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International Congress German Society of Implantolog y (DGZI) Austrian Society of Oral Surgery and Implantology (OEGOI) PowerPoint Presentation
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International Congress German Society of Implantolog y (DGZI) Austrian Society of Oral Surgery and Implantology (OEGOI) Swiss Society of oral Implantolog y (SGOI) 29.November – 1. December 2007 Hofburg - Vienna.

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Presentation Transcript
slide1

International Congress

German Society of Implantology

(DGZI)

Austrian Society of Oral Surgery and Implantology

(OEGOI)

Swiss Society of oral Implantology

(SGOI)

29.November – 1. December 2007

Hofburg - Vienna

Dr. Angelo C. Trödhan

center for facial esthetics vienna clinic oa dr angelo c tr dhan dr izabela schlichting
Center for Facial Esthetics ViennaClinic OA Dr. Angelo C. TrödhanDr. Izabela Schlichting

Troedhan A., Vienna/Aut

Kurrek A., Ratingen/Ger

Wainwright M., Dusseldorf/Ger

INTRALIFTThe Replacement of Open Sinuslift procedures by a new atraumatic ultrasound based hydrodynamic sinus-Floor-Elevation Technique featuring scaleable Augmentation volumes of any size

Dr. Angelo C. Trödhan

www.kieferchirurgie.at

classic procedures
Classic Procedures

Open sinuslift with lateral approach:

Advantage:Augmentation of any size and volume

Disadvantages: Time consuming

High Danger of Rupture

Post-surgical voluminous swelling

Summers-Technique with Crestal Approach:

Adavantage:Minimal invasive

Disadvantages:

High Danger of Rupture

Only small Augmentation volumina possible

Dr. Angelo C. Trödhan

experimental study
Experimental study

Pneumatic and hydraulic pressure necessary to

Loosen the sinus-floor-membrane from ist bony

Surface. Experimental study on 100 half sheep

Heads.

Dr. Angelo C. Trödhan

results
Results

Average pneumatic

Pressure: 30 Mbar +/- 6

Average Hydraulic

Pressure: 20 Mbar +/- 6

Dr. Angelo C. Trödhan

slide6
Prototyping the Tools for INTRALIFT on the basis of the ultrasonic surgical device Piezotome (Satelec-ACTEON)

TKW-RESEARCH-GROUP

Technical University Vienna

SATELEC - ACTEON

Intralift –

prototypes

Dr. Angelo C. Trödhan

experimental setup
Experimental setup

In Vitro Tests of INTRALIFT-Tips and Evaluation

Of different Flow-rates of the integrated NaCl-Pump

Dr. Angelo C. Trödhan

results1
Results

Dr. Angelo C. Trödhan

experimental setup1
Experimental Setup

Comparison of Rupture lengths of the sinus-floor Membrane

after experimental Perforation (1mm):

Dr. Angelo C. Trödhan

surgical protocol
Surgical Protocol

Dr. Angelo C. Trödhan

in vivo results
In Vivo Results

Dr. Angelo C. Trödhan

int l clinical study

Int´l Clinical Study

Patient numbers: 132

INTRALIFT through 6mm Gingivapunch: 114

INTRALIFT with crestal Flap: 18

Anesthetic: 4–6 ml

Post-OR-Swelling: zero: 90%

moderate: 10%

Strong: 0%

Post-OR-Dolor: zero: 85%

Moderate: 15%

Strong: 0%

Achieved Augmentationsvolumina: 1–6 Ml

Complications: 1

(Breakage of TKW1: Design immediately changed)

Dr. Angelo C. Trödhan

slide14

INTRALIFT

clinical

PROCEDURE

INTRALIFT

PROCEDURE (1)

slide15

Flap

TECHNIQUE

slide17

Radio

Sinus cavity

membrane

slide25

Pre-operative

Post-operative

slide27

IntraLift: faster Osseo-integration

After 6 weeks (Cerasorb M )

slide29

Insertion of a

collagen sponge

slide30

TKW5

Packing of filling material

slide32

Onlay

Onlay + suture

slide34

Clinical case

preoperative

slide35

Clinical case

Intraoperative(after 1.0 ccm Rebone)

slide36

Clinical case

Postoperative(after 2.0 ccm Rebone)

slide38

Dr. Rosen, USA

Dr. Angelo C. Trödhan

slide39

Dr. Rosen, USA

Dr. Angelo C. Trödhan

slide40

Dr. Rosen, USA

Dr. Angelo C. Trödhan

slide41

Dr. Rosen, USA

Dr. Angelo C. Trödhan

slide42

Dr. Rosen, USA

Dr. Angelo C. Trödhan

slide43

Dr. Rosen, USA

Dr. Angelo C. Trödhan

slide44

Dr. Rosen, USA

Dr. Angelo C. Trödhan

slide45

Dr. Rosen, USA

Dr. Angelo C. Trödhan

slide46

Dr. Rosen, USA

Dr. Angelo C. Trödhan

slide47

Dr. Rosen, USA

Dr. Angelo C. Trödhan

slide48

Dr. Rosen, USA

Dr. Angelo C. Trödhan

slide49

PUNCH

TECHNIQUE

slide54

Punch

Procedures

what do patients want
What do patients want ?

?

the „BIG“ or the „BETTER“ SURGEON ?

Dr. Angelo C. Trödhan

intra lift by tkw satelec acteon
INTRA-Liftby TKW & Satelec-Acteon

Dr. AngeloTrödhanDr. AndreasKurrek Dr. MarcelWainwright

slide70

Intralift – For difficult cases

Dr. Angelo C. Trödhan

thank you for your attention

Thank You for Your Attention

Dr. Angelo Trödhan

Dr. Andreas Kurrek

Dr. Marcel Wainwright

Dr. Angelo C. Trödhan