{"id":10555,"date":"2023-07-18T18:14:18","date_gmt":"2023-07-18T18:14:18","guid":{"rendered":"https:\/\/versahinternational.com\/colocacao-imediata-de-implantes\/"},"modified":"2023-12-04T21:23:09","modified_gmt":"2023-12-04T21:23:09","slug":"colocacao-imediata-de-implantes","status":"publish","type":"page","link":"https:\/\/versahinternational.com\/pt-pt\/versatilidade-clinica\/colocacao-imediata-de-implantes\/","title":{"rendered":"Instala\u00e7\u00e3o imediata de implantes"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_empty_space height=&#8221;100px&#8221;][vc_custom_heading text=&#8221;COLOCA\u00c7\u00c3O IMEDIATA DE IMPLANTES&#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;Baixar Protocolo&#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%2FPortuguese-Immediate-Implant-Placement-11032-REV00.pdf|title:Protocolo%20de%20expans%C3%A3o%20da%20crista%20facilitada&#8221;][\/vc_column][\/vc_row][vc_row][vc_column css=&#8221;.vc_custom_1690309445942{background-color: #ffffff !important;}&#8221;][vc_empty_space height=&#8221;50px&#8221;][vc_separator][vc_column_text]<span style=\"color: #333333;\">\u2022 EXODONTIA ATRAUM\u00c1TICA COM OU SEM REBATIMENTO DO RETALHO.<\/span><br \/>\n<span style=\"color: #333333;\">\u2022 ESCOLHA O DI\u00c2METRO DO IMPLANTE DE FORMA A SER LIGEIRAMENTE MAIS LARGO DO QUE O \u00c1PICE DO DENTE.<\/span><br \/>\n<span style=\"color: #333333;\">\u2022 UTILIZE AS BROCAS DENSAH\u00ae EM INCREMENTOS INTEIROS E NO MODO DE OSSEODENSIFICA\u00c7\u00c3O (ANTI-HOR\u00c1RIO).<\/span><br \/>\n<span style=\"color: #333333;\">\u2022 O DI\u00c2METRO APICAL FINAL DA BROCA DENSAH\u00ae DEVE SER \u2265 AO DI\u00c2METRO DO \u00c1PICE DO DENTE.<\/span><br \/>\n<span style=\"color: #333333;\">\u2022 UTILIZE UM ALOENXERTO COMPOSTO BEM HIDRATADO DE OSSO ESPONJOSO\/CORTICAL NUMA PROPOR\u00c7\u00c3O DE 70\/30 PARA PREENCHER O ALV\u00c9OLO.<\/span><br \/>\n<span style=\"color: #333333;\">\u2022 UTILIZE UMA BROCA DENSAH\u00ae QUE SEJA UM GRAU MENOR DO QUE A \u00daLTIMA BROCA UTILIZADA PARA DENSIFICAR O ALOENXERTO.<\/span><br \/>\n<span style=\"color: #333333;\">\u2022 A ESTABILIDADE DO IMPLANTE DEVE SER ASSEGURADA PRINCIPALMENTE PELA POR\u00c7\u00c3O APICAL DO ALV\u00c9OLO.<\/span>[\/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;Passo 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]<span style=\"color: #333333;\"><strong>Ap\u00f3s a extra\u00e7\u00e3o atraum\u00e1tica do dente, seguida de curetagem do alv\u00e9olo e sem rebater o retalho,<\/strong> utilize a broca piloto no sentido hor\u00e1rio para demarcar a trajet\u00f3ria do implante.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1177&#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;Passo 2a:&#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;\">Escolha o di\u00e2metro do implante com base no di\u00e2metro apical do dente ou do alv\u00e9olo. O implante tem de ser ligeiramente mais largo do que o \u00e1pice do dente. <strong>Isto permitir\u00e1 que a estabilidade do implante seja assegurada principalmente pela parte apical do encaixe.<\/strong><\/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;1179&#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;Etapa 2b:&#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;\">Escolha uma broca Densah\u00ae para ser a \u00faltima broca de prepara\u00e7\u00e3o com base no seu di\u00e2metro relativamente ao dente ou ao di\u00e2metro apical do alv\u00e9olo. <strong>A broca Densah\u00ae final tem de ser \u2265 ao di\u00e2metro apical do dente ou do seu alv\u00e9olo.