{"id":10153,"date":"2023-07-18T18:14:45","date_gmt":"2023-07-18T18:14:45","guid":{"rendered":"https:\/\/versahinternational.com\/expansao-do-septo-molar\/"},"modified":"2023-12-04T21:23:33","modified_gmt":"2023-12-04T21:23:33","slug":"expansao-do-septo-molar","status":"publish","type":"page","link":"https:\/\/versahinternational.com\/pt-pt\/versatilidade-clinica\/expansao-do-septo-molar\/","title":{"rendered":"Expans\u00e3o do septo dos molares"},"content":{"rendered":"

[vc_row height=”100px”][vc_column][vc_empty_space height=”100px”][vc_custom_heading text=”PROTOCOLO DE EXPANS\u00c3O DO SEPTO DOS MOLARES COM AS BROCAS DENSAH\u00ae” font_container=”tag:p|font_size:35|text_align:center|color:%23c4d600″ use_theme_fonts=”yes”][vc_btn title=”Baixar Protocolo” style=”outline-custom” outline_custom_color=”#c4d600″ outline_custom_hover_background=”#666666″ outline_custom_hover_text=”#ffffff” size=”lg” align=”center” link=”url:https%3A%2F%2Fversahinternational.com%2Fwp-content%2Fuploads%2F2023%2F12%2FPortuguese-Molar-Septum-Protocol-11033-REV00.pdf|title:Protocolo%20de%20expans%C3%A3o%20da%20crista%20facilitada”][\/vc_column][\/vc_row][vc_row height=”100px”][vc_column css=”.vc_custom_1690310840354{background-color: #ffffff !important;}”][vc_separator][vc_column_text]\u2022 SEPARE AS RA\u00cdZES DOS MOLARES NA BIFURCA\u00c7\u00c3O SEM COMPROMETER A INTEGRIDADE DO SEPTO.<\/span>
\n\u2022 UTILIZE A BROCA PILOTO NO SENTIDO HOR\u00c1RIO AT\u00c9 UMA PROFUNDIDADE 1 MM MAIOR DO QUE O COMPRIMENTO PLANEADO DO IMPLANTE<\/span>
\n\u2022 UTILIZE AS BROCAS DENSAH\u00ae SUBSEQUENTES EM INCREMENTOS MENORES PARA EXPANDIR A OSTEOTOMIA E AUMENTAR A PLASTICIDADE \u00d3SSEA<\/span>
\n\u2022 A INSTALA\u00c7\u00c3O DO IMPLANTE DEVE SER EFETUADA AO N\u00cdVEL DA CRISTA OU SUBCRESTAL<\/span>
\n\u2022 SE NECESS\u00c1RIO, PREENCHA O ESPA\u00c7O COM ENXERTO \u00d3SSEO; DE PREFER\u00caNCIA, UM ALOENXERTO COM UMA PROPOR\u00c7\u00c3O ESPONJOSO\/CORTICAL DE 70\/30<\/span>[\/vc_column_text][vc_separator][vc_empty_space height=”50px”][vc_row_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Passo 1:” font_container=”tag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=”yes”][vc_column_text]Separe as ra\u00edzes dos molares na bifurca\u00e7\u00e3o sem comprometer a integridade do septo. Efetue a extra\u00e7\u00e3o atraum\u00e1tica da raiz mesial e distal. Realize a curetagem do alv\u00e9olo para expor a \u00e1rea do septo.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1195″ img_size=”full”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=”50px”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Passo 2:” font_container=”tag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=”yes”][vc_column_text]Utilize a broca piloto, no sentido hor\u00e1rio, no centro do septo, at\u00e9 uma profundidade 1 mm maior do que o comprimento planejado do implante.<\/strong><\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1197″ img_size=”full”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=”50px”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Passo 3:” font_container=”tag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=”yes”][vc_column_text]Dependendo do tipo e do di\u00e2metro do implante, siga o protocolo de densifica\u00e7\u00e3o do sistema de implantes correspondente, come\u00e7ando com a menor broca Densah\u00ae at\u00e9 1 mm al\u00e9m do que o comprimento do implante pretendido. Utilize as brocas Densah\u00ae no modo OD (sentido anti-hor\u00e1rio, velocidade de perfura\u00e7\u00e3o a 800-1500 rpm com irriga\u00e7\u00e3o abundante). Utilize as brocas Densah\u00ae subsequentes em incrementos menores para aumentar a plasticidade \u00f3ssea e expandir a osteotomia. Por exemplo, utilize a broca Densah\u00ae (2,0) ap\u00f3s a broca piloto e, em seguida, expanda com a broca Densah\u00ae (2,3). Depois, passe para a broca Densah\u00ae (2,5) antes de introduzir a broca Densah\u00ae (3,0).<\/strong> Tal como acontece nos casos de expans\u00e3o de cristas atr\u00f3ficas com a osseodensifica\u00e7\u00e3o, \u00e9 poss\u00edvel expandir a osteotomia para que o \u00faltimo di\u00e2metro da broca Densah\u00ae seja ligeiramente superior ao maior di\u00e2metro do implante planejado. \u00c0 medida que o di\u00e2metro da broca aumenta, o osso expande-se at\u00e9 atingir o di\u00e2metro final da osteotomia.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1199″ img_size=”full”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=”50px”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Passo 4:” font_container=”tag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=”yes”][vc_column_text]A instala\u00e7\u00e3o do implante deve ser efetuada ao n\u00edvel da crista ou subcrestal<\/strong>, dependendo do tipo de liga\u00e7\u00e3o.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1201″ img_size=”full”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=”50px”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Passo 5:” font_container=”tag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=”yes”][vc_column_text]Preencha o espa\u00e7o com um material de enxerto \u00f3sseo, se necess\u00e1rio; de prefer\u00eancia, um aloenxerto em uma propor\u00e7\u00e3o de osso esponjoso\/cortical de 70\/30. Sele o espa\u00e7o com um plug de col\u00e1geno ou produto de sua prefer\u00eancia. Use um pilar de cicatriza\u00e7\u00e3o grande e, se poss\u00edvel, suture.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1203″ img_size=”full”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=”50px”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner width=”2\/3″][vc_custom_heading text=”Passo 6:” font_container=”tag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=”yes”][vc_column_text]Avalie a cicatriza\u00e7\u00e3o dos tecidos moles 6-8 semanas ap\u00f3s a instala\u00e7\u00e3o do implante.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1205″ img_size=”full”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=”50px”][vc_single_image image=”1207″ img_size=”full” alignment=”center”][vc_column_text]<\/p>\n

