{"id":11165,"date":"2023-07-18T18:15:21","date_gmt":"2023-07-18T18:15:21","guid":{"rendered":"https:\/\/versahinternational.com\/expansion-combinada-del-tabique-molar\/"},"modified":"2023-12-04T21:32:55","modified_gmt":"2023-12-04T21:32:55","slug":"expansion-combinada-del-tabique-molar","status":"publish","type":"page","link":"https:\/\/versahinternational.com\/es\/versatilidad-clinica\/expansion-combinada-del-tabique-molar\/","title":{"rendered":"Expansi\u00f3n combinada del septo molar"},"content":{"rendered":"

[vc_row][vc_column][vc_empty_space height=\u00bb100px\u00bb][vc_custom_heading text=\u00bbPROTOCOLO EXPANSI\u00d3N COMBINADA DEL SEPTO MOLAR\u00bb font_container=\u00bbtag:p|font_size:35|text_align:center|color:%23c4d600″ use_theme_fonts=\u00bbyes\u00bb][vc_btn title=\u00bbDescargar Protocolo\u00bb style=\u00bboutline-custom\u00bb outline_custom_color=\u00bb#c4d600″ outline_custom_hover_background=\u00bb#666666″ outline_custom_hover_text=\u00bb#ffffff\u00bb size=\u00bblg\u00bb align=\u00bbcenter\u00bb link=\u00bburl:https%3A%2F%2Fversahinternational.com%2Fwp-content%2Fuploads%2F2023%2F12%2FSpanish_Combied-Upper-Molar-Septum-Protocol-_10996-REV00.pdf|title:Protocolo%20de%20expansi%C3%B3n%20facilitada%20de%20la%20cresta\u00bb][\/vc_column][\/vc_row][vc_row][vc_column css=\u00bb.vc_custom_1690311450159{background-color: #ffffff !important;}\u00bb][vc_column_text]<\/p>\n

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Descripci\u00f3n general: <\/strong><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Indicado para los molares superiores con un septo de al menos 4 mm de ancho<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_empty_space height=\u00bb50px\u00bb][vc_separator][vc_column_text]1. Utilice im\u00e1genes CBCT para medir la anchura de la cresta y la distancia al piso del seno.<\/span>
\n2. Extracci\u00f3n atraum\u00e1tica sin colgajo con traumatismo m\u00ednimo para preservar el septo<\/span>
\n3. Instrumentaci\u00f3n de oseodensificaci\u00f3n con fresas Densah\u00ae en sentido antihorario (800-1500 r. p. m.) para expandir el septo y elevar simult\u00e1neamente la membrana sinusal.<\/span>
\n4. Colocaci\u00f3n de implantes.<\/span>
\n5. Injerte el alv\u00e9olo alrededor del implante con los materiales de injerto \u00f3seo adecuados.<\/span>
\n6. Selle el alv\u00e9olo con un pilar de cicatrizaci\u00f3n grande\/ancho.<\/span>[\/vc_column_text][vc_separator][vc_empty_space height=\u00bb50px\u00bb][vc_row_inner][vc_column_inner width=\u00bb2\/3″][vc_custom_heading text=\u00bbPaso 1:\u00bb font_container=\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00bbyes\u00bb][vc_column_text]<\/p>\n

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Diagn\u00f3stico:
\nUtilice im\u00e1genes CBCT para evaluar y medir la anchura de la cresta alveolar y la altura hasta el suelo del seno. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00bb1\/3″][vc_single_image image=\u00bb1214″ img_size=\u00bbfull\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00bb50px\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00bb2\/3″][vc_custom_heading text=\u00bbPaso 2:\u00bb font_container=\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00bbyes\u00bb][vc_column_text]<\/p>\n

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Est\u00e1 indicada la extracci\u00f3n quir\u00fargica sin colgajo. Separe las ra\u00edces molares con un traumatismo m\u00ednimo para preservar el septo.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00bb1\/3″][vc_single_image image=\u00bb1216″ img_size=\u00bbfull\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00bb50px\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00bb2\/3″][vc_custom_heading text=\u00bbPaso 3:\u00bb font_container=\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00bbyes\u00bb][vc_column_text]<\/p>\n