<\/strong><\/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;1181&#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;Passo 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]<span style=\"color: #333333;\"><strong>Utilize as brocas Densah\u00ae em incrementos inteiros (2.0, 3.0, 4.0&#8230;),<\/strong> dependendo do tipo e do di\u00e2metro do implante. Ap\u00f3s a osteotomia piloto, mude o motor cir\u00fargico para o modo de densifica\u00e7\u00e3o (sentido anti-hor\u00e1rio, a 800-1500 rpm com irriga\u00e7\u00e3o abundante). Para preparar a zona, comece com a broca Densah\u00ae mais estreita, no modo OD, at\u00e9 atingir a profundidade pretendida (introduza a broca j\u00e1 em funcionamento na osteotomia). Quando sentir o feedback t\u00e1til da broca for\u00e7ando-a para fora da osteotomia, recue um pouco e volte a aplicar press\u00e3o com um movimento de bombeamento at\u00e9 atingir a profundidade pretendida. Utilize as seguintes brocas Densah\u00ae mais largas at\u00e9 atingir a broca designada no Passo 2B. \u00c0 medida que o di\u00e2metro da broca aumenta, o osso apical expandir-se-\u00e1 lentamente para acomodar o di\u00e2metro do implante designado.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1183&#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;Passo 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]<span style=\"color: #333333;\"><strong>Preencha a osteotomia com um aloenxerto bem hidratado no alv\u00e9olo, de forma a deixar alguma folga.<\/strong> O aloenxerto deve ser, de prefer\u00eancia, uma combina\u00e7\u00e3o de osso esponjoso\/cortical numa propor\u00e7\u00e3o de 70\/30.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1185&#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;Passo 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]<span style=\"color: #333333;\">O aloenxerto densificado pode melhorar a estabilidade prim\u00e1ria do implante no alv\u00e9olo de extra\u00e7\u00e3o. <strong>Utilize a broca Densah\u00ae um grau menor do que a \u00faltima broca utilizada na prepara\u00e7\u00e3o do alv\u00e9olo. Utilize a broca no sentido reverso, a baixa velocidade (150-200 rpm), sem irriga\u00e7\u00e3o,<\/strong> para densificar o aloenxerto lateralmente nas paredes do alv\u00e9olo. Siga a mesma trajet\u00f3ria de prepara\u00e7\u00e3o do implante.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1187&#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;Passo 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]<span style=\"color: #333333;\"><strong>Instala\u00e7\u00e3o do implante.<\/strong> Se utilizar o motor cir\u00fargico para colocar o implante a unidade poder\u00e1 parar quando atingir o torque m\u00e1ximo de inser\u00e7\u00e3o. Termine a instala\u00e7\u00e3o do implante at\u00e9 \u00e0 profundidade pretendida manualmente com um torqu\u00edmetro.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1189&#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;1191&#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>\n<div id=\"sd-simple-text-editable-ecf34c35-04ee-4d55-80f5-2b30c50127ca\" data-edit-mode=\"\">\n<p style=\"text-align: center;\">* Dados em arquivo, visite versahinternational.com\/od-published-papers\/ para consultar estudos de coloca\u00e7\u00e3o imediata de implantes<br \/>\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 a pr\u00e1tica cl\u00ednica<\/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;\">10891 REV00 \u00faltima atualiza\u00e7\u00e3o: 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;COLOCA\u00c7\u00c3O IMEDIATA DE IMPLANTES&#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;Baixar Protocolo&#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%2FPortuguese-Immediate-Implant-Placement-11032-REV00.pdf|title:Protocolo%20de%20expans%C3%A3o%20da%20crista%20facilitada&#8221;][\/vc_column][\/vc_row][vc_row][vc_column css=&#8221;.vc_custom_1690309445942{background-color: #ffffff !important;}&#8221;][vc_empty_space<\/p>\n<p><a href=\"https:\/\/versahinternational.com\/pt-pt\/versatilidade-clinica\/colocacao-imediata-de-implantes\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\">Instala\u00e7\u00e3o imediata de implantes<\/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-10555","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/10555","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=10555"}],"version-history":[{"count":16,"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/10555\/revisions"}],"predecessor-version":[{"id":17794,"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/10555\/revisions\/17794"}],"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=10555"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}