on the implant-holderiseasilyrecognizable. Take the implant to the receiving socket and offer it up at the entrance to the well passing it through the titanium sheath on the surgical guide. In order to respect the planned height, the stop of the implant holder must come in contact with the top of the titanium sheath of the guide, without tightening which could compromise the guide and bury the implant too deeply.

  21. GUIDED SURGERY KIT • 11) IMPLANTS INSERTION Level +2 or +4 The standard implant holder cannot be used in these two cases and is going to be at the stop on the titanium sheath of the guide and the implant will not be inserted to the right height. The solution is to use the long implant holders which are specially for guided surgery. The guided surgery kit comes with: 4 long implant holders for the RP platform and 2 for the WP platform. These long implant holders have reference markings for the various levels of guide sheaths: • In RP or WP: The first mark on the long RP implant holder must just disappear at the upper end of the titanium sheath in the surgical guide. • In RP+2 or WP+2: The second mark on the long RP implant holder must just disappear at the upper end of the titanium sheath in the surgical guide. • In RP+4 or WP+4: You need to go until the fixed stop of the long implant holder to place the implant.

  22. GUIDED SURGERY KIT • 12) UNEVA REFERENCES • Guided surgery WP RP Implant supplied with a guidedsurgery implant-holder.

  23. GUIDED SURGERY KIT • 13) UNEVANE REFERENCES • Guided surgery RP Implant supplied with a guidedsurgery implant-holder.

  24. GUIDED SURGERY KIT • 14) SPECIFIC SURGERY PROTOCOLFOR EACH IMPLANT

  25. A GLOBAL IMPLANT SOLUTION

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