Dr. Angelo C. Trödhan International Congress German Society of Implantology (DGZI) Austrian Society of Oral Surgery and Implantology (OEGOI) Swiss Society.

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Presentation transcript:

Dr. Angelo C. Trödhan 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. Trödhan Dr. Izabela Schlichting INTRALIFT The Replacement of Open Sinuslift procedures by a new atraumatic ultrasound based hydrodynamic sinus-Floor-Elevation Technique featuring scaleable Augmentation volumes of any size Troedhan A., Vienna/Aut Kurrek A., Ratingen/Ger Wainwright M., Dusseldorf/Ger

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

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

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

Dr. Angelo C. Trödhan Results

Experimental Setup Comparison of Rupture lengths of the sinus-floor Membrane after experimental Perforation (1mm):

Dr. Angelo C. Trödhan Surgical Protocol

Dr. Angelo C. Trödhan In Vivo Results

Dr. Angelo C. Trödhan 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)

INTRALIFT PROCEDURE (1) INTRALIFTclinicalPROCEDURE

FlapTECHNIQUE

Extraction on 16

Radio Sinus cavity membrane

Site Opening

TKW1

TKW2, 3, 4

sinus membrane

TKW5

Packing of filling material and immediate loading

Suture

Pre-operative Post-operative

3 months Post-operative

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

Insertion of a collagen sponge

TKW5 Packing of filling material

Onlay Onlay + suture

Clinical case preoperative

Intraoperative (after 1.0 ccm Rebone)

Clinical case Postoperative (after 2.0 ccm Rebone)

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

Dr. Angelo C. Trödhan Dr. Rosen, USA

Dr. Angelo C. Trödhan Dr. Rosen, USA

Dr. Angelo C. Trödhan Dr. Rosen, USA

Dr. Angelo C. Trödhan Dr. Rosen, USA

Dr. Angelo C. Trödhan Dr. Rosen, USA

Dr. Angelo C. Trödhan Dr. Rosen, USA

Dr. Angelo C. Trödhan Dr. Rosen, USA

Dr. Angelo C. Trödhan Dr. Rosen, USA

Dr. Angelo C. Trödhan Dr. Rosen, USA

Dr. Angelo C. Trödhan Dr. Rosen, USA

Dr. Angelo C. Trödhan Dr. Rosen, USA

PUNCHTECHNIQUE

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

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

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

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

Punch Procedures

6 mm 14,5 mm

Dr. Angelo C. Trödhan

What do patients want ? the „BIG“ or the „BETTER“ SURGEON ? ?

INTRA-Lift by TKW & Satelec-Acteon Dr. Angelo Trödhan Dr. Andreas Kurrek Dr. Marcel Wainwright

Dr. Angelo C. Trödhan Intralift – For difficult cases

Dr. Angelo C. Trödhan

INTRALIFT – Next Generation Sinuslift

Dr. Angelo C. Trödhan INTRALIFT – Next Generation Sinuslift

Dr. Angelo C. Trödhan Thank You for Your Attention Dr. Angelo T rödhan Dr. Andreas K urrek Dr. Marcel W ainwright