{"id":11133,"date":"2023-07-18T18:15:21","date_gmt":"2023-07-18T18:15:21","guid":{"rendered":"https:\/\/versahinternational.com\/expansao-do-septo-molar-combinado\/"},"modified":"2023-12-04T21:23:55","modified_gmt":"2023-12-04T21:23:55","slug":"expansao-do-septo-molar-combinado","status":"publish","type":"page","link":"https:\/\/versahinternational.com\/pt-pt\/versatilidade-clinica\/expansao-do-septo-molar-combinado\/","title":{"rendered":"Expans\u00e3o combinada do septo dos molares"},"content":{"rendered":"

[vc_row][vc_column][vc_empty_space height=”100px”][vc_custom_heading text=”EXPANS\u00c3O DO SEPTO MOLAR COMBINADO” 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-Combied-Upper-Molar-Septum-Protocol-11034-REV00.pdf|title:Protocolo%20de%20expans%C3%A3o%20da%20crista%20facilitada”][\/vc_column][\/vc_row][vc_row][vc_column css=”.vc_custom_1690311450159{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 para zonas de molares superiores com septo de um m\u00ednimo de 4 mm de largura.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n

[\/vc_column_text][vc_empty_space height=”50px”][vc_separator][vc_column_text]1. Utilize imagens de CBCT para medir a largura da crista e a dist\u00e2ncia at\u00e9 o assoalho do seio.<\/span>
\n2. Exodontia atraum\u00e1tica sem retalho para preserva\u00e7\u00e3o o septo.<\/span>
\n3. Instrumenta\u00e7\u00e3o de osseodensifica\u00e7\u00e3o com a utiliza\u00e7\u00e3o de brocas Densah\u00ae em sentido anti-hor\u00e1rio (800-1500 rpm) para expandir o septo e levantar a membrana do seio simultaneamente.<\/span>
\n4. Instala\u00e7\u00e3o de implantes.<\/span>
\n5. Enxerte o alv\u00e9olo ao redor do implante com os materiais de enxerto \u00f3sseo elencados para o caso. <\/span>
\n6. Sele o alv\u00e9olo com um pilar de cicatriza\u00e7\u00e3o grande\/largo.<\/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]Diagn\u00f3stico:<\/span>
\nUtilize imagens de CBCT para avaliar e medir a largura da crista alveolar e a altura at\u00e9 o assoalho do seio.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1214″ 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]\u00c9 indicada a extra\u00e7\u00e3o cir\u00fargica sem retalho. Separe as ra\u00edzes dos molares de forma minimamente traum\u00e1tica para preservar o septo.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1216″ 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]Instrumenta\u00e7\u00e3o:<\/span>
\nUtilize a broca Densah\u00ae no modo OD (anti-hor\u00e1rio) a uma velocidade de perfura\u00e7\u00e3o de 800-1500 rpm com irriga\u00e7\u00e3o abundante. Utilize as brocas Densah\u00ae maiores subsequentes em incrementos inteiros para aumentar a plasticidade \u00f3ssea, expandir a osteotomia e levantar a membrana do seio. Por exemplo, utilize a broca Densah\u00ae 2,0 ap\u00f3s a broca piloto, depois expanda e introduza a broca Densah\u00ae 3,0 no seio, e, em seguida, passe para a broca Densah\u00ae 4,0 antes de introduzir a broca Densah\u00ae 5,0, se necess\u00e1rio. \u00c0 medida que o di\u00e2metro da broca aumenta, o osso do septo expande-se e a membrana do seio deve ser levantada at\u00e9 3 mm com enxerto \u00f3sseo aut\u00f3geno. Se for necess\u00e1ria uma eleva\u00e7\u00e3o adicional de mais de 3 mm, impulsione o aloenxerto com a broca final em sentido anti-hor\u00e1rio a 150 rpm sem irriga\u00e7\u00e3o (ver Protocolo II de eleva\u00e7\u00e3o do seio maxilar).<\/strong> Dependendo da geometria do implante, siga o protocolo de densifica\u00e7\u00e3o da Versah para o sistema de implantes correspondente.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1218″ 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]Instale o implante ao n\u00edvel da crista ou subcrestal, consoante o tipo de conex\u00e3o do implante<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1220″ 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 do alv\u00e9olo com um material de enxerto \u00f3sseo, se necess\u00e1rio, utilizando de prefer\u00eancia uma massa de aloenxerto ou part\u00edculas de aloenxerto em uma propor\u00e7\u00e3o de osso esponjoso\/cortical de 70\/30.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1222″ 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]Sele o alv\u00e9olo com um pilar de cicatriza\u00e7\u00e3o grande personalizado ou comum.<\/span><\/strong>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=”1\/3″][vc_single_image image=”1224″ img_size=”full”][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_empty_space height=”50px”][vc_single_image image=”1212″ img_size=”full” alignment=”center”][vc_column_text]<\/p>\n

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Caso facultado por cortesia do Dr. Samvel Bleyan
\n* Dados em arquivo, visite versahinternational.com\/od-published-papers\/ para consultar estudos de enxerto de septo dos molares e seios maxilares
\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

10893 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=”EXPANS\u00c3O DO SEPTO MOLAR COMBINADO” 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-Combied-Upper-Molar-Septum-Protocol-11034-REV00.pdf|title:Protocolo%20de%20expans%C3%A3o%20da%20crista%20facilitada”][\/vc_column][\/vc_row][vc_row][vc_column css=”.vc_custom_1690311450159{background-color: #ffffff<\/p>\n

Continue readingExpans\u00e3o combinada 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-11133","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/11133","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=11133"}],"version-history":[{"count":16,"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/11133\/revisions"}],"predecessor-version":[{"id":17796,"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/11133\/revisions\/17796"}],"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=11133"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}