{"id":10899,"date":"2023-07-18T18:17:43","date_gmt":"2023-07-18T18:17:43","guid":{"rendered":"https:\/\/versahinternational.com\/protocolo-ii-da-tecnica-idr\/"},"modified":"2023-12-04T21:27:04","modified_gmt":"2023-12-04T21:27:04","slug":"protocolo-ii-da-tecnica-idr","status":"publish","type":"page","link":"https:\/\/versahinternational.com\/pt-pt\/versatilidade-clinica\/protocolo-ii-da-tecnica-idr\/","title":{"rendered":"Protocolo II da t\u00e9cnica de RDI"},"content":{"rendered":"

[vc_row][vc_column][vc_empty_space height=”100px”][vc_custom_heading text=”T\u00c9CNICA II DE RESTAURA\u00c7\u00c3O DENTOALVEOLAR IMEDIATA (RDI)” 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-IDR-II-Protocol-11041REV00.pdf|title:Protocolo%20de%20expans%C3%A3o%20da%20crista%20facilitada”][\/vc_column][\/vc_row][vc_row][vc_column css=”.vc_custom_1690389604014{background-color: #ffffff !important;}”][vc_column_text]<\/p>\n

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Vis\u00e3o geral: <\/strong><\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Indicado em casos com perda total da parede vestibular em combina\u00e7\u00e3o com bi\u00f3tipo periodontal fino ou recess\u00e3o gengival.<\/strong> O Protocolo II de RDI explicar\u00e1 como gerir alv\u00e9olos comprometidos com pouco ou nenhum osso remanescente em combina\u00e7\u00e3o com a coloca\u00e7\u00e3o imediata de implantes, a reconstru\u00e7\u00e3o \u00f3ssea e a fabrica\u00e7\u00e3o do provis\u00f3rio num \u00fanico procedimento, utilizando uma combina\u00e7\u00e3o de enxerto \u00f3sseo e de tecido mole coletado da tuberosidade maxilar.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_separator][vc_column_text]\u2022 EXTRAIA O DENTE DANIFICADO, REMOVA O TECIDO DE GRANULA\u00c7\u00c3O E OS RESTOS DE TECIDO PERIODONTAL.<\/span>
\n\u2022 UTILIZE AS BROCAS DENSAH EM MODO DE DENSIFICA\u00c7\u00c3O (ROTA\u00c7\u00c3O NO SENTIDO ANTI-HOR\u00c1RIO) PARA PREPARAR O S\u00cdTIO DE INSTALA\u00c7\u00c3O E DENSIFICAR O LEITO \u00d3SSEO.<\/span>
\n\u2022 FIXE O IMPLANTE NA PAREDE PALATINA.<\/span>
\n\u2022 COLETE O ENXERTO TRIPLO E PREENCHA O ESPA\u00c7O.<\/span>
\n\u2022 REALIZE UMA RESTAURA\u00c7\u00c3O PROVIS\u00d3RIA APARAFUSADA COM PERFIL DE EMERG\u00caNCIA ADEQUADO. (RESTAURA\u00c7\u00d5ES CIMENTADAS S\u00c3O CONTRAINDICADAS).<\/span>
\n\u2022 AGUARDE A CICATRIZA\u00c7\u00c3O POR AO MENOS 4 MESES E INSTALE UMA COROA DE PORCELANA DEFINITIVA APARAFUSADA.<\/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]Extraia o dente danificado atrav\u00e9s de um procedimento minimamente invasivo. Utilizando cuidadosamente a t\u00e9cnica de curetagem do alv\u00e9olo, remova completamente o tecido de granula\u00e7\u00e3o e os restos de tecido periodontal. \u00c9 comum que haja aus\u00eancia total da parede vestibular.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1407″ 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]<\/p>\n

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Utilize as brocas Densah\u00ae para preparar o s\u00edtio de instala\u00e7\u00e3o do implante. Comece com a broca piloto Densah\u00ae, no sentido hor\u00e1rio, at\u00e9 uma profundidade relacionada com o comprimento do implante planejado. Dependendo do tipo e do di\u00e2metro do implante, utilize as brocas Densah\u00ae mais largas, de acordo com o protocolo de densifica\u00e7\u00e3o do sistema de implantes*. Come\u00e7ando com a menor broca Densah\u00ae, utilize as brocas Densah\u00ae no modo de densifica\u00e7\u00e3o (sentido anti-hor\u00e1rio, com uma velocidade de 800-1500 rpm e irriga\u00e7\u00e3o abundante).<\/span><\/p>\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=”1\/3″][vc_single_image image=”1409″ 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]Ancore o implante \u00e0 parede palatina na posi\u00e7\u00e3o 3-D adequada.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1411″ 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]Colete o enxerto triplo (tecido conjuntivo, osso cortical e medular numa \u00fanica pe\u00e7a) da tuberosidade maxilar. Insira o enxerto triplo no defeito da face vestibular da zona receptora para recuperar os tecidos moles e duros perdidos.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1413″ 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]Compacte o osso aut\u00f3geno particulado coletado da tuberosidade maxilar para preencher totalmente o espa\u00e7o \u00e0 volta do implante, especialmente na zona vestibular.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1415″ 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]Realize uma restaura\u00e7\u00e3o provis\u00f3ria aparafusada com perfil de emerg\u00eancia adequado.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1417″ 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 7:” font_container=”tag:p|font_size:20|text_align:left|color:%23c4d600″ use_theme_fonts=”yes”][vc_column_text]Aguarde a cicatriza\u00e7\u00e3o por ao menos 4 meses para que o tecido mole se torne est\u00e1vel em termos de volume e tenha uma espessura adequada. Recomenda-se uma restaura\u00e7\u00e3o definitiva aparafusada. \u00c9 poss\u00edvel observar a manuten\u00e7\u00e3o do contorno anat\u00f3mico dos tecidos moles.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1419″ img_size=”full”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=”50px”][vc_single_image image=”1405″ img_size=”full” alignment=”center”][vc_column_text]<\/p>\n

Acompanhamento cl\u00ednico que mostra a estabilidade dos tecidos moles relativamente \u00e0 margem gengival e \u00e0s papilas.
\nUma imagem de CBCT ap\u00f3s 4 anos real\u00e7a a estabilidade da parede vestibular, em termos de espessura e altura.
\nCaso gentilmente compartilhado por Dr. Jos\u00e9 Carlos da Rosa<\/p>\n

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* Dados em arquivo, visite versahinternational.com\/od-published-papers\/ para consultar estudos
\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

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10900 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][vc_column][vc_empty_space height=”100px”][vc_custom_heading text=”T\u00c9CNICA II DE RESTAURA\u00c7\u00c3O DENTOALVEOLAR IMEDIATA (RDI)” 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-IDR-II-Protocol-11041REV00.pdf|title:Protocolo%20de%20expans%C3%A3o%20da%20crista%20facilitada”][\/vc_column][\/vc_row][vc_row][vc_column<\/p>\n

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