{"id":10852,"date":"2023-07-18T18:17:43","date_gmt":"2023-07-18T18:17:43","guid":{"rendered":"https:\/\/versahinternational.com\/technique-idr-protocole-ii\/"},"modified":"2023-12-04T21:04:36","modified_gmt":"2023-12-04T21:04:36","slug":"technique-idr-protocole-ii","status":"publish","type":"page","link":"https:\/\/versahinternational.com\/fr\/polyvalence-clinique\/technique-idr-protocole-ii\/","title":{"rendered":"Protocole\u00a0II sur la technique IDR"},"content":{"rendered":"

[vc_row][vc_column][vc_empty_space height=\u00a0\u00bb100px\u00a0\u00bb][vc_custom_heading text=\u00a0\u00bbPROTOCOLE II SUR LA TECHNIQUE DE RESTAURATION DENTO-ALV\u00c9OLAIRE IMM\u00c9DIATE (IDR)\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_IDR-II_10994-REV00-1.pdf|title:Protocole%20d’expansion%20facilit%C3%A9e%20des%20cr%C3%AAtes\u00a0\u00bb][\/vc_column][\/vc_row][vc_row][vc_column css=\u00a0\u00bb.vc_custom_1690389604014{background-color: #ffffff !important;}\u00a0\u00bb][vc_column_text]<\/p>\n

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Pr\u00e9sentation :
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\nTechnique conseill\u00e9e en cas de perte totale de la paroi vestibulaire\u00a0 associ\u00e9e \u00e0 un biotype parodontal mince ou une r\u00e9cession gingivale. Le protocole II IDR explique comment g\u00e9rer les cavit\u00e9s compromises avec peu ou pas d\u2019os restant en combinaison avec la pose d\u2019implants imm\u00e9diats, une reconstruction osseuse et une fabrication provisoire en une seule proc\u00e9dure utilisant une combinaison de greffon osseux et de tissus mous pr\u00e9lev\u00e9s depuis la tub\u00e9rosit\u00e9 maxillaire.<\/strong><\/span><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_separator][vc_column_text]\u2022 EXTRAIRE LA DENT ENDOMMAG\u00c9E ET RETIRER LE TISSU DE GRANULATION AINSI QUE LES RESTES DE TISSU PARODONTAL.<\/span>
\n\u2022 UTILISER LES FRAISES DENSAH\u00ae EN MODE OD (SENS ANTIHORAIRE) POUR PR\u00c9PARER LE SITE D\u2019IMPLANTATION ET DENSIFIER LE LIT OSSEUX.<\/span>
\n\u2022 ANCRER L\u2019IMPLANT DANS LA PAROI PALATINE.<\/span>
\n\u2022 PR\u00c9LEVER LE TRIPLE GREFFON ET COMBLER L\u2019ESPACE.<\/span>
\n\u2022 METTRE EN PLACE UNE RESTAURATION PROVISOIRE VISS\u00c9E AVEC UN PROFIL D\u2019\u00c9MERGENCE AD\u00c9QUAT (NE PAS UTILISER DE RESTAURATION CIMENT\u00c9E).<\/span>
\n\u2022 LAISSER S\u2019\u00c9COULER UNE P\u00c9RIODE DE CICATRISATION D\u2019AU MOINS 4\u00a0MOIS ET PLACER UNE COURONNE EN PORCELAINE D\u00c9FINITIVE VISS\u00c9E.<\/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]Extraire la dent endommag\u00e9e \u00e0 l\u2019aide d\u2019une proc\u00e9dure peu invasive afin de pr\u00e9server l\u2019os restant. Retirer compl\u00e8tement le tissu de granulation et les restes de tissu parodontal ou de granulation en curetant d\u00e9licatement dans la cavit\u00e9. Une perte totale de la paroi vestibulaire peut \u00eatre fr\u00e9quente et apparente.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1407″ 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]<\/p>\n

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Utiliser les fraises Densah\u00ae pour pr\u00e9parer le site de l\u2019implant. Commencer avec le foret pilote Densah\u00ae, dans le sens horaire, jusqu\u2019\u00e0 la profondeur requise d\u2019apr\u00e8s la longueur de l\u2019implant planifi\u00e9e. Selon le type et le diam\u00e8tre de l\u2019implant, poursuivre avec des fraises Densah\u00ae plus larges conform\u00e9ment au protocole de forage pour le syst\u00e8me d\u2019implant.* En commen\u00e7ant avec la plus petite fraise Densah\u00ae, utiliser les fraises Densah\u00ae en mode OD (dans le sens antihoraire, vitesse de 800-1\u00a0500\u00a0tr\/min avec irrigation abondante).<\/span><\/p>\n


\n*versahinternational.com\/clinical-versahtility\/implant-system-protocols\/<\/a><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1409″ 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]<\/p>\n

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Ancrer l\u2019implant dans l\u2019os palatin restant en position 3-D.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1411″ 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]Pr\u00e9lever le triple greffon (tissu conjonctif, os cortical et spongieux en une seule pi\u00e8ce) depuis la tub\u00e9rosit\u00e9 maxillaire. Ins\u00e9rer le triple greffon dans la partie pr\u00e9sentant un d\u00e9faut buccal du site r\u00e9cepteur pour r\u00e9cup\u00e9rer les tissus durs et mous qui sont perdus.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1413″ 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]<\/p>\n

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Utiliser de l\u2019os autog\u00e8ne particulaire compact pr\u00e9lev\u00e9 au niveau de la tub\u00e9rosit\u00e9 maxillaire pour combler compl\u00e8tement l\u2019espace autour de l\u2019implant, notamment sur la partie buccale.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Mettre en place une restauration provisoire viss\u00e9e avec un profil d\u2019\u00e9mergence ad\u00e9quat.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Laisser cicatriser pendant au moins 4 mois pour que les tissus mous atteignent un volume stable et une \u00e9paisseur ad\u00e9quate. <\/span>Une restauration finale viss\u00e9e est recommand\u00e9e. On peut observer la pr\u00e9servation du contour anatomique des tissus mous.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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La TVFC apr\u00e8s 4 ans souligne la stabilit\u00e9 de la paroi vestibulaire en termes d\u2019\u00e9paisseur et de hauteur.
\nCas aimablement fourni par le Dr\u00a0Jos\u00e9\u00a0Carlos\u00a0da\u00a0Rosa<\/p>\n

* Donn\u00e9es sur fichiers, se reporter \u00e0 versahinternational.com\/od-published-papers\/ pour acc\u00e9der aux \u00e9tudes
\n** Il convient de faire appel \u00e0 l\u2019exp\u00e9rience et au jugement du clinicien en plus du pr\u00e9sent protocole d\u2019utilisation sugg\u00e9r\u00e9 pour la pratique clinique<\/p>\n

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10900 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][vc_column][vc_empty_space height=\u00a0\u00bb100px\u00a0\u00bb][vc_custom_heading text=\u00a0\u00bbPROTOCOLE II SUR LA TECHNIQUE DE RESTAURATION DENTO-ALV\u00c9OLAIRE IMM\u00c9DIATE (IDR)\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″<\/p>\n

Continue readingProtocole\u00a0II sur la technique IDR<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":11655,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10852","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/pages\/10852","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/comments?post=10852"}],"version-history":[{"count":20,"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/pages\/10852\/revisions"}],"predecessor-version":[{"id":17756,"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/pages\/10852\/revisions\/17756"}],"up":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/pages\/11655"}],"wp:attachment":[{"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/media?parent=10852"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}