Surgical Manual

Surgical Manual
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Surgical Manual

Product catalog summary
Introduction
Cortex Dental Implants Industries Ltd., established in 2008, specializes in developing, manufacturing, and marketing dental implants. The company focuses on innovation, precision, and cost-effectiveness, adhering to ISO QMS standards and holding CE approval for its products.
Cortex Implants
Made from biocompatible titanium alloy, Cortex implants are designed for strength and stability, featuring a conical connection platform to enhance bending strength and reduce micro-movements. They are suitable for various clinical indications and recommended for placement at the crest or slightly below the ridge.
Surgical Protocol
The protocol includes contraindications, warnings, and sterilization procedures, emphasizing aseptic conditions and proper instrumentation. Implants should not be reused or re-sterilized.
Data Collection
Patient evaluation involves informed consent and thorough medical history documentation. Preoperative planning includes clinical and radiographic examinations to assess bone quality, crucial for implant success.
Instrumentation and Implant Selection
The manual guides implant selection based on individual cases, detailing systems like Classix, Dynamix, Saturn, and Smart 1PIECE, each with specific features.
Surgical and Prosthetic Stages
The surgical stage covers implant placement procedures, while the prosthetic stage focuses on restoration, both requiring careful planning and execution.
Troubleshooting and Drilling Sequence
Troubleshooting addresses complications like infection and implant mobility. The drilling sequence provides step-by-step guidance for site preparation.
Vertical and Horizontal Bone Quantity
Cortex implants achieve high primary stability even in small bone quantities, with CT scans recommended for assessing ridge width. Narrow implants can be used in narrow ridges to minimize bone augmentation.
Pre-Operative Handling
Clinicians should be familiar with the Cortex system. Preparation includes patient premedication, sterilization, and local anesthesia, with chlorhexidine mouth rinsing recommended.
Instrumentation
Surgical instruments require sterilization before use, with drills replaced after 20 osteotomies. The drilling sequence adapts to bone quality, preserving bone tissue.
Sterilization and Cleaning
Instruments should be cleaned and sterilized using ultrasonic cleaning and ethyl alcohol rinsing to prevent corrosion.
Implant Selection
Implants are selected based on CT scan measurements, maintaining safety zones from anatomical structures, with options for various bone types and clinical situations.
Surgical Procedures
Flap reflection surgery involves local anesthesia and incision for ridge exposure, with sequential drilling for osteotomy preparation.
Specifications and Procedures
The document specifies surgical procedures using tapered drills, emphasizing correct depth drilling to avoid site over-preparation.
Implant Package Selection
Implants are delivered in sterile packaging, with options for two-stage or one-stage surgeries.
Implant Insertion
Detailed steps for implant insertion include using a transfer mount, with caution against over-tightening beyond 50 Ncm.
Post-Operative Procedures
Post-surgical care includes ice packs, a soft diet, and possibly antibiotics. Sutures are removed after about 10 days.
Immediate Loading and Placement
Immediate loading is possible if primary stability is achieved, under specific conditions.
Restorative Procedures
Temporary healing caps and abutments are available for soft tissue contouring, with immediate temporization options.
Troubleshooting
Solutions for removing stuck abutments include specific tools like the holding key and abutment extractor key.
Drilling Sequence
The document includes a drilling sequence for different implant sizes, ensuring proper osteotomy site preparation.
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Catalog excerpts

Surgical Manual-1

The Future of Dental Implants [dental implants

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Surgical Manual-3

INDEX Introduction Cortex Implants Surgical Protocol Data Collection Instrumentation Implant Selection: Classix Dynamix Saturn Smart 1PIECE Surgical Stage Prosthetic Stage Troubleshooting Drilling Sequence

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Surgical Manual-4

INTRODUCTION Cortex Dental Implants Industries Ltd. is a developer, manufacturer and marketer of innovative, high-quality and affordable dental implants, prosthetic products and surgical kits. The company was established in 2008 by a group of expert clinicians, maxillofacial surgeons and opinion leaders in the field of dental implantology, who have joined forces with leading business and marketing professionals to answer the market need for practical, innovative solutions for dental rehabilitation and restoration. Cortex takes pride in being a dynamic, fast-moving company whose mission is to...

