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Introduction of CAS Kit / LAS Kit

Basic Course. Introduction of CAS Kit / LAS Kit. Slides : 59 Duration : 50 min. www.befrest.com. Concepts. Purpose of training. Goal of training. Key Point.

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Introduction of CAS Kit / LAS Kit

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  1. Basic Course Introduction of CAS Kit / LAS Kit Slides: 59 Duration: 50 min www.befrest.com

  2. Concepts Purpose of training Goal of training Key Point -To train up to the level that salesperson can guide dentists as to how to use each instrument in the kits and regarding applicable cases. - To make trainees accustomed to OSSTEM’s products used for sinus lift surgery. • Excellence of CAS Kit, LAS Kit. www.befrest.com

  3. Contents Part 1. Tools for sinus lift surgery Part 2. CAS Kit 1. Background of development 2. Introduction 3. Layout 4. Composition 5. How to use Part 3. LAS Kit 1. Background of development 2. Introduction 3. Layout 4. Composition 5. How to use Part 4. 1 minute presentation Part 5. Quiz Part 6. Glossary www.befrest.com

  4. Part 1. Tools for sinus lift surgery www.befrest.com

  5. 1. Tools for sinus lift surgery • OSSTEM’s tools for sinus lift surgery Crestal Approach Lateral Approach 1st Generation -Osteotome Kit 1st Generation -Bur + Sinus Kit + 2nd GenerationCAS Kit 2nd GenerationLAS Kit www.befrest.com

  6. 1. Tools for sinus lift surgery Crestal Approachis preferred to lateral approach in reluctance to complication of surgery and risk of lateral approach. CAS KIT is more recommended for sinus lift surgery. > Korean. Korean. Crestal Approach Lateral Approach www.befrest.com

  7. 1. Tools for sinus lift surgery • Assortment of sinus lift surgery : Theoretical assortment • Pursuant to remaining bone thickness Crestal Approach Lateral Approach Remaining bone thickness range: 5-6mm Remaining bone thickness range:1-4mm CAS KIT CAS kit is applicable to 2 ~ 12 mm bone thickness, which is proven through clinical cases 5-6mm 인 경우 1-4mm ◈ CrestalApproach : Success rate of clinical case on the condition of remaining bone over 5mm:94.6% • Success rate of clinical case on the condition of remaining bone over 4mm73.3% www.befrest.com

  8. 1. Tools for sinus lift surgery • Crestal Approach Sinus Lift Kit: CAS Kit One stage surgery Two stage surgery In case that thickness of remaining bone is over 5 mm: Immediate implant placement is possible after sinus lifting and bonegrafting. In case that thickness of remaining bone is in the range of 2~4 mm, bone healing span for six months is required after sinus lifting and bonegrafting until implantation. Immediately Healing Span www.befrest.com

  9. 1. Tools for sinus lift surgery • Lateral approach sinus lift Kit: LAS Kit • In case of membrane perforation in the process of lifting membrane, sinus surgery should transfer to lateral approach for easier treatment. Membrane perforation in the process of crestal approach. Transfer to lateral approach to remedy perforated membrane. www.befrest.com

  10. Part 2. CAS Kit 1. Background of development 2. Introduction 3. Layout 4. Composition 5. How to use www.befrest.com

  11. 2-1. CAS Kit: Background of development • Tools for sinus lift surgery prior to development of CAS KIT Crestal Approach Lateral Approach 1st GenerationOsteotome KIT Sinus lifting tools using Osteotomewith Malleting. 1st Generation Bur + Sinus KIT Sinus lifting tools in combination with using bur to secure window and tools to raise membrane. + www.befrest.com

  12. 2-1. CAS Kit: Background of development • Tools for sinus lift prior to development of CAS KIT. • 1st GenerationOsteotome KIT: Way of pushing in Osteotome with Malleting to lift sinus membrane. • Painful surgery due to Malleting operation. • High risk of membrane perforation. • Time-consuming surgery. • Irregular and slant cortical bone surface after penetration which weakens stability of implant. •  Leads of CAS KIT development. www.befrest.com

  13. 2-1. CAS Kit: Background of development • Surgery steps of CAS kit in comparison to Osteotome KIT www.befrest.com

  14. 2-1. CAS Kit: Background of development • Features of CAS KITin comparison to Osteotome KIT CAS KIT Ostetotome KIT www.befrest.com Painless surgery Less time-consuming Membrane is lifted regularly making round-shaped bone disk Painful surgery Time-consuming surgery Membrane is lifted making irregularly shaped bone disk

  15. 2-1. CAS Kit: Background of development • Features of CAS KITin comparison to Osteotome KIT CAS KIT Ostetotome KIT Stiff inclined surface Drilling path is not hampered regardless of spot of drill approach. Drilling path is hampered and inclined in case of slant approach. www.befrest.com

