{"id":3087,"date":"2016-01-28T10:11:27","date_gmt":"2016-01-28T10:11:27","guid":{"rendered":"http:\/\/nantes-maxillo.com\/?page_id=3087"},"modified":"2024-05-07T16:46:43","modified_gmt":"2024-05-07T14:46:43","slug":"guides-radiologiques-en-implantologie","status":"publish","type":"page","link":"https:\/\/nantes-maxillo.com\/preprod\/guides-radiologiques-en-implantologie\/","title":{"rendered":"Guides radiologiques en implantologie"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"3087\" class=\"elementor elementor-3087\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-e84aabc elementor-section-stretched elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e84aabc\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-cdad9e0\" data-id=\"cdad9e0\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-eb5e8dc elementor-position-left elementor-vertical-align-middle elementor-view-default elementor-mobile-position-top elementor-widget elementor-widget-icon-box\" data-id=\"eb5e8dc\" data-element_type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<link rel=\"stylesheet\" href=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/elementor\/css\/custom-widget-icon-box.min.css?ver=1715093203\">\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\t\t\t<div class=\"elementor-icon-box-icon\">\n\t\t\t\t<span  class=\"elementor-icon elementor-animation-\">\n\t\t\t\t<svg aria-hidden=\"true\" class=\"e-font-icon-svg e-fas-info-circle\" viewBox=\"0 0 512 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M256 8C119.043 8 8 119.083 8 256c0 136.997 111.043 248 248 248s248-111.003 248-248C504 119.083 392.957 8 256 8zm0 110c23.196 0 42 18.804 42 42s-18.804 42-42 42-42-18.804-42-42 18.804-42 42-42zm56 254c0 6.627-5.373 12-12 12h-88c-6.627 0-12-5.373-12-12v-24c0-6.627 5.373-12 12-12h12v-64h-12c-6.627 0-12-5.373-12-12v-24c0-6.627 5.373-12 12-12h64c6.627 0 12 5.373 12 12v100h12c6.627 0 12 5.373 12 12v24z\"><\/path><\/svg>\t\t\t\t<\/span>\n\t\t\t<\/div>\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tCe qu\u2019il faut retenir\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tDents radio-opaques PROLONGEES jusqu\u2019\u00e0 la gencive et forer les axes id\u00e9aux \u00e0 l\u2019aide d\u2019un for\u00eat <2mm\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-5d85bc2 elementor-widget elementor-widget-heading\" data-id=\"5d85bc2\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-heading-title{padding:0;margin:0;line-height:1}.elementor-widget-heading .elementor-heading-title[class*=elementor-size-]>a{color:inherit;font-size:inherit;line-height:inherit}.elementor-widget-heading .elementor-heading-title.elementor-size-small{font-size:15px}.elementor-widget-heading .elementor-heading-title.elementor-size-medium{font-size:19px}.elementor-widget-heading .elementor-heading-title.elementor-size-large{font-size:29px}.elementor-widget-heading .elementor-heading-title.elementor-size-xl{font-size:39px}.elementor-widget-heading .elementor-heading-title.elementor-size-xxl{font-size:59px}<\/style><h2 class=\"elementor-heading-title elementor-size-default\">Les guides radiologiques en implantologie<\/h2>\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d352ad1 elementor-widget elementor-widget-text-editor\" data-id=\"d352ad1\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<p>Cette page a pour objectif d\u2019obtimiser la r\u00e9alisation des guides radiologiques \u00e0 vis\u00e9e pr\u00e9-implantaire.<\/p><h5>Prise d\u2019empreintes<\/h5><p>Pour que ce guide soit valable, il faut le r\u00e9aliser apr\u00e8s \u00e9tude proth\u00e9tique et \u00e9ventuellement wax-up.<\/p><p><strong>Les empreintes des 2 arcades et une cire d\u2019occlusion sont donc indispensables pour que le proth\u00e9siste puisse monter les dents correctement.<\/strong><\/p><h5>R\u00e9alisation du guide<\/h5><p>Il faut demander une proth\u00e8se\u00a0adjointe, sans crochet m\u00e9tallique bien s\u00fbr, sans fausse gencive et si possible sans recouvrement occlusal :<\/p><p><a href=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/2-guide-avec-dent-opaque-percee-300x225-1.jpeg\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-4762 alignleft\" src=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/2-guide-avec-dent-opaque-percee-300x225-1.jpeg\" alt=\"\" width=\"300\" height=\"225\" \/><\/a><a href=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/1-guide-avec-dent-opaque-percee-300x224-1.jpeg\"><img decoding=\"async\" class=\"alignnone size-full wp-image-4763\" src=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/1-guide-avec-dent-opaque-percee-300x224-1.jpeg\" alt=\"\" width=\"300\" height=\"224\" \/><\/a><\/p><p>NB. <em>Il existe des dents de laboratoire radio-opaque ou bien le proth\u00e9siste les fabrique lui-m\u00eame en incorporant de la poudre de sulfate de baryum \u00e0 sa r\u00e9sine classique.