Protocols
View the protocol and watch a detailed tutorial video to better understand how to use Kit A and Kit B.
Protocol 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.
Kit A Instructional Video
Download Protocols – Kit A
Protocol KIT B
Protocol KIT B
Technique by Dr D. Baranes.
Elevation of the sinus oor when the initial height of the sub-sinus bone is greater than or equal to 4 mm.
Creation of a ap of total thickness using a crestal incision
slightly displaced in Palatine
It is necessary to visualize the vestibular bony wall.
Mount a 4 mm B.Y.S bur on contrangle for micro late of implantology.
Working speed from 600 to 1000 rpm with external irrigation.
Drill a 4 mm long hole.
If the bone is type D1 or D2, drill with a classic drill of 2.8mm diameter and 3 mm in length.
Then nish the hole with the B.Y.S 4
Take a 3.2 mm osteotome diameter adjust the stopper to 5 mm,
If the stopper is in contact with the ridge you already have, pushed the membrane back,
adjust your osteotome at 6 mm then 7 mm then 8,9 and 10 mm
If the stopper of your osteotome remains away from the ridge, take the diamond bur B.Y.S 5, and drill a 5 mm hole length,
take an osteotome of 3.2 mm in diameter and 6 mm in length, etc…
Graft the Bond Apatite.
Activate the Bond Apatite syringe and place the material in a sterile cup.
Press with a dry compress on the material to absorb liquid residual.
Graft the Bond Apatite by pushing it to using a 3.2 mm osteotome whose stop is set to the height of the last
osteotome used to push back the membrane minus 1 mm.
Then repeat the operation three to four times
taking care to always remove 1 mm of your osteotome before pushing the new graft of Bond Apatite, then put in your implant
Sutures
Peri-apical radiograph.
Implant 4.2 / 11.5 mm
Kit B Instructional Video
Download Protocols – Kit B
