B&B DENTAL implant company

Guided surgery technique PRECISE IMPRESSION REGISTRATION SURGICAL TEMPLATE CREATION

RADIOGRAPHIC TEMPLATE CBCT SCAN IMAGING DICOM AND STL DIGITAL FILES TRANSMISSION OR CAST MODEL AND TEMPLATE DELIVERY

Guided surgery technique IMPLANT LINES The various lines of the B&B Dental implant family (SLIM, 3P, EV and WIDE) allow you to use the most suitable implant design and size for each surgical site. The implants are available in diameters of 3.0 - 3.4 - 3.5 – 4.0 - 4.5 - 5.0. PLATFORM SWITCHING Reduction of bone loss Long-term aesthetic stability It prevents bacterial infiltration 5 DEGREES CONICAL CONE MORSE CONNECTION Cold welding It eliminates micro-movements It eliminates any unscrewing of the passing screw INTERNAL HEXAGON Anti-rotation guarantee for an absolute accuracy of the abutment positioning....

HOW TO USE THE SURGICAL KIT It is useful to know the surgical accessories that make up the kit before proceeding with the description of the operative protocol. The morphology of the instruments inside the B&B DENTAL SURGICAL KIT is specifically designed for the guided insertion of the SLIM, 3P and EV line implants. The neck of the drills allow for a precise insertion inside the guided sleeve determining the depth of the osteotomy with a known full-travel stop at a distance of 9 mm from the crestal edge of the bone. The materials used for the production of devices manufactured by B&B Dental were...

Guided surgery technique WHEN GUIDED SURGERY IS POSSIBLE OPENING OF THE MOUTH Guided surgery is a highly versatile technique that has made great strides in recent years. But we must remember that there are limits to the application of this technique to be evaluated before beginning this process. An important point is the patient’s ability to keep their mouth open and the assessment of the overall dimensions of the drills and masks to be used. If the necessary conditions are not met, the evaluation of other approaches may be effective for the treatment of the patient. INTERDENTAL SPACE The space...

In order to create the surgical template, the digital acquisition of the STL file of the model or of the mouth and the DICOM file deriving from the cone beam is necessary. In order to match the data coming from the two files and evaluate the mucosal thicknesses (STL) and the dimensions and shape of the bone (DICOM) during surgical template planning, it is necessary to use radiopaque markers. These markers are small spheres recognized by the software that allow for the perfect placement of the two files on each other. Markers should be placed on the aesthetic trial of the prosthetic project with...

Guided surgery technique SURGICAL TEMPLATE TYPES A surgical template is a customized medical device that guides the drills and implants in the most suitable area, making the most of the available bone according to the patient’s anatomical conformation and predisposition. DENTAL SUPPORT TEMPLATES If the patient has a residual dentition, the template can use it as a support to achieve stability. If you require greater stability, you should use crestal pins. The crestal pins should be inserted after using a lance drill (3) and be chosen with a diameter that is consistent with the sleeve and the...

MUCOSAL SUPPORTED TEMPLATE When there are no teeth present, the template will have an exclusively mucous support. In this situation, it will be necessary to use lateral pins and / or crestal pins. The lateral pins should be inserted after drilling the bone with the pin drill (C) inside the holes with dedicated sleeves, positioned in the vestibular area. The template in this phase must be held in place with a silicone bite. However, lateral pins may not be enough sometimes; in this case you can use crestal pins, which are screws that are fixed in the implant sleeves after creating a hole with...

Guided surgery technique GUIDED SLEEVES The guided sleeves, also called sleeves, can have two dimensions and are presented as cylinders included in the surgical templates. They have the main function of guiding the surgical instruments during the preparation of the implant site by guiding the position and inclination of the drills. The sleeves are generally supplied incorporated into the surgical templates and, if necessary, can be supplied separately. The sleeves have an external hexagon that allows you to correctly position the internal implant hexagon for prosthetic purposes, allowing for...

SLEEVES MATERIAL B&B Dental pays particular attention to materials; the sleeves supplied are in peek, a material that is finding more and more applications in the dental sector. In this particular case, peek has greater precision as it is single-use, avoiding the friction and overheating of metal sleeves. Greater precision between sleeve and drill leads to less tilting of the drill itself.

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Guided surgery technique CRESTAL PINS LATERAL PINS AND Before positioning the surgery, you must make sure that the mask is stable. With dental support templates, you may find it unnecessary to fix the mask in place. However, in order to anchor the drilling template in its correct position and avoid micromovements during surgery, all other cases where fixing the mask is necessary require two options to achieve stability: - in cases of total or partial edentulism, 2-3 lateral fixing pins (B) can be used and it may be necessary to use the drill pin (C) for insertion; - in cases of total edentulism,...

There is a mucotome inside the kit that can be used alone with 4.2 mm diameter sleeves or combined with a converter (A) that allows it to be adapted to the larger diameter sleeve. ONE FOR ALL DIAMETERS Thanks to the converter it can also be used in 5.5 mm diameter sleeves. LATERAL HOLE It allows for the drainage of liquids.