  16. 2-1. CAS Kit: Background of development Features of CAS KITin comparison to Osteotome KIT. CAS KIT Ostetotome KIT Blood Blood Lifted high and wide Sufficientblood infusion Bone regeneration in widely extended Lifted high but narrow Insufficient blood infusion Bone regeneration in narrowly extented www.befrest.com

  17. 2-1. CAS Kit: Background of development Features of CAS KITin comparison to Osteotome KIT. CAS KIT Ostetotome KIT Widely lifted membrane around the pivot of an implant, which intensifies stability of implant. Slantly lifted membrane on right side, which weakens stability. www.befrest.com

  18. 2-1. CAS Kit: Background of development • Surgery tools for sinus lift prior to development of CAS KIT • 1st Generation- Risk of lateral approach with using bur. • - High competency for surgery is required. • - High risk of membrane perforation. • - Probability of edema and pain to patient in the process of surgery. • - Risk of bleeding from artery. •  Leads of development of CAS KIT www.befrest.com

  19. 2-1. CAS Kit: Background of development • CAS KIT: Background of development Crestal Approach Lateral Approach 1ST Generation:Osteotome KIT 1st Generation:Bur + Sinus KIT 2nd generationCAS KIT • Pain from Malletting is removed. • Membrane lifting is performed in safety. • Required time for surgery is reduced. • Drilling cortical bone is easy and stability gets enhanced. • Alleviates difficulty of lateral approach surgery. • Applicable to remaining bone thickness 2 ~ 13 mm. www.befrest.com

  20. 2-2. CAS Kit: Introduction • CAS KIT • The optimized surgery kit for sinus membrane lift through Crestal approach featuring CAS drill in prevention of membrane perforation through mechanism of hydraulic lift. Ø3.0 Grafting bone Implanting fixture Drilling Hydraulic lift www.befrest.com

  21. 2-3. CAS Kit: Layout • Composition of CAS KIT CAS drill – Short / Long Stopper Depth Gauge Guide drill Ø2.2 Twist Drill [Tools on bottom deck] Bone carrier Hydraulic Lifter Ø 3.1/ 3.6 Bone condenser www.befrest.com

  22. 2-4. CAS Kit: Composition • Guide Drill • Initial drill tomark drilling spot. • 2mm stopper is recommended to apply. • Standard spinning speed: 1000 ~ 1500 rpm. 2 www.befrest.com

  23. 2-4. CAS Kit: Composition • Ø2.2 Twist Drill • Intermediate drill between guide drill and CAS drill. • Over-drilling and penetrating membrane have to be prevented by mounting stopper component. • (Drilling leaving 1mm margin to sinus floor is guided). • Standard spinning speed: 1000~1500rpm. 1mm www.befrest.com

  24. 2-4. CAS Kit: Composition • Features of CAS drill • Round-shaped and optimized drill which has excellent cutting force not causing membrane perforation. • Quarrying autologous bone with low spinning is possible. • Standard spinning speed: 400 ~ 800 rpm , drilling should go with irrigation. Reversed conical shape Formed conical bone Lid Quarried bone chip around flank of blade Round-shaped www.befrest.com

  25. 2-4. CAS Kit: Composition • Specification of CAS drill (Depending on diameter) • A drill designed in suit with TSIV implant (Ø4.0 / Ø4.5 / Ø5.0) which is specialized for brittle and insufficiently remaining bone which requires sinus lift. • Color coding is applied to distinguish dimension of drill. Ø4.0 Ø4.5 Ø5.0 www.befrest.com

  26. 2-4. CAS Kit: Composition • Features of CAS Drill • Applicableto miscellaneous types of sinus floor (flat, inclined, septum) Safe membrane elevation Flat Inclined Septum * Sinus Floor Morphology www.befrest.com

  27. 2-4. CAS Kit: Composition • CAS Drill Stopper • Drilling depth is controlled by mounted stopper for safe membrane lift. • A number shown on stopper itself represents depth of CAS drill which protrudes out of stopper component. Drilling mandible bone, that alveolar nerve lies, can be processed by use of CAS drill with mounting stopper. www.befrest.com

  28. 2-4. CAS Kit: Composition • Depth Gauge • A tool for the purpose of gauging height of remaining bone andexamining the state of membrane. • Stopper is applicable to depth gauge. ※ Lifting membrane with depth gauge must not go over 1 mm. www.befrest.com

  29. 2-4. CAS Kit: Composition • Hydraulic membrane lifter set • A tool that lifts membrane in the mechanism of instilling and pull-back of saline • - 3 cc capacity syringe is recommended to use in combination with lifter set. • In general, 0.5 cc of saline is guided for initial infusion. After pull-back of saline, saline infusion should go up by 0.5 cc gradually in each of infusion. • - Saline infusion should be controlled carefully to avert drastic lifting. 0.5cc pull-back 1.5cc Final infusion 0.5cc Initial infusion www.befrest.com

