{"id":10878,"date":"2023-07-18T18:17:43","date_gmt":"2023-07-18T18:17:43","guid":{"rendered":"https:\/\/versahinternational.com\/protokol-techniki-idr-ii\/"},"modified":"2023-12-20T21:14:55","modified_gmt":"2023-12-20T21:14:55","slug":"protokol-techniki-idr-ii","status":"publish","type":"page","link":"https:\/\/versahinternational.com\/pl\/wszechstronnosc-kliniczna\/protokol-techniki-idr-ii\/","title":{"rendered":"Protok\u00f3\u0142 I dotycz\u0105cy techniki IDR"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_empty_space height=&#8221;100px&#8221;][vc_custom_heading text=&#8221;TECHNIKA NATYCHMIASTOWEJ ODBUDOWY Z\u0118B\u00d3W I WYROSTKA Z\u0118BODO\u0141OWEGO (IDR) II&#8221; font_container=&#8221;tag:p|font_size:35|text_align:center|color:%23c4d600&#8243; use_theme_fonts=&#8221;yes&#8221;][vc_btn title=&#8221;Pobierz Protok\u00f3\u0142&#8221; style=&#8221;outline-custom&#8221; outline_custom_color=&#8221;#c4d600&#8243; outline_custom_hover_background=&#8221;#666666&#8243; outline_custom_hover_text=&#8221;#ffffff&#8221; size=&#8221;lg&#8221; align=&#8221;center&#8221; link=&#8221;url:https%3A%2F%2Fversahinternational.com%2Fwp-content%2Fuploads%2F2023%2F12%2FPolish-IDR-II-Protocol-11060-REV00.pdf|title:Protok%C3%B3%C5%82%20u%C5%82atwionego%20rozszerzania%20wyrostka&#8221;][\/vc_column][\/vc_row][vc_row][vc_column css=&#8221;.vc_custom_1690389604014{background-color: #ffffff !important;}&#8221;][vc_column_text]<\/p>\n<div data-widget-id=\"ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-placement-id=\"b03f79d3-5287-4d86-b88e-4d16ee2698ae\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ecf34c35-04ee-4d55-80f5-2b30c50127ca \">\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p><span style=\"color: #c4d600 !important;\"><strong>Opis: <\/strong><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div data-widget-id=\"ebb0fe0c-d3bb-4469-819e-748e87ebe8d3\" data-placement-id=\"eb822ecd-15a8-4eb2-92d0-a209d804bd0a\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ebb0fe0c-d3bb-4469-819e-748e87ebe8d3 \">\n<div id=\"sd-simple-text-editable-ebb0fe0c-d3bb-4469-819e-748e87ebe8d3\" data-edit-mode=\"\">\n<p><span style=\"color: #222222 !important;\">Zabieg jest wskazany w przypadkach z <strong>ca\u0142kowit\u0105 utrat\u0105 \u015bciany policzkowej w po\u0142\u0105czeniu z cienkim biotypem przyz\u0119bia lub recesj\u0105 dzi\u0105se\u0142.<\/strong> Protok\u00f3\u0142 IDR II wyja\u015bnia, jak post\u0119powa\u0107 z naruszonymi z\u0119bodo\u0142ami z niewielk\u0105 ilo\u015bci\u0105 lub brakiem pozosta\u0142ej ko\u015bci w po\u0142\u0105czeniu z natychmiastowym wszczepieniem implantu, odbudow\u0105 ko\u015bci i wykonaniem prowizorium w ramach jednej procedury przy u\u017cyciu kombinacji przeszczepu ko\u015bci i tkanki mi\u0119kkiej pobranych z guzowato\u015bci szcz\u0119ki.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_separator][vc_column_text]<\/p>\n<div data-widget-id=\"ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-placement-id=\"b03f79d3-5287-4d86-b88e-4d16ee2698ae\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ecf34c35-04ee-4d55-80f5-2b30c50127ca \">\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p><span style=\"color: #222222 !important;\">\u2022 U\u017bYCIE WIERTE\u0141 DENSAH W TRYBIE OD (W PRAWO), ABY PRZYGOTOWA\u0106 MIEJSCE IMPLANTACJI I ZAG\u0118\u015aCI\u0106 \u0141O\u017bYSKO KOSTNE.<br \/>\n\u2022 U\u017bYCIE WIERTE\u0141 DENSAH\u00ae W TRYBIE OD (W PRAWO), ABY PRZYGOTOWA\u0106 MIEJSCE IMPLANTACJI I ZAG\u0118\u015aCI\u0106 \u0141O\u017bYSKO KOSTNE.<br \/>\n\u2022 ZAKOTWIENIE IMPLANTU W \u015aCIANIE PODNIEBIENIA.