<\/em><\/p><h5>Forage des axes<\/h5><p>\u2013 <strong>\u00e0 l\u2019aide d\u2019un for\u00eat de 1,2mm<\/strong><br \/><strong>\u2013 en tra\u00e7ant les axes des dents adjacentes<\/strong><br \/><strong>\u2013 en v\u00e9rifiant le point de forage sur le pl\u00e2tre\u00a0<\/strong>(futur point\u00a0d\u2019\u00e9mergence de l\u2019implant)<\/p><p><a href=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/10-bon-guideforage-avec-crayon-sur-platre-300x224-1.jpeg\"><img decoding=\"async\" class=\"alignnone size-full wp-image-4764\" src=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/10-bon-guideforage-avec-crayon-sur-platre-300x224-1.jpeg\" alt=\"\" width=\"300\" height=\"224\" \/><\/a><\/p><p>Tracer les axes des dents adjacentes sur le pl\u00e2tre, puis celui de l\u2019implant avant de forer, pour optimiser l\u2019axe.<\/p><p><a href=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/3-bons-axes-de-percage-300x224-1.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-4765\" src=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/3-bons-axes-de-percage-300x224-1.jpeg\" alt=\"\" width=\"300\" height=\"224\" \/><\/a><\/p><p>V\u00e9rification des axes de per\u00e7age. la sur\u00e9l\u00e9vation transparente des couronnes radio-opaques est \u00e0 \u00e9viter, car le profil d\u2019\u00e9mergence ne sera pas visible sur le scanner.<\/p><p><a href=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/4-bons-axes-de-percage-bis-300x224-1.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-4766\" src=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/4-bons-axes-de-percage-bis-300x224-1.jpeg\" alt=\"\" width=\"300\" height=\"224\" \/><\/a><\/p><p>V\u00e9rification des axes de per\u00e7age. Le recouvrement des dents est \u00e0 \u00e9viter.<\/p><p><a href=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/5-marque-du-percage-sur-le-platre-300x224-1.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-4767\" src=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/5-marque-du-percage-sur-le-platre-300x224-1.jpeg\" alt=\"\" width=\"300\" height=\"224\" \/><\/a><\/p><p>V\u00e9rification du point de forage sur le pl\u00e2tre, futur point d\u2019\u00e9mergence de l\u2019implant<\/p><p>NB : les trous qui sont faits dans le guide par le dentiste ou le proth\u00e9siste ne doivent pas \u00eatre trop gros car le chirurgien devra corriger les axes apr\u00e8s la lecture du dentascan.\u00a0Les coupes de scanner \u00e9tant de 1mm, il faut utiliser un for\u00eat \u00e0 peine sup\u00e9rieur \u00e0 1 mm soit d\u2019un calibre de 1,1 ou au maximum 1,2 mm pour percer le guide radio.<\/p><h5>R\u00e9alisation du scanner<\/h5><p>Bien pr\u00e9ciser sur l\u2019ordonnance:<br \/>\u2013 \u00ab\u00a0avec le guide radiologique en bouche, c\u2019est \u00e0 dire un dentier avec des dents radio-opaques\u00a0\u00bb. Trop souvent, le radiologue, ou le patient n\u2019a pas bien compris le jour de l\u2019examen.<br \/>\u2013 \u00ab\u00a0donn\u00e9es DICOM sur support num\u00e9rique\u00a0\u00bb<\/p><p><a href=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/dentascan.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-4768\" src=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/dentascan.jpg\" alt=\"\" width=\"401\" height=\"411\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/dentascan.jpg 401w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/dentascan-293x300.jpg 293w\" sizes=\"(max-width: 401px) 100vw, 401px\" \/><\/a><\/p><h5>Transformation en guide chirurgical<\/h5><p>Apr\u00e8s \u00e9tude du scanner, le guide radiologique est transform\u00e9 en guide \u00a0les axes sont corrig\u00e9s avec un for\u00eat de 2 mm. C\u2019est pour cette raison qu\u2019il faut percer le guide radiologique avec un for\u00eat de 1,2 mm, car l\u2019axe peut \u00eatre modifi\u00e9 en fonction des imp\u00e9ratifs anatomiques.<\/p><p>Si le guide avait \u00e9t\u00e9 for\u00e9 avec un for\u00eat trop gros au d\u00e9part, l\u2019agrandissement du trou abouti \u00e0 un for\u00eat \u00ab\u00a0flottant\u00a0\u00bb dans le guide!