{"id":10197,"date":"2023-07-18T18:14:45","date_gmt":"2023-07-18T18:14:45","guid":{"rendered":"https:\/\/versahinternational.com\/expansion-du-septum-molaire\/"},"modified":"2023-12-04T20:58:23","modified_gmt":"2023-12-04T20:58:23","slug":"expansion-du-septum-molaire","status":"publish","type":"page","link":"https:\/\/versahinternational.com\/fr\/polyvalence-clinique\/expansion-du-septum-molaire\/","title":{"rendered":"Expansion du septum molaire"},"content":{"rendered":"

[vc_row height=\u00a0\u00bb100px\u00a0\u00bb][vc_column][vc_empty_space height=\u00a0\u00bb100px\u00a0\u00bb][vc_custom_heading text=\u00a0\u00bbProtocole d\u2019expansion de septum de molaire avec les fraises Densah\u00ae\u00a0\u00bb font_container=\u00a0\u00bbtag:p|font_size:35|text_align:center|color:%23c4d600″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_btn title=\u00a0\u00bbT\u00e9l\u00e9charger le protocole\u00a0\u00bb style=\u00a0\u00bboutline-custom\u00a0\u00bb outline_custom_color=\u00a0\u00bb#c4d600″ outline_custom_hover_background=\u00a0\u00bb#666666″ outline_custom_hover_text=\u00a0\u00bb#ffffff\u00a0\u00bb size=\u00a0\u00bblg\u00a0\u00bb align=\u00a0\u00bbcenter\u00a0\u00bb link=\u00a0\u00bburl:https%3A%2F%2Fversahinternational.com%2Fwp-content%2Fuploads%2F2023%2F12%2FFrench-Protocol-Molar-Septum-10704REV01-1.pdf|title:Protocole%20d’expansion%20facilit%C3%A9e%20des%20cr%C3%AAtes\u00a0\u00bb][\/vc_column][\/vc_row][vc_row height=\u00a0\u00bb100px\u00a0\u00bb][vc_column css=\u00a0\u00bb.vc_custom_1690310840354{background-color: #ffffff !important;}\u00a0\u00bb][vc_separator][vc_column_text]\u2022 SEPARER LES RACINES DES MOLAIRES A LA FURCATION SANS COMPROMETTRE L\u2019INTEGRITE DU SEPTUM.<\/span>
\n\u2022 UTILISER LA FRAISE PILOTE EN MODE HORAIRE JUSQU\u2019A UNE PROFONDEUR SUPERIEURE DE 1 MM A LA LONGUEUR DE L\u2019IMPLANT PREVU.<\/span>
\n\u2022 UTILISER LES FRAISES DENSAH PAR INCREMENTS POUR MIEUX ELARGIR L\u2019OSTEOTOMIE ET ACCROITRE LA PLASTICITE DE L\u2019OS.<\/span>
\n\u2022 L\u2019IMPLANT DOIT ETRE AU NIVEAU DE LA CRETE OU JUSTE EN-DESSOUS.<\/span>
\n\u2022 COMBLER L\u2019ESPACE AVEC UN BIOMATERIAU ADAPTE SI NECESSAIRE (ENVIRON 70% D\u2019OS SPONGIEUX ET 30% D\u2019OS CORTICAL).<\/span>[\/vc_column_text][vc_separator][vc_empty_space height=\u00a0\u00bb50px\u00a0\u00bb][vc_row_inner][vc_column_inner width=\u00a0\u00bb2\/3″][vc_custom_heading text=\u00a0\u00bb\u00c9tape 1 :\u00a0\u00bb font_container=\u00a0\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text]S\u00e9parer les racines des molaires \u00e0 la furcation sans compromettre l\u2019int\u00e9grit\u00e9 du septum. Pratiquer une extraction atraumatique des racines m\u00e9siale et distale. Retirer le tissu de granulation pour exposer le septum.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1195″ img_size=\u00a0\u00bbfull\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00a0\u00bb50px\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00a0\u00bb2\/3″][vc_custom_heading text=\u00a0\u00bb\u00c9tape 2 :\u00a0\u00bb font_container=\u00a0\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text]Utiliser une fraise pilote 1,3 \u2013 1,5 mm en mode horaire (forage) dans le centre du septum jusqu\u2019\u00e0 une profondeur sup\u00e9rieure de 1 mm \u00e0 la longueur de l\u2019\u2019implant pr\u00e9vu.<\/strong><\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1197″ img_size=\u00a0\u00bbfull\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00a0\u00bb50px\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00a0\u00bb2\/3″][vc_custom_heading text=\u00a0\u00bb\u00c9tape 3 :\u00a0\u00bb font_container=\u00a0\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text]Selon le type d\u2019implant et le diam\u00e8tre, suivre le guide de r\u00e9f\u00e9rence Densah et d\u00e9marrer avec la plus petite fraise Densah jusqu\u2019\u00e0 une profondeur sup\u00e9rieure de 1 mm \u00e0 la longueur de l\u2019implant pr\u00e9vu. Faire tourner les fraises Densah en mode OD Reverse\/densification (contre horaire \u2013 vitesse 800-1500 tr\/mn avec forte irrigation). Utiliser les fraises Densah suivantes par petites \u00e9tapes pour accroitre la plasticit\u00e9 de l\u2019\u2019os et expandre l\u2019\u2019ost\u00e9otomie. Par exemple, utiliser la fraude Densah (2.0) apr\u00e8s la pilote, puis <\/strong><\/span>expandre avec la fraise 2.3, ensuite 2.5 avant d\u2019introduire la 3.0.<\/strong> Comme dans les cas d\u2019expansion de cr\u00eate par ost\u00e9odensification, vous pouvez sur-expandre l\u2019ost\u00e9otomie, de telle sorte que le diam\u00e8tre de la derni\u00e8re fraise Densah soit l\u00e9g\u00e8rement sup\u00e9rieur au plus grand diam\u00e8tre de l\u2019implant pr\u00e9vu. Quand le diam\u00e8tre de la fraise augmente, l\u2019os s\u2019expand pour atteindre le diam\u00e8tre final de l\u2019ost\u00e9otomie.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1199″ img_size=\u00a0\u00bbfull\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00a0\u00bb50px\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00a0\u00bb2\/3″][vc_custom_heading text=\u00a0\u00bb\u00c9tape 4 :\u00a0\u00bb font_container=\u00a0\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text]La pose de l\u2019implant doit \u00eatre au niveau de la cr\u00eate ou juste en-dessous,<\/strong> selon le type de connexion.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1201″ img_size=\u00a0\u00bbfull\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00a0\u00bb50px\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00a0\u00bb2\/3″][vc_custom_heading text=\u00a0\u00bb\u00c9tape 5 :\u00a0\u00bb font_container=\u00a0\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text]Combler l\u2019espace avec un biomat\u00e9riau adapt\u00e9 si n\u00e9cessaire (mat\u00e9riau avec environ 70% d\u2019os spongieux et 30% d\u2019os cortical). Fermer l\u2019espace avec une membrane ou un bouchon de collag\u00e8ne, et un gros pilier de cicatrisation et si possible suturer \u00e0 points s\u00e9par\u00e9s.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1203″ img_size=\u00a0\u00bbfull\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00a0\u00bb50px\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=\u00a0\u00bb2\/3″][vc_custom_heading text=\u00a0\u00bb\u00c9tape 6 :\u00a0\u00bb font_container=\u00a0\u00bbtag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_column_text]\u00c9valuer la cicatrisation et la fermeture des tissus mous 6 \u00e0 8 semaines apr\u00e8s le placement.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1205″ img_size=\u00a0\u00bbfull\u00a0\u00bb][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=\u00a0\u00bb50px\u00a0\u00bb][vc_single_image image=\u00a0\u00bb1207″ img_size=\u00a0\u00bbfull\u00a0\u00bb alignment=\u00a0\u00bbcenter\u00a0\u00bb][vc_column_text]<\/p>\n

