{"id":11166,"date":"2023-07-18T18:15:21","date_gmt":"2023-07-18T18:15:21","guid":{"rendered":"https:\/\/versahinternational.com\/expansion-combinee-du-septum-molaire\/"},"modified":"2023-12-04T20:58:46","modified_gmt":"2023-12-04T20:58:46","slug":"expansion-combinee-du-septum-molaire","status":"publish","type":"page","link":"https:\/\/versahinternational.com\/fr\/polyvalence-clinique\/expansion-combinee-du-septum-molaire\/","title":{"rendered":"Expansion et soulev\u00e9 de sinus combin\u00e9"},"content":{"rendered":"

[vc_row][vc_column][vc_empty_space height=\u00a0\u00bb100px\u00a0\u00bb][vc_custom_heading text=\u00a0\u00bbEXPANSION ET SOULEV\u00c9 DE SINUS COMBIN\u00c9\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_Combied-Upper-Molar-Septum-Protocol-_10991REV00-1.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_1690311450159{background-color: #ffffff !important;}\u00a0\u00bb][vc_column_text]<\/p>\n

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Pr\u00e9sentation : <\/strong><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Technique conseill\u00e9e pour les molaires sup\u00e9rieures avec un septum d\u2019au moins 4\u00a0mm de large<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_empty_space height=\u00a0\u00bb50px\u00a0\u00bb][vc_separator][vc_column_text]1. Utiliser l\u2019imagerie du scanner pour mesurer la largeur de la cr\u00eate et la distance par rapport au plancher du sinus.<\/span>
\n2. Extraction dentaire atraumatique sans lambeau avec un traumatisme minimum pour pr\u00e9server le septum.<\/span>
\n3. Instrumentation d\u2019ost\u00e9odensification \u00e0 l\u2019aide de fraises Densah\u00ae dans le sens antihoraire (800-1\u00a0500\u00a0tr\/min) pour \u00e9largir le septum et soulever simultan\u00e9ment la membrane du sinus.<\/span>
\n4. Pose de l\u2019implant<\/span>
\n5. Greffer de la cavit\u00e9 autour de l\u2019implant avec les mat\u00e9riaux de greffe osseuse appropri\u00e9s.<\/span>
\n6. Sceller la cavit\u00e9 \u00e0 l\u2019aide d\u2019un pilier de cicatrisation large.<\/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]Diagnostic :<\/span>
\nUtiliser un CBCT pour \u00e9valuer et mesurer la largeur de la cr\u00eate alv\u00e9olaire et la hauteur jusqu\u2019au plancher du sinus.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1214″ 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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Une extraction chirurgicale sans lambeau est conseill\u00e9e.<\/span>
\nS\u00e9parer les racines molaires avec un traumatisme minimum pour pr\u00e9server le septum.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Instrumentation :
\nFaire fonctionner le foret Densah\u00ae en mode OD (CCW) \u00e0 une vitesse de forage de 800 \u00e0 1500 tr\/min avec une irrigation abondante. Utiliser les fraises Densah\u00ae suivantes, plus grandes, par incr\u00e9ments complets pour augmenter la plasticit\u00e9 osseuse, \u00e9largir l\u2019ost\u00e9otomie et soulever la membrane sinusale. Par exemple, utiliser la fraise Densah\u00ae 2.0 apr\u00e8s le pilote, puis \u00e9largir et p\u00e9n\u00e9trer dans les sinus avec la fraise Densah\u00ae 3.0, puis passer au foret Densah\u00ae 4.0 avant d\u2019introduire le foret Densah\u00ae 5.0 si n\u00e9cessaire. Lorsque le diam\u00e8tre de la fraise augmente, l\u2019os septal se dilate et la membrane sinusale doit \u00eatre soulev\u00e9e jusqu\u2019\u00e0 3 mm \u00e0 l\u2019aide d\u2019une greffe osseuse autog\u00e8ne. Si un soul\u00e8vement suppl\u00e9mentaire de plus de 3 mm est n\u00e9cessaire, propulser l\u2019allogreffe avec la fraise finale dans le sens inverse des aiguilles d\u2019une montre \u00e0 150 tours\/minute sans irrigation (voir le protocole de soul\u00e8vement des sinus II). En fonction de la g\u00e9om\u00e9trie de l\u2019implant, suivre le protocole de forage du syst\u00e8me d\u2019implant correspondant.
\n<\/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\u00bb1218″ 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]<\/p>\n

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Placer l\u2019implant au niveau de la cr\u00eate ou juste en dessous, en fonction du type de connexion restauratrice.<\/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\u00bb1220″ 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 de la cavit\u00e9 avec un mat\u00e9riau de greffe osseuse, si n\u00e9cessaire, de pr\u00e9f\u00e9rence une p\u00e2te d\u2019allogreffe ou des particules d\u2019allogreffe avec un rapport spongieux\/cortical de 70\/30.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1222″ 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]Sceller la cavit\u00e9 \u00e0 l\u2019aide d\u2019un pilier de cicatrisation large normalis\u00e9 ou personnalis\u00e9.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=\u00a0\u00bb1\/3″][vc_single_image image=\u00a0\u00bb1224″ 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\u00bb1212″ img_size=\u00a0\u00bbfull\u00a0\u00bb alignment=\u00a0\u00bbcenter\u00a0\u00bb][vc_column_text]<\/p>\n

Cas aimablement fourni par le Dr Samvel\u00a0Bleyan
\n* Donn\u00e9es consign\u00e9es, se reporter \u00e0 versahinternational.com\/od-published-papers\/ pour acc\u00e9der aux \u00e9tudes sur le septum molaire et la greffe de sinus maxillaire
\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

[\/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

10893 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":"

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Continue readingExpansion et soulev\u00e9 de sinus combin\u00e9<\/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-11166","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/pages\/11166","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=11166"}],"version-history":[{"count":14,"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/pages\/11166\/revisions"}],"predecessor-version":[{"id":17749,"href":"https:\/\/versahinternational.com\/fr\/wp-json\/wp\/v2\/pages\/11166\/revisions\/17749"}],"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=11166"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}