<\/p><p>Exemple d\u2019axe incorrect :<\/p><p><a href=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/8-mauvais-axe-de-percage-300x224-1.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-4769 alignleft\" src=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/8-mauvais-axe-de-percage-300x224-1.jpeg\" alt=\"\" width=\"300\" height=\"224\" \/><\/a><a href=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/9-mauvais-axe-de-percage-300x224-1.jpeg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-4770\" src=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/9-mauvais-axe-de-percage-300x224-1.jpeg\" alt=\"\" width=\"300\" height=\"224\" \/><\/a><\/p><p>Nous avons choisi de pr\u00e9senter l\u2019option d\u2019un guide radio-transparent, avec des dents radio-opaques qui nous semble la solution id\u00e9ale.<\/p><p>Il est toutefois possible de faire un guide radio-transparent avec des axes radio-opaques \u00e0 l\u2019aide de c\u00f4nes de gutta. Il faudra alors ajouter de la gutta au collet de la dent pour le voir sur le scanner et optimiser le profil d\u2019\u00e9mergence de la future couronne et optimiser l\u2019enfouissement de l\u2019implant.<\/p><p><a href=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/transparent.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-4771\" src=\"https:\/\/nantes-maxillo.com\/wp-content\/uploads\/2023\/06\/transparent.jpg\" alt=\"\" width=\"877\" height=\"658\" srcset=\"https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/transparent.jpg 877w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/transparent-300x225.jpg 300w, https:\/\/nantes-maxillo.com\/preprod\/wp-content\/uploads\/2023\/06\/transparent-768x576.jpg 768w\" sizes=\"(max-width: 877px) 100vw, 877px\" \/><\/a><\/p><p>A votre disposition pour en discuter avec vous et votre proth\u00e9siste.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t<div class=\"elementor-element elementor-element-eed719c e-flex e-con-boxed e-con e-parent\" data-id=\"eed719c\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-4115916 elementor-widget elementor-widget-spacer\" data-id=\"4115916\" data-element_type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.21.0 - 30-04-2024 *\/\n.elementor-column .elementor-spacer-inner{height:var(--spacer-size)}.e-con{--container-widget-width:100%}.e-con-inner>.elementor-widget-spacer,.e-con>.elementor-widget-spacer{width:var(--container-widget-width,var(--spacer-size));--align-self:var(--container-widget-align-self,initial);--flex-shrink:0}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container,.e-con>.elementor-widget-spacer>.elementor-widget-container{height:100%;width:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer{height:100%}.e-con-inner>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner,.e-con>.elementor-widget-spacer>.elementor-widget-container>.elementor-spacer>.elementor-spacer-inner{height:var(--container-widget-height,var(--spacer-size))}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty,.e-con>.elementor-widget-spacer.elementor-widget-empty{position:relative;min-height:22px;min-width:22px}.e-con-inner>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon,.e-con>.elementor-widget-spacer.elementor-widget-empty .elementor-widget-empty-icon{position:absolute;top:0;bottom:0;left:0;right:0;margin:auto;padding:0;width:22px;height:22px}<\/style>\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Ce qu\u2019il faut retenir Dents radio-opaques PROLONGEES jusqu\u2019\u00e0 la gencive et forer les axes id\u00e9aux \u00e0 l\u2019aide d\u2019un for\u00eat<\/p>\n","protected":false},"author":1,"featured_media":1165,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"off","neve_meta_content_width":100,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_themeisle_gutenberg_block_has_review":false,"_ti_tpc_template_sync":false,"_ti_tpc_template_id":"","footnotes":""},"class_list":["post-3087","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages\/3087","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/comments?post=3087"}],"version-history":[{"count":5,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages\/3087\/revisions"}],"predecessor-version":[{"id":5440,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/pages\/3087\/revisions\/5440"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/media\/1165"}],"wp:attachment":[{"href":"https:\/\/nantes-maxillo.com\/preprod\/wp-json\/wp\/v2\/media?parent=3087"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}