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MICRODENT BONE
EXPANSION SYSTEM
User Manual for expanders
Team work to provide innovative solutions
The Microdent Implant System company has
been specialising in developing, manufactu-
ring and selling oral implants since 1983. The
Microdent system was conceived and design-
ed to meet the needs of professionals who
demand the highest standards of accuracy
and quality.
 USE OF MICRODENT EXPANDERS

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Quality and Service

Microdent’s plant of the most innovative, up-to-

Serving oral implantology
date, high technology machinery makes them
one of the pioneers in implant research and
manufacture.
The patents already obtained by their products,
as well as those being applied for, are evidence of
their constant dedication to research.
Microdent offers every guarantee of quality and
service, backed by a long rising professional tra-
jectory in the field of “implantology”.

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 USE OF MICRODENT EXPANDERS

BONE EXPANSION TECHNIQUE

DEVELOPMENT OF TECHNIQUE
TECHNICAL CONSIDERATIONS

Microdent developed bone expanders have meant a very substantial novel technological contribution
to oral implantation. The principles governing the use of other classical techniques have been altered
by them: their main basic feature is a tapering screw controlling and retaining the exerted pressure
throughout while maintaining total bone content. Their use is thus practically trauma-free and this
tapering screw bone expansion method can be applied to other fields of medical science.

Main clinical features

All that is needed to start the process is a fissure, or rounded drill.
Bone type D-2 no longer requires processing with intermediate countersinking drills and tapering
tapping.
In bone type D-3, we use excess blood supplied by the bone. The use of only one opening drill cools
osteotomy.
Excellent control of the screw hand or transport osteotome reduces to a minimum risks of lateral per-
foration in the upper maxilla compact bone lip area.
Throughout the process we take advantage of the osseous remains compacted in the neo-alveolus
due to the design of the osteotome screw.
In type D-4 bone, which presents the least percentage of bone tissue of all bone types, we achieve tri-
cortical fastening. Being able to use implants of greater diameter and start from a cortical crest of 1 to
2 mm, allows us to achieve insertions of 5 mm implants.
Finally, our No.6 expander with its concave design permits non-traumatic sinus elevation without
fracture of the maxilla.

CONSIDERATIONS OF VARIOUS BONE TYPES

TYPE A BONE TYPE B BONE TYPE C BONE TYPE D BONE

Bone of: Bone of: Bone of: Characterised by:

• > 5 mm width • > 2,5-5 mm width • Height, width, • Intense atrophy

• > 10-12 mm height • > 10-12 mm height length and • Loss of basal bone
• > 5 mm length • > 15 mm length angle all • Flat upper maxilla
• > 30% angle • > 20% angle Unfavourable. • Pencil jaw

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 USE OF MICRODENT EXPANDERS

MICRODENT EXPANDERS
BASIC INSTRUMENTS

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Spanish patent: 9602250 MICRODENT IMPLANT SYSTEM has developed a simple bone expansion system for
USA patent: 6 146 138 oral implanting, which, unlike the process with an osteotome, avoids surgical trauma
European patent: being applied for and provides for progressive measured control.

L 14
L 12
L 10
L8

ref. 1025 ref. 1830 ref. 2938 ref. 3345 ref. 4452 ref. 3535
nº 1 nº 2 nº 3 nº 4 nº 5 nº 6 Compactor for
Sinus raising
The kit with six expanders is sufficient for fixing a wide range of Microdent implants and is
universal for all the other implant systems.

Surgical Technique Specially indicated for:

nº1: short starting, 1mm up to 2.30mm Ø tip Thin crests irrespective of bone type.
to 10 mm
nº2: long starting, 1.5 mm to 3.0 mm Ø tip Type II, III, IV bone.
nº3: 2.90 mm Ø to 3.80 mm Ø tip. Type I bone in combination with traditional drilling system.
nº4: 3.30 mm Ø to 4.5mm Ø 4,50 tip. to 10 mm Non-traumatic sinus raising through implant bed .
nº5: 4.40 mm Ø to 5.20 mm tip. from start
nº6: 3.50 diameter sinus raising compactor (included in the kit)

Advantages
Expands thin crests by increasing width without loss of bone.
Compacts the bone around the implant favouring osteo-integration.
During the operation it gives us perfect control of implant insertion stem.
Inexpensive, as in some cases it replaces the use of drills and prevents them wearing.
Progressive insertion produces bleeding and favours osteo-integration.

