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Xive Surgical Implants - Coggle Diagram
Xive Surgical Implants
Treatment Planning
Indications - Why use Implants
Edentulous Jaw
Free-End Edentulism
Edentulous Span
Contra-indications
MH
Diabetes
Usually if it is uncontrolled
check with HbA1C
Immunocompromised patients
Bisphosphonates
Cancer tx
chemotherapy uses bisphosp
Reduced blood clotting
anticoagulants
warfarin
Poor Bone quality
Poor Bone Quantity
Must have sufficent coverage all around implant
height and width.
Bruxism
Smoking
Young age
The implant will shift as the jaws grow
Radiation therapy
Chemotherapy
Perio disease
Poor hygiene
Complications
Temporary
Swelling
heamatoma
oedema
sensitivity
Time of Implant Placement
Delayed Immediate Placement
Delaying the placement allows for infection to clear and for osteo-regeneration to occur
Immediate Non-loading
Immediate placement
can place an immediate denture
Implant Dimensions
Diameter
3.00 mm - 5.5 mm
Colour Coded
D2.0>D3.0>D3.4>D3.8>D4.5>D5.5
Length
8 mm - 18 mm
Length and Diameter is correlated
Implant Categories
Endosseous
Transosseous
subperiosteal
Osteointegration process
Osteoblasts adhere to implant surface with extensions known as filopodia
Implant surface is roughened to improve cell adhesion
Components
Implant
abutment
Friadent
friadent try-in abutment
used to check position of abutment while doing pilot hole
Drills
Must be replaced after 10 uses
Twist drills cut the bone
Short = Posterior area
much easier to handle
Long = anterior area
used up to 1500 rpm
Bone condenser
can lift sinus
can condense bone if there is poor bone quality
Bone Density
Type 1
Dense cortical bone little spongy bone
Type 2
Dense cortical and large grain spongy bone
Type 3
Thin cortical and Fine mesh spongy bone
Type 4
No cortical and fine spongy bone
Steps
Depth of crestal preparation = 6mm
D4.5
Xive tap is used to prepare the threading pattern before placing fixture
Tap is used in dense bone
Start with smallest diameter and increase to required diameter. Remain in same length band.
pilot hole is always drilled with D2.0
finish with crestal twist drill
Computer-aided
Much more accurate
cerec manufactured guide stent
allows effective bone examination for full implant coverage
can view important anatomical landmarks
IAN
Friadent Select try-in abutment can be used during pilot hole
check position and distance to adjacent teeth