  30. 2-4. CAS Kit: Composition • Bone Carrier • A funnel-shaped tool to accommodate bone material for graft. • Bone material for graft should be loaded behind black line mark and pushed into sinus space. • Bone Condenser • A tool which is used to push bone material into sinus-located space. Bone Carrier Bone Condenser www.befrest.com

  31. 2-4. CAS Kit: Composition • Bone Carrier &Bone Condenser Saline & Bone material Infusing bone dividing 4~5times Loading bone material& drenching with saline Completion of bone graft • Volume of bone carrier covers normally required quantity of bone graft. • V (Volume in each of loading) = 0.15 cc www.befrest.com

  32. 2-4. CAS Kit: Composition • Bone Spreader: • A tool to spread infused bone graft materialwidely enough. • Stopper is applicable. A component involved only in previous CAS kit model. Standard spinning speed: 100 RPM. www.befrest.com

  33. 2-5. CAS Kit: How to use • Animation of surgery using CAS kit www.befrest.com

  34. 2-5. CAS Kit: How to use • Animation of surgery comparing CAS kit with Osteotome www.befrest.com

  35. Part 3. LAS Kit 1. Background of development 2. Introduction 3. Layout 4. Composition 5. How to use www.befrest.com

  36. 3-1. LAS Kit: Background of development • Lateral approach sinus lift KIT: LAS KIT • In case of membrane perforation in the process of lifting membrane, sinus surgery should transfer to lateral approach for easier treatment. Membrane perforation in the process of crestal approach. Transfer to lateral approach to remedy perforated membrane. www.befrest.com

  37. 3-1. LAS Kit: Background of development • Instruments for sinus lift prior to LAS KIT development - 1st generation– Using low speed bur • Use of low speed bur. • Difficult for new user clinician . • Probability of membrane perforation. • Difficult to form window. • Highly reliant onclinician’s skill. • Practice-required for skill improvement - 2nd generation– Use of LAS KIT • Use of LAS Drill & Stopper. • Easily operated from new user clinician. • Safe membrane lift. • Easyto form window at a time. • Irelevant on clinician’s skill www.befrest.com

  38. 3-2. LAS Kit: Introduction • LAS KIT • An optimal surgical kit for prompt and easy sinus membrane lift through lateral approach preventing membrane perforation. Type 1 Type 2 www.befrest.com

  39. 3-3. LAS Kit: Layout • Composition of LAS KIT Core Drill Dome Drill Bone Spreader Side Wall Drill Ø3.0 Stopper www.befrest.com

  40. 3-4. LAS Kit: Composition • Dome Drill • An optimal tool that forms window toward sinus readily and promptly not causing membrane perforation - Autologous bone is also quarried alongside surface of dome drill. • Standard spinning speed: 1,200 ~ 1,500 rpm. Formed window www.befrest.com

  41. 3-4. LAS Kit: Composition • WideDome Drill • A tool to enlarge window toward sinus. Window enlargement moves forward grating bone around the window verge. • Standard spinning speed: 1,200 ~ 1,500 rpm. www.befrest.com

  42. 3-4. LAS Kit: Composition • Side Wall Drill • A tool for side wall augmentation following drilling with dome drill. • CAS KIT Stopperis applicable and compatible to side wall drill. • Standard spinning speed: 1,200 ~ 1,500 rpm. Window The spot where CAS Stopper is mounted. www.befrest.com

  43. 3-4. LAS Kit: Composition • Core Drill • An optimal tool that forms window toward sinus readily and promptly not causing perforation and getting bone lid. • Standard spinning speed: 1,200 ~ 1,500 rpm. www.befrest.com

  44. 3-4. LAS Kit: Composition • Bone Spreader • A tool that scrapes bone lid embedded around core drill. www.befrest.com

  45. 3-4. LAS Kit: Composition • LAS Drill Stopper: • Drilling depth is controlled by mounted stopper for safe membrane lifting. • A number shown on stopper itself represents length of LAS drill which protrudes out of mounted stopper. www.befrest.com

  46. 3-4. LAS Kit: Composition • Sinus Instruments: • - Freer Elevator: A tool to raise membrane following window formation. • - SinusCurette: A tool to separate sinus membrane. • -Bone Graft Carrier: A funnel-shaped tool to accommodate bone graft material. • - Membrane Separate: A tool to spread grafted bone materialwidely enough . Bone Graft Carrier Sinus Curette Freer Elevator Membrane Separate www.befrest.com

  47. Part 4. 1 minute Presentation www.befrest.com

  48. 4. CAS Kit 1 minutePresentation www.befrest.com www.befrest.com

  49. 4. CAS Kit 1 minutePresentation www.befrest.com

  50. 4. LAS Kit 1 minutePresentation www.befrest.com

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