Microdent expanders are essential basic instruments for the professional odontologist.

Additional compactors
nº7: compactor for fixing
standard Microdent implants
Ø 3.30 and special Ø 3.25 “Micro”.
nº8: compactor for fixing
4.20 to 5 mm implants.

ref. 3030 ref. 4040

nº 7 nº 8

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 USE OF MICRODENT EXPANDERS

BONE EXPANSION TECHNIQUE

SURGICAL INSTRUMENTS
NON-TRAUMATIC BONE EXPANSION SYSTEM

ref. F 1312 ref. F 101 ref. 644

Drill to perforate crest Circular cutter to open Hand key for greater
and provide for insertion crest lengthways sensitivity expansion
of ref. 1025 expander. control.

Ø 1,20

Key bolt
ref. 35

PRESENTING THE MICRODENT EXPANDER KIT

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 USE OF MICRODENT EXPANDERS

BONE EXPANSION TECHNIQUE

ILLUSTRATION OF PROCESS

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Raising the
smallest possible
Crest with high bone flap without Progressive
re-absorption. transverse cuts. deepening.

Osteotomy
with 701
tungsten or Inserting nº1 Inserting nº2
disc cutter. expander. expander.

Inserting nº 3
expander Inserting nº 4 Inserting nº 4
for 3.75 mm expander for 5 mm expander for 5.5
implants. implants. mm implants.

*Using the right drill

for the implant we
are going to insert,
to obtain the right
shape for apex third Implant bed ready
of the bed. for placing. Implant inserted.
* Only for type I bones

Rest period. Fixing prosthesis.

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 USE OF MICRODENT EXPANDERS

SURGICAL TECHNIQUE FOR USING MICRODENT BONE EXPANDER

PRACTICAL PROCESS

SMOOTHING BONE EDGE Deepen lengthways with a 12 mm diame- DEEPENING

With round cutter. ter ref, 101 cutter. With 1.2 mm diameter cutter, ref. M-1213.
When the edge is very uneven. This is used to set the inserting point for the
When edge thickness is less than 1.5 mm. expander. It also helps to secure optimal
insertion axis.

Example of bone ready for expanding. EXPANSION EXPANSION

Expander nº2 (red) begins at 1.5 mm to Expander nº4 (green) begins at 3.3 mm to
3.0 mm. Expander nº3 (blue) begins at 4.50 mm. Expander nº5 (black) begins at
2.90 mm to 3.80 mm. 4.40 mm to 5,20 mm.

EXPANSION Expansion retained to prepare another

Compactor nº6. Used for sinus raising. new alveolus.

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 USE OF MICRODENT EXPANDERS

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When the desired expansion has been achieved, the expander is kept in and, if it is considered advisable, the bed to receive the implant is improved by
drilling at the least possible diameter to ensure the necessary alveolar bed pressure on the implant.

The same principle is followed when placing the remaining implants.

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 USE OF MICRODENT EXPANDERS

BONE EXPANSION TECHNIQUE

CLINICAL EXAMPLE Nº1
Patient with a 24 absence for 9 years.
TREATMENT PLAN: Fix 3.75 mm Microdent implant with bone expansion.

Re-absorption and bone Raising flap without transverse cuts. Cutting a furrow in the bone with a
loss are high. 701 cutter.

Inserting the first expander.
We check the expansion when the
expander has been withdrawn and
continue the sequence of expanders
up to the third, as we will be inserting
a 3.75 implant.
We check the expansion produced
at bone cortex level, which permits
insertion of the implant without dri-
lling, and achieve bone condensation
surrounding the implant.

We see perfect adaptation of the We put in a healing stopper to pre- Suture.

implant neck to the bone cortex. vent repeat surgery.

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 USE OF MICRODENT EXPANDERS

BONE EXPANSION TECHNIQUE

CLINICAL EXAMPLE Nº2

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45-year old patient with 11 absence caused by injury three years ago, using removable partial prosthesis since then.
TREATMENT PLAN: Fixing a 5 mm Microdent implant. With bone expansion.

