Protocols – kit A

View the protocol and watch a detailed tutorial video to better understand how to use Kit A

Protocol KIT A

Technique by Dr D. Baranes.

Make a crestal incision, slightly shifted towards the palatal side.
Raise a full-thickness flap.
Attach the B.Y.1 bur to the implant Handpiece with external irrigation.
Set the speed between 600 and 1200 RPM.
Prepare the access hole by drilling until the bur’s stopper contacts the crest.

Attach the B.Y.2 drill to the palm of the implant and deepen the access hole until the drill
plug contacts the bone crest.
If the B.Y.2 drill has penetrated and you encounter the sinus membrane (a bone disc surrounded by a bleeding ring), proceed to work with osteotomes.
If the B.Y.2 drill has not yet penetrated or broke the bone floor, use the B.Y.3 drill….

Adjust the osteotome’s stopper to the same height as the last B.Y. bur used.
Insert the osteotome into the access hole until the stopper contacts the crest.

Repeat the operation millimeter by millimeter.
5 times to obtain a total membrane lift of 5 mm.

Once the membrane is pushed up by 5 mm,
activate a Bond Apatite syringe and place the material in a sterile tray.
Press down on the material with a dry gauze for 3 to 4 seconds to absorb any residual liquid.

Fill the bone carrier syringe with Bond Apatite and bring the material to the opening of the access hole.

Deposit the material at the entrance of the access hole,
then reduce the osteotome’s length by 1 mm by adjusting the stopper.

Insert the Bond Apatite into the access hole
using the osteotome until the stopper contacts the crest.

Then, repeat the same action by bringing more Bond Apatite to the entrance of the access hole and pushing it with the osteotome,
making sure to reduce the osteotome’s length by another millimeter with each pass.

Close the access hole with a final layer of Bond Apatite.

Press firmly on the material with a gauze and suture.

Four months later, you can begin the second
stage with KIT B and proceed with implant placement.

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Kit A Instructional Video

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