Cas fourni par le Dr. Samvel Bleyan<\/p>\n

* Donn\u00e9es disponibles sur le site versahinternational.com\/od-published-papers\/ pour les \u00e9tudes sur l\u2019expansion du septum molaire.
\nL\u2019exp\u00e9rience et le jugement cliniques doivent \u00eatre utilis\u00e9s conjointement avec cette suggestion de protocole d\u2019utilisation.<\/p>\n

[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=\u00a0\u00bb100px\u00a0\u00bb][vc_column_text]<\/p>\n

10892 REV00 derni\u00e8re mise \u00e0 jour : 08\/2023<\/span><\/h6>\n

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

[vc_row height=\u00a0\u00bb100px\u00a0\u00bb][vc_column][vc_empty_space height=\u00a0\u00bb100px\u00a0\u00bb][vc_custom_heading text=\u00a0\u00bbProtocole d\u2019expansion de septum de molaire avec les fraises Densah\u00ae\u00a0\u00bb font_container=\u00a0\u00bbtag:p|font_size:35|text_align:center|color:%23c4d600″ use_theme_fonts=\u00a0\u00bbyes\u00a0\u00bb][vc_btn title=\u00a0\u00bbT\u00e9l\u00e9charger le protocole\u00a0\u00bb style=\u00a0\u00bboutline-custom\u00a0\u00bb outline_custom_color=\u00a0\u00bb#c4d600″<\/p>\n

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