<br \/>\n\u2022 POBRANIE POTR\u00d3JNEGO PRZESZCZEPU I WYPE\u0141NIENIE LUKI.<br \/>\n\u2022 UMIESZCZENIE WYPRODUKOWANEGO UZUPE\u0141NIENIA TYMCZASOWEGO MOCOWANEGO NA \u015aRUBY O ODPOWIEDNIM PROFILU WY\u0141ONIENIA (NIE WOLNO STOSOWA\u0106 UZUPE\u0141NIENIA CEMENTOWANEGO).<br \/>\n\u2022 CO NAJMNIEJ 4 MIESI\u0104CE GOJENIA I NA\u0141O\u017bENIE OSTATECZNEJ KORONY PORCELANOWEJ OSADZENIE PRZYKR\u0118CANEJ OSTATECZNEJ KORONY<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_separator][vc_empty_space height=&#8221;50px&#8221;][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Krok 1:&#8221; font_container=&#8221;tag:p|font_size:20|text_align:left|color:%23c4d600&#8243; use_theme_fonts=&#8221;yes&#8221;][vc_column_text]<\/p>\n<div data-widget-id=\"ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-placement-id=\"b03f79d3-5287-4d86-b88e-4d16ee2698ae\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ecf34c35-04ee-4d55-80f5-2b30c50127ca \">\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p><span style=\"color: #222222 !important;\">Wyekstrahuj uszkodzony z\u0105b przy u\u017cyciu minimalnie inwazyjnej procedury. Usu\u0144 ca\u0142\u0105 tkank\u0119 ziarninow\u0105 i pozosta\u0142o\u015bci tkanki przyz\u0119bia, ostro\u017cnie stosuj\u0105c technik\u0119 kireta\u017cu w z\u0119bodole. Ca\u0142kowita utrata \u015bciany policzkowej mo\u017ce by\u0107 cz\u0119sta i oczywista.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1407&#8243; img_size=&#8221;full&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Krok 2:&#8221; font_container=&#8221;tag:p|font_size:20|text_align:left|color:%23c4d600&#8243; use_theme_fonts=&#8221;yes&#8221;][vc_column_text]<\/p>\n<div data-widget-id=\"ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-placement-id=\"b03f79d3-5287-4d86-b88e-4d16ee2698ae\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ecf34c35-04ee-4d55-80f5-2b30c50127ca \">\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p><span style=\"color: #222222 !important;\">U\u017cyj wierte\u0142 Densah\u00ae do przygotowania miejsca implantacji. Rozpocznij od wiert\u0142a pilotuj\u0105cego Densah\u00ae w trybie w prawo, wprowadzaj\u0105c je na g\u0142\u0119boko\u015b\u0107 odpowiadaj\u0105c\u0105 planowanej d\u0142ugo\u015bci implantu. W zale\u017cno\u015bci od typu i \u015brednicy implantu, u\u017cyj szerszych wierte\u0142 Densah\u00ae zgodnie z protoko\u0142em wiercenia w systemie implant\u00f3w*. Zaczynaj\u0105c od najmniejszego wiert\u0142a Densah\u00ae, uruchom wiert\u0142a Densah\u00ae w trybie OD (w lewo, z pr\u0119dko\u015bci\u0105 800-1500 obr.\/min z obfit\u0105 irygacj\u0105).<\/span><\/p>\n<p><span style=\"color: #222222 !important;\"><br \/>\n<a href=\"http:\/\/*versahinternational.com\/clinical-versahtility\/implant-system-protocols\/\">*versahinternational.com\/clinical-versahtility\/implant-system-protocols\/<\/a><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1409&#8243; img_size=&#8221;full&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Krok 3:&#8221; font_container=&#8221;tag:p|font_size:20|text_align:left|color:%23c4d600&#8243; use_theme_fonts=&#8221;yes&#8221;][vc_column_text]<\/p>\n<div data-widget-id=\"ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-placement-id=\"b03f79d3-5287-4d86-b88e-4d16ee2698ae\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ecf34c35-04ee-4d55-80f5-2b30c50127ca \">\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p><span style=\"color: #222222 !important;\">Zakotwicz implant w pozosta\u0142ej ko\u015bci podniebiennej w pozycji 3-D.