{"id":11313,"date":"2023-07-18T18:13:41","date_gmt":"2023-07-18T18:13:41","guid":{"rendered":"https:\/\/versahinternational.com\/protocolo-crestal-sinus-lift-i\/"},"modified":"2023-12-04T21:22:23","modified_gmt":"2023-12-04T21:22:23","slug":"protocolo-crestal-sinus-lift-i","status":"publish","type":"page","link":"https:\/\/versahinternational.com\/pt-pt\/versatilidade-clinica\/protocolo-crestal-sinus-lift-i\/","title":{"rendered":"Protocolo I De Eleva\u00e7\u00e3o crestal do seio maxilar"},"content":{"rendered":"<section class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_empty_space height=&#8221;100px&#8221;][vc_custom_heading text=&#8221;PROTOCOLO I DE ELEVA\u00c7\u00c3O CRESTAL DO SEIO MAXILAR&#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-Sinus-Lift-I-11030-REV00.pdf|title:Protocolo%20de%20expans%C3%A3o%20da%20crista%20facilitada&#8221;][\/vc_column][\/vc_row][vc_row][vc_column css=&#8221;.vc_custom_1690307851554{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>Vis\u00e3o geral: <\/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;\">Altura m\u00ednima do osso residual \u2265 6 mm. Largura alveolar m\u00ednima necess\u00e1ria = 4 mm<br \/>\nUtilize as brocas Densah\u00ae em incrementos graduais inteiros. Por exemplo: 2,0 mm, 3,0 mm, 4,0 mm, 5,0 mm.<\/span><\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][vc_empty_space height=&#8221;50px&#8221;][vc_separator][vc_row_inner][vc_column_inner width=&#8221;2\/3&#8243;][vc_column_text]<span style=\"color: #333333;\">\u2022 ME\u00c7A A ALTURA DO OSSO AT\u00c9 PAVIMENTO DO SEIO<\/span><br \/>\n<span style=\"color: #333333;\">\u2022 COM A BROCA PILOTO, PERFURE 1 MM ABAIXO DO ASSOALHO DO SEIO<\/span><br \/>\n<span style=\"color: #333333;\">\u2022 COM A BROCA DENSAH\u00ae (2,0) EM MODO OD, \u00c9 POSS\u00cdVEL AVAN\u00c7AR AT\u00c9 A ALTURA DO ASSOALHO DO SEIO <\/span><br \/>\n<span style=\"color: #333333;\">\u2022 INTRODUZA A BROCA DENSAH\u00ae (3,0) NO MODO OD AT\u00c9 3 MM PARA AL\u00c9M DA ALTURA INICIAL DO ASSOALHO DO SEIO, ROMPENDO CUIDADOSAMENTE A CORTICAL<\/span><br \/>\n<span style=\"color: #333333;\">\u2022 SE NECESS\u00c1RIO, UTILIZE AS BROCAS DENSAH\u00ae (4,0) E (5,0) NO MODO OD AT\u00c9 3 MM PARA AL\u00c9M DA ALTURA INICIAL DO ASSOALHO DO SEIO, <\/span><br \/>\n<span style=\"color: #333333;\">\u2022 UTILIZE AS BROCAS DENSAH\u00ae EM INCREMENTOS GRADUAIS INTEIROS, POR EXEMPLO: 2,0 MM, 3,0 MM, 4,0 MM, 5,0 MM<\/span><br \/>\n<span style=\"color: #333333;\">\u2022 N\u00c3O AVANCE MAIS DO QUE 3MM AL\u00c9M DA ALTURA INICIAL DO ASSOALHO DO SEIO.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1136&#8243; img_size=&#8221;full&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][vc_separator][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 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>Me\u00e7a a altura do osso at\u00e9 o assoalho do seio.<\/strong> Fa\u00e7a um retalho no tecido mole com os instrumentos e a t\u00e9cnica normalmente utilizados.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1138&#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 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]<span style=\"color: #333333;\"><strong>Com a broca piloto, perfure 1 mm abaixo do assoalho do seio.<\/strong> Nos casos em que a altura da crista alveolar residual posterior for \u2265 6,0 mm, perfure at\u00e9 \u00e0 profundidade determinada dentro de uma zona de seguran\u00e7a aproximada de 1,0 mm a partir do assoalho do seio maxilar utilizando uma broca piloto (velocidade de perfura\u00e7\u00e3o no sentido hor\u00e1rio a 800-1500 rpm com irriga\u00e7\u00e3o abundante). Confirme a posi\u00e7\u00e3o da broca piloto com uma radiografia.