sm system surgical protocol
TRANSCRIPT
8/3/2019 SM System Surgical Protocol
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DIO Dental Implant Surgical Protocol
(SM System)
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Surgical Kit
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Surgical Protocol - Narrow
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Surgical Protocol - Regular
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Surgical Protocol - Wide
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Packing
Top Bush
Stop Bush
Fixture
No Mount
Window
Slide
Window Cap
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Fixture Opening Procedure
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Surgical Drill – Guide Drill
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Surgical Drill – Guide Drill
Guide Drill
To drill through the cortical bone and fix the position for implantation
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Surgical Drill – Initial Drill
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Surgical Drill – Initial Drill
Initial Drill
To be used for development of osteotomy site of cortical bone
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Surgical Drill – Pilot Drill
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Surgical Drill – Pilot Drill
Pilot Drill
To adjust the slope or location of the osteotomy site formed
With a initial drill.
To guide the drilling location before widening the osteotomy site.
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Surgical Drill – Tapered Drill
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Surgical Drill – Tapered Drill
Tapered Drill
To be used for intermediate or final drilling.
With its own rotation type stopper,
it enables to simply drill an accurate depth.
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Surgical Drill – Tap Drill
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Surgical Drill – Tap Drill
Tap Drill
The osteotomy should be tapped in dense bonefollowing the final profile drill used in the preparation
of the osteotomy.
D1 bone typically requires that the full length of the osteotomy
be prepared with the tap.
D2 bone, as well as bone with a thick inferior cortical plate, might also
require full-length preparation.
The used of a tap drill is suggested in D3 bone when one (or two)
sides of the osteotomy are in contact with a lateral cordical platequality.
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Surgical Drill
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Drilling Depth Guide
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Depth Indication
Depth Gauge
Measuring a depth by inserting the bent measuring section of thedepth gauge into the osteotomy site formed at cortical bone.
Warning : Measure the depth based on the lower
line
of the marked section.
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Classification of Bone Quality
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Classification of Bone Quality
D1: Dense Cortical
anterior mandible<Advantage> Highest bone contact area / Short healing time
<Disadvantage> Bone-heating
D2: Porous Cortical Coarse Trabecular
anterior/posterior mandible, anterior maxilla
<Advantage> High bone contact area / Easily achievable initial rigid
fixation
<Disadvantage> May require osteotomy thread forming or tapping.
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Classification of Bone Quality
D3: Porous Cortical Fine Trabecular anterior maxilla, posterior maxilla/mandible
<Advantage> Faster osteotomy preparation
<Disadvantage> Longer progressive loading period to improve bone
quality.
D4: Fine Trabecular posterior maxilla
<Advantage> No need osteotomy thread forming
<Disadvantage> Most difficult bone quality for obtaining initial righd
fixation
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Drilling Sequence - Narrow
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Drilling Sequence - Regular
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Drilling Sequence - Wide
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SM System Compatibility
NO !!!
CompatibleSFN 38**
Narrow
SAS 39**
Narrow
Compatible
SFR 45** Regular
SFW 53** Wide
MX ****Extra-Wide
SAS 48** Regular
SAS 58** Wide
6°
8°
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Fixture Driver for Narrow fixture
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Fixture Driver for Regular/Wide fixture
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1.2 Hex Driver
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1.2 Hex Driver
1.2 Hex Driver - Headless, Closing screw, Healing abutment &
Pick-up impression coping
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1.7 Torx Driver
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1.7 Torx Driver
1.7 Torx Driver - Cemented / UCLA Gold / Temporary abutments &
Transfer impression coping
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Thank You