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Caso gentilmente cedido pelo Dr. Samvel Bleyan
\n* Dados em arquivo, visite versahinternational.com\/od-published-papers\/ para consultar estudos de expans\u00e3o do septo dos molares
\n** A avalia\u00e7\u00e3o e a experi\u00eancia do profissional devem ser aplicadas em conjunto com esta sugest\u00e3o de protocolo de utiliza\u00e7\u00e3o para pr\u00e1tica cl\u00ednica<\/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=”100px”][vc_column_text]<\/p>\n

10892 REV00 \u00faltima atualiza\u00e7\u00e3o: 08\/2023<\/span><\/h6>\n

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

[vc_row height=”100px”][vc_column][vc_empty_space height=”100px”][vc_custom_heading text=”PROTOCOLO DE EXPANS\u00c3O DO SEPTO DOS MOLARES COM AS BROCAS DENSAH\u00ae” font_container=”tag:p|font_size:35|text_align:center|color:%23c4d600″ use_theme_fonts=”yes”][vc_btn title=”Baixar Protocolo” style=”outline-custom” outline_custom_color=”#c4d600″<\/p>\n

Continue readingExpans\u00e3o do septo dos molares<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":0,"parent":11561,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-10153","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/10153","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/comments?post=10153"}],"version-history":[{"count":19,"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/10153\/revisions"}],"predecessor-version":[{"id":17795,"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/10153\/revisions\/17795"}],"up":[{"embeddable":true,"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/11561"}],"wp:attachment":[{"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/media?parent=10153"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}