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1140&#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>Avance com a broca Densah\u00ae (2,0) no modo OD at\u00e9 o assoalho do seio.<\/strong> Dependendo do tipo de implante e do di\u00e2metro selecionado para a zona, comece com a broca Densah\u00ae mais estreita (2,0). Mude o motor cir\u00fargico para o modo de densifica\u00e7\u00e3o inversa (velocidade de perfura\u00e7\u00e3o no sentido anti-hor\u00e1rio a 800-1500 rpm com irriga\u00e7\u00e3o abundante). Inicie a introdu\u00e7\u00e3o da broca na osteotomia. Quando sentir o feedback t\u00e1til de que a broca atingiu a cortical do assoalho do seio, pare e confirme a primeira posi\u00e7\u00e3o vertical da broca Densah\u00ae com uma radiografia.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1142&#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>Introduza a broca Densah\u00ae (3,0) no modo OD at\u00e9 3 mm para al\u00e9m do assoalho do seio<\/strong>. Utilize a broca Densah\u00ae (3,0) no modo de densifica\u00e7\u00e3o (velocidade de perfura\u00e7\u00e3o no sentido anti-hor\u00e1rio a 800-1500 rpm com irriga\u00e7\u00e3o abundante) e avance-a para a osteotomia previamente criada com press\u00e3o moduladora e um movimento de bombeamento. Quando sentir o feedback t\u00e1til de que a broca atingiu a cortical do assoalho do seio,module a press\u00e3o com um movimento delicado de bombeamento para avan\u00e7ar al\u00e9m do assoalho do seio em incrementos de 1 mm. <strong>O avan\u00e7o m\u00e1ximo poss\u00edvel para al\u00e9m do assoalho do seio, em qualquer fase, n\u00e3o deve exceder os 3 mm.<\/strong> \u00c0 medida que a pr\u00f3xima broca Densah\u00ae mais larga avan\u00e7a na osteotomia, o osso aut\u00f3geno adicional ser\u00e1 impelido em dire\u00e7\u00e3o \u00e0 extremidade apical, para obter uma profundidade vertical adicional e uma eleva\u00e7\u00e3o m\u00e1xima da membrana de 3,0 mm. Confirme a posi\u00e7\u00e3o vertical da broca com uma radiografia.<\/span>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/3&#8243;][vc_single_image image=&#8221;1144&#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;\"><strong>Instala\u00e7\u00e3o do implante.<\/strong> Instala\u00e7\u00e3o do implante na osteotomia. Se utilizar o motor cir\u00fargico para colocar o implante no lugar, 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;1146&#8243; img_size=&#8221;full&#8221;][\/vc_column_inner][\/vc_row_inner][vc_row_inner][vc_column_inner][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 expans\u00e3o de cristas<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 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;\">10889 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;PROTOCOLO I DE ELEVA\u00c7\u00c3O CRESTAL DO SEIO MAXILAR&#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;<\/p>\n<p><a href=\"https:\/\/versahinternational.com\/pt-pt\/versatilidade-clinica\/protocolo-crestal-sinus-lift-i\/\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\">Protocolo I De Eleva\u00e7\u00e3o crestal do seio maxilar<\/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-11313","page","type-page","status-publish","hentry"],"jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/11313","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=11313"}],"version-history":[{"count":14,"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/11313\/revisions"}],"predecessor-version":[{"id":17792,"href":"https:\/\/versahinternational.com\/pt-pt\/wp-json\/wp\/v2\/pages\/11313\/revisions\/17792"}],"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=11313"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}