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Instrumentaci\u00f3n:
\nHaga funcionar la fresa Densah\u00ae en modo OD (en sentido antihorario) a una velocidad de perforaci\u00f3n de 800-1500 r. p. m. con abundante irrigaci\u00f3n. Utilice las siguientes fresas Densah\u00ae m\u00e1s grandes en incrementos completos para aumentar la plasticidad \u00f3sea, para expandir la osteotom\u00eda y levantar la membrana sinusal. Por ejemplo, utilice la fresa Densah\u00ae 2,0 despu\u00e9s del pilotaje, posteriormente expanda y penetre en el seno con la fresa Densah\u00ae 3,0, despu\u00e9s pase a la fresa Densah\u00ae 4,0 antes de introducir la fresa Densah\u00ae 5,0 si es necesario. A medida que aumenta el di\u00e1metro de la fresa, el hueso septal se expande y la membrana sinusal debe elevarse hasta 3 mm con injerto \u00f3seo aut\u00f3geno. Si se necesita una elevaci\u00f3n adicional de m\u00e1s de 3 mm, propulsar el injerto con la fresa final en sentido antihorario a 150 r. p. m. sin irrigaci\u00f3n (ver Protocolo de elevaci\u00f3n de seno II).<\/strong> En funci\u00f3n de la geometr\u00eda del implante, siga el protocolo de fresado del sistema de implantes correspondiente. <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00bb1\/3″][vc_single_image image=\u00bb1218″ img_size=\u00bbfull\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00bb50px\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00bb2\/3″][vc_custom_heading text=\u00bbPaso 4:\u00bb font_container=\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00bbyes\u00bb][vc_column_text]Coloque el implante a nivel crestal o sub crestal en funci\u00f3n de su tipo de conexi\u00f3n restauradora.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00bb1\/3″][vc_single_image image=\u00bb1220″ img_size=\u00bbfull\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00bb50px\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00bb2\/3″][vc_custom_heading text=\u00bbPaso 5:\u00bb font_container=\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00bbyes\u00bb][vc_column_text]Rellene el hueco del alv\u00e9olo con un material de injerto \u00f3seo si es necesario, preferiblemente con una masilla de aloinjerto o part\u00edculas de aloinjerto con una proporci\u00f3n de 70\/30 medular\/cortical.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00bb1\/3″][vc_single_image image=\u00bb1222″ img_size=\u00bbfull\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00bb50px\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00bb2\/3″][vc_custom_heading text=\u00bbPaso 6:\u00bb font_container=\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00bbyes\u00bb][vc_column_text]<\/p>\n

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Selle el alv\u00e9olo con un pilar de cicatrizaci\u00f3n grande personalizado o estandarizado.<\/strong> <\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00bb1\/3″][vc_single_image image=\u00bb1224″ img_size=\u00bbfull\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00bb50px\u00bb][vc_single_image image=\u00bb1212″ img_size=\u00bbfull\u00bb alignment=\u00bbcenter\u00bb][vc_column_text]<\/p>\n

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Caso cedido por cortes\u00eda del Dr. Samvel Bleyan
\n* Datos archivados, visite versahinternational.com\/od-published-papers\/ para estudios sobre injertos de septo molar y seno maxilar.
\n** El criterio cl\u00ednico y experiencia profesional deben tomarse en cuenta al aplicar esta pr\u00e1ctica cl\u00ednica y protocolo sugerido.\u00a0<\/strong><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=\u00bb100px\u00bb][vc_column_text]<\/p>\n

10893 REV00 \u00faltima actualizaci\u00f3n: 08\/2023<\/span><\/h6>\n

[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"

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Seguir leyendoExpansi\u00f3n combinada del septo molar<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":11664,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-11165","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/versahinternational.com\/es\/wp-json\/wp\/v2\/pages\/11165","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/versahinternational.com\/es\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/versahinternational.com\/es\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/es\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/es\/wp-json\/wp\/v2\/comments?post=11165"}],"version-history":[{"count":7,"href":"https:\/\/versahinternational.com\/es\/wp-json\/wp\/v2\/pages\/11165\/revisions"}],"predecessor-version":[{"id":17811,"href":"https:\/\/versahinternational.com\/es\/wp-json\/wp\/v2\/pages\/11165\/revisions\/17811"}],"up":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/es\/wp-json\/wp\/v2\/pages\/11664"}],"wp:attachment":[{"href":"https:\/\/versahinternational.com\/es\/wp-json\/wp\/v2\/media?parent=11165"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}