Staged sonic assisted sinus-lift and ridge graft.

Categories; Posterior, Sinus lift, multiple implants, CBCT, Nobel Biocare

Buccal and lingual defect, sinus pneumatization necessitating ridge grafting and sinus-lift

2

Preoperative CBCT, with VPS impression in situ allowing visualