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International Congress German Society of Implantolog y (DGZI) Austrian Society of Oral Surgery and Implantology (OEGOI)

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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International Congress German Society of Implantolog y (DGZI) Austrian Society of Oral Surgery and Implantology (OEGOI)

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  1. 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

  2. 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

  3. 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

  4. 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

  5. Results Average pneumatic Pressure: 30 Mbar +/- 6 Average Hydraulic Pressure: 20 Mbar +/- 6 Dr. Angelo C. Trödhan

  6. 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

  7. Experimental setup In Vitro Tests of INTRALIFT-Tips and Evaluation Of different Flow-rates of the integrated NaCl-Pump Dr. Angelo C. Trödhan

  8. Basic difference classic Techniques Vs. INTRALIFT Dr. Angelo C. Trödhan

  9. Results Dr. Angelo C. Trödhan

  10. Experimental Setup Comparison of Rupture lengths of the sinus-floor Membrane after experimental Perforation (1mm): Dr. Angelo C. Trödhan

  11. Surgical Protocol Dr. Angelo C. Trödhan

  12. In Vivo Results Dr. Angelo C. Trödhan

  13. 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

  14. INTRALIFT clinical PROCEDURE INTRALIFT PROCEDURE (1)

  15. Flap TECHNIQUE

  16. Extraction on 16

  17. Radio Sinus cavity membrane

  18. Site Opening

  19. TKW1

  20. TKW2, 3, 4

  21. sinus membrane

  22. TKW5

  23. Packing of filling material and immediate loading

  24. Suture

  25. Pre-operative Post-operative

  26. Post-operative 3 months

  27. IntraLift: faster Osseo-integration After 6 weeks (Cerasorb M )

  28. Insertion of a collagen sponge

  29. TKW5 Packing of filling material

  30. Onlay Onlay + suture

  31. Clinical case preoperative

  32. Clinical case Intraoperative(after 1.0 ccm Rebone)

  33. Clinical case Postoperative(after 2.0 ccm Rebone)

  34. Case sent in from Study-Group-Center USA Dr. Rosen, USA

  35. Dr. Rosen, USA Dr. Angelo C. Trödhan

  36. Dr. Rosen, USA Dr. Angelo C. Trödhan

  37. Dr. Rosen, USA Dr. Angelo C. Trödhan

  38. Dr. Rosen, USA Dr. Angelo C. Trödhan

  39. Dr. Rosen, USA Dr. Angelo C. Trödhan

  40. Dr. Rosen, USA Dr. Angelo C. Trödhan

  41. Dr. Rosen, USA Dr. Angelo C. Trödhan

  42. Dr. Rosen, USA Dr. Angelo C. Trödhan

  43. Dr. Rosen, USA Dr. Angelo C. Trödhan

  44. Dr. Rosen, USA Dr. Angelo C. Trödhan

  45. Dr. Rosen, USA Dr. Angelo C. Trödhan

  46. PUNCH TECHNIQUE

  47. Augmentation Volumina>6 ml / >14 mm Dr. Angelo C. Trödhan

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