<br \/>\n<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1411&#8243; img_size=&#8221;full&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Krok 4:&#8221; font_container=&#8221;tag:p|font_size:20|text_align:left|color:%23c4d600&#8243; use_theme_fonts=&#8221;yes&#8221;][vc_column_text]<\/p>\n<div data-widget-id=\"ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-placement-id=\"b03f79d3-5287-4d86-b88e-4d16ee2698ae\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ecf34c35-04ee-4d55-80f5-2b30c50127ca \">\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p><span style=\"color: #222222 !important;\">Pobierz potr\u00f3jny przeszczep (tkanka \u0142\u0105czna, kora i ko\u015b\u0107 g\u0105bczasta w jednym kawa\u0142ku) z guzowato\u015bci szcz\u0119ki. Wprowad\u017a potr\u00f3jny przeszczep do policzkowej cz\u0119\u015bci ubytku w miejscu implantacji w celu odtworzenia utraconej tkanki twardej i mi\u0119kkiej.<br \/>\n<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1413&#8243; img_size=&#8221;full&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Krok 5:&#8221; font_container=&#8221;tag:p|font_size:20|text_align:left|color:%23c4d600&#8243; use_theme_fonts=&#8221;yes&#8221;][vc_column_text]<\/p>\n<div data-widget-id=\"ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-placement-id=\"b03f79d3-5287-4d86-b88e-4d16ee2698ae\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ecf34c35-04ee-4d55-80f5-2b30c50127ca \">\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p><span style=\"color: #222222 !important;\">Ubij cz\u0105steczki autogenicznej ko\u015bci w celu ca\u0142kowitego wype\u0142nienia luki mi\u0119dzy szpikow\u0105 cz\u0119\u015bci\u0105 przeszczepu korowo-g\u0105bczastego a implantem.<br \/>\n<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1415&#8243; img_size=&#8221;full&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Krok 6:&#8221; font_container=&#8221;tag:p|font_size:20|text_align:left|color:%23c4d600&#8243; use_theme_fonts=&#8221;yes&#8221;][vc_column_text]<\/p>\n<div data-widget-id=\"ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-placement-id=\"b03f79d3-5287-4d86-b88e-4d16ee2698ae\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ecf34c35-04ee-4d55-80f5-2b30c50127ca \">\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p><span style=\"color: #222222 !important;\">Umie\u015b\u0107 wykonane uzupe\u0142nienie tymczasowe z odpowiednim profilem wy\u0142onienia.<br \/>\n<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1417&#8243; img_size=&#8221;full&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;50px&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_custom_heading text=&#8221;Krok 7:&#8221; font_container=&#8221;tag:p|font_size:20|text_align:left|color:%23c4d600&#8243; use_theme_fonts=&#8221;yes&#8221;][vc_column_text]<\/p>\n<div data-widget-id=\"ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-placement-id=\"b03f79d3-5287-4d86-b88e-4d16ee2698ae\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ecf34c35-04ee-4d55-80f5-2b30c50127ca \">\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p><span style=\"color: #222222 !important;\">Zapewnij co najmniej 4-miesi\u0119czny okres gojenia, aby tkanka mi\u0119kka uzyska\u0142a stabiln\u0105 obj\u0119to\u015b\u0107 i odpowiedni\u0105 grubo\u015b\u0107. <strong>Zalecana jest odbudowa ostateczna mocowana na \u015bruby.<\/strong> Mo\u017cna zaobserwowa\u0107 utrzymanie anatomicznego konturu tkanki mi\u0119kkiej.<br \/>\n<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1419&#8243; img_size=&#8221;full&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=&#8221;50px&#8221;][vc_single_image image=&#8221;1405&#8243; img_size=&#8221;full&#8221; alignment=&#8221;center&#8221;][vc_column_text]<\/p>\n<div data-widget-id=\"ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-placement-id=\"b03f79d3-5287-4d86-b88e-4d16ee2698ae\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ecf34c35-04ee-4d55-80f5-2b30c50127ca \">\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p style=\"text-align: center;\"><span style=\"color: #222222 !important;\">Konieczne jest przeprowadzenie kontroli klinicznej w celu potwierdzenia stabilno\u015bci tkanek mi\u0119kkich w odniesieniu do brzegu dzi\u0105s\u0142a i brodawek.<br \/>\nObraz CBCT po 4 latach podkre\u015bla stabilno\u015b\u0107 \u015bciany policzkowej pod wzgl\u0119dem grubo\u015bci i wysoko\u015bci.<br \/>\nPrzypadek dzi\u0119ki uprzejmo\u015bci dr Jos\u00e9 Carlosa da Rosy<br \/>\n<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_column_text]<\/p>\n<div data-widget-id=\"ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-placement-id=\"b03f79d3-5287-4d86-b88e-4d16ee2698ae\" data-placement-status=\"ACTIVE\">\n<div class=\"sd-simple-text-ecf34c35-04ee-4d55-80f5-2b30c50127ca \">\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p style=\"text-align: center;\"><span style=\"color: #222222 !important;\">* Dane w\u0142asne, odwied\u017a stron\u0119 versahinternational.com\/od-published-papers\/, aby uzyska\u0107 informacje o badaniach<br \/>\n<strong>** Ocena i do\u015bwiadczenie lekarza powinny by\u0107 wykorzystywane w po\u0142\u0105czeniu z niniejszym protoko\u0142em sugerowanego stosowania w praktyce klinicznej.<\/strong><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row][vc_row][vc_column][vc_empty_space height=&#8221;100px&#8221;][vc_column_text]<\/p>\n<h6><span style=\"color: #808080;\">10900 REV00 Ostatnia aktualizacja: 08\/2023<\/span><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/section>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_empty_space height=&#8221;100px&#8221;][vc_custom_heading text=&#8221;TECHNIKA NATYCHMIASTOWEJ ODBUDOWY Z\u0118B\u00d3W I WYROSTKA Z\u0118BODO\u0141OWEGO (IDR) II&#8221; font_container=&#8221;tag:p|font_size:35|text_align:center|color:%23c4d600&#8243; use_theme_fonts=&#8221;yes&#8221;][vc_btn title=&#8221;Pobierz Protok\u00f3\u0142&#8221; style=&#8221;outline-custom&#8221; outline_custom_color=&#8221;#c4d600&#8243; outline_custom_hover_background=&#8221;#666666&#8243; outline_custom_hover_text=&#8221;#ffffff&#8221; size=&#8221;lg&#8221;<\/p>\n<p><a href=\"https:\/\/versahinternational.com\/pl\/wszechstronnosc-kliniczna\/protokol-techniki-idr-ii\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\">Protok\u00f3\u0142 I dotycz\u0105cy techniki IDR<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":11450,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10878","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/versahinternational.com\/pl\/wp-json\/wp\/v2\/pages\/10878","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/versahinternational.com\/pl\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/versahinternational.com\/pl\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/pl\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/pl\/wp-json\/wp\/v2\/comments?post=10878"}],"version-history":[{"count":13,"href":"https:\/\/versahinternational.com\/pl\/wp-json\/wp\/v2\/pages\/10878\/revisions"}],"predecessor-version":[{"id":19451,"href":"https:\/\/versahinternational.com\/pl\/wp-json\/wp\/v2\/pages\/10878\/revisions\/19451"}],"up":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/pl\/wp-json\/wp\/v2\/pages\/11450"}],"wp:attachment":[{"href":"https:\/\/versahinternational.com\/pl\/wp-json\/wp\/v2\/media?parent=10878"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}