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Surgical Manual-5

INTRODUCTION General Information Read this manual carefully before starting treatment. The manual is intended as a reference guide to optimize the use of Cortex implants, surgical instruments and prosthetic components. It does not replace the formal training of clinicians and dental laboratory technicians, and should not be taken as a recommendation on protocol or component selection. Important Warning Implantation procedures should not be performed without sufficient experience and adequate training at a certified institution. Lack of training poses a major health risk to patients and can lead...

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Surgical Manual-6

CORTEX IMPLANTS Cortex Implants Cortex dental implants are made with biocompatible titanium alloy and consist of threaded, tapered and straight designs featuring a proprietary internal hex or conical connection which provide superior strength, stability and esthetics. Conical Connection Platform is the unique interface between the fixture and the abutment. It gives it superior bending strength and elasticity and eliminates the micro-movements and micro-leakage between the two. The conical interface allows simple self-guiding seating of the abutment without the the necessity of using an extra...

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Surgical Manual-7

CORTEX IMPLANTS Surgical Strategies Allows the implantologists to adopt any implant strategy during the implant procedure: • • • • • Two stages (submerge). One stage - Metal healing cap. Immediate loading. Plastic healing cap/Immediate temporization. Immediate impression. Cost Effective Package: 6 Elements in One • • • • • • Cover screw Plastic healing cap Titanium healing cap Transfer Abutment Implant Prime Implant Set Package • • Dental Implant Surgical cover screw

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Surgical Manual-8

SURGICAL PROTOCOL Indication for Use Cortex Dental Implant System is intended for use in partially or fully edentulous mandibles and maxillae, in support of single or multi-unit restorations, including: cement-retained, screw-retained, over denture restorations and terminal or intermediate abutment support for fixed bridgework. Contraindications Contraindications customary in oral surgery should be observed. Patients with the following conditions should not be considered for implant procedures: • Patients taking corticosteroids, anticoagulants or anticonvulsant treatment and those receiving radiation...

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Surgical Manual-9

SURGICAL PROTOCOL Warnings The implant placement procedure should be done under aseptic conditions with specifically designed sterile surgical instruments. A surgical drill system with internal or external irrigation is recommended for drilling the surgical site. The specific drilling sequences for placement of implants should be followed. The use of surgical guides, a depth probe, and parallel pins are recommended to aid in implant placement and positioning. Improper techniques can cause implant failure and loss of bone. No attempt should be made to alter or modify the implant body. The use...

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Surgical Manual-10

SURGICAL PROTOCOL Adverse Reactions Complications that can occur include: infection, bone loss, patient discomfort, implant mobility, local soft-tissue degeneration, and unfavorable implant placement or alignment. Treatment for these reactions should follow standard dental procedures as would be indicated and applied for natural dentition. These include pain medications, antibiotics, removal from function, removal of mobile implants, and soft tissue/bone debridement and augmentation. Implant mobility, bone loss, or chronic infection may indicate implant failure. Any implant that appears to be...

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Surgical Manual-11

DATA COLLECTION Examination and Treatment Planning Patient Evaluation And Selection • Before any treatment, the patient must be informed about expected outcomes of preoperative examination, including the expected results of the risks. • Patients should sign a consent form to indicate their acceptance of treatment. • Patient health status should be docomented, including information general medical contraindications, the surgical treatment, mental psychoses, alcohol and all of the information mentioned in instructions for use. If the patient’s medical history reveals an existing condition or indicates...

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Surgical Manual-12

DATA COLLECTION 3. Vertical Bone Quantity Dental implants needs to be stabilized in a good quality bone for successful result. The amount of bone available for implant retention differs from site to site. In situations where the initial stabilization is questionable, it is necessary to augment the bone volume prior to implant insertion. The unique design of cortex implants, achieves of high primary stability even in very small quantities of bone, and allows bone volume augmentation simultaneously with implant insertion, if needed. 4. Horizontal Bone Quantity CT Scan can give us the correct data...

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Surgical Manual-13

INSTRUMENTATION Cortex Instrumentation All Cortex surgical instruments are provided non-sterile. Always remove the instruments from the packaging prior to sterilization. Inspect the surgical instrumentation to ensure sterility and functionality. For example, drills will become dull after many uses. Always have a backup drill sterile and available. Cortex recommends drill replacement after 20 osteotomies depending on bone density. Drilling Implant site is prepared in a sequential procedure using drills of increasing diameter with depth indication lines that give a reading of the desired drilling...

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