11 absence with high R-1 re- Supra-crest incision. Raising flap without transverse Furrow with 701 cutter.
absorption. cuts.

Inserting R-4 yellow expander. Inserting R-2 red expander. We see the maxillae separating. Inserting R-5 blue expander.

We see great separation of Fixing implants 3.75-14 Implant perfectly adapted Closing stopper and suture
maxillae and bed where the and R-3. to cortex.
implant is to be placed.

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 USE OF MICRODENT EXPANDERS

BONE EXPANSION TECHNIQUE

CLINICAL EXAMPLE Nº3
44-year old patient with 14 absence for 11 years.
TREATMENT PLAN: Fixing 3-75 mm Microdent implant with bone expansion

14 absence with high vestibule Incision through palatine, Raising flap. Bone furrow made with
palatine re-absorption. without transverse cuts. 701 cutter.

Yellow expander. Red expander. We see that the maxillae have Blue expander.
expanded.

Bed ready for inserting 3.75 Inserting implant. Suture.

implant.

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 USE OF MICRODENT EXPANDERS

BONE EXPANSION TECHNIQUE

CLINICAL EXAMPLE Nº4

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38-year old patient with 24 absence for 8 years with high bone re-absorption.
TREATMENT PLAN: Inserting 3.75 mm Microdent implant with bone expansion.

Incision without transverse Flap raising. Bone furrow with disc cutter. Yellow expander.
cuts.

We see the maxillae separating. Red expander. Result after extracting red Blue expander.
expander.

Bed ready to receive insertion Inserting implant. Implant in position with stopper Suture.
of 3.75 mm implant. and suture.

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 USE OF MICRODENT EXPANDERS

BONE EXPANSION TECHNIQUE

CLINICAL EXAMPLE Nº5
75-year old patient, 12 years without teeth, high jaw bone re-absorption and a knife edge crest.
TREATMENT PLAN: Inserting three 3.75mm implants with bone expansion to fix over-denture held by three Microdent ball-
and-socket joints.

1 2

3 4

Pre-operation photo. After lifting the flap we see the knife- Step by step bone expansion.
edge crest.

5 6

7 8

Step by step bone expansion. Inserting the implants. Second surgery and stoppers.

Fixing ball-and-sockets and print Prosthesis structure. Finished prosthesis.

taking.

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 USE OF MICRODENT EXPANDERS

Microdent Patents
MICRODENT PATENTS

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The Microdent implant system is protected by several invention and utility model patents.
Below are some of the main ones:

MICRODENT registered trademark nº 1742465

Endo-osseous dental Implant Register nº 9601434

Bone expander Patent in Spain nº 9602250

U.S.A. bone expander patent nº 6146138

European bone expander patent nº 023801558

Micro-pik prosthesis fixing system patent nº 9800394

Trans-mucous dental implant patent nº 20002497

Ball-and-socket patent for over-denture nº 20002545

Safety use patent for surgery nº 200102649

Dental implant impact fixing patent nº 200102769

Bi-cortex provisional implant patent nº 200102914

Internal connection implant patent nº 200200087

Perfected dental implant patent nº 200201614

Double tightening prosthetic system patent applied for

Over-denture graduating retention system patent applied for

Ask for our general catalogue of

implant products.

Microdent is grateful for the valuable collaboration of the following doctors:

Dr. Joaquín García Rodríguez
Postgraduate in periodontics and oral implantation, New York University.
Fellowship of international congress of oral implantologists.
Dr. Elias Fornés Ortuño
Postgraduate in periodontics and oral implantation, New York University.
Master in occlusion.

Dep. Legal. B-4040-2003

Design: Afirma Comunicación, S.L.

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SOLICITE
NUESTRO
2005 Fotografías: Xavi Mañosa y Mic05

CATÁLOGO
GENERAL
C/. Carles Buhigas, 1 - Can Magre Tel. 902 402 420
08187 Santa Eulˆlia de Ronana Fax 938 446 531
(Barcelona) Espa–a implant@microdentsystem.com
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