Instructions for Use
Rotterdam Palatal Distractor
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Intraoperative Procedure
Preparing the distractor
The distractor is delivered with the lock nut (1) firmly attached by a weld.
Prior to use, break the weld by turning the lock nut (1) with the open-end wrench (2) to
•
ensure that the lock nut can be rotated in either direction.
Procedure
The operation is performed under general anesthesia, preferably with endotracheal intubation.
Standard corticotomies of the anterior, lateral and medial maxilla are carried out. The mucus
membrane of the premolar teeth is injected with an anesthetic and a vasoconstrictor.
Using a supporting plate and with the marking TOP in cranial direction, the Rotterdam Palatal
Distractor is fixed to the mucosa above the roots of the first and second premolar teeth. The
activation spindle sits in the middle and must not come into contact with the dental occlusion.
The distractor is activated briefly so that the marks of the pins are clearly visible on the
mucosa. Now the mucosa on the anterior occlusal side is cut in. Then the distractor is
deactivated and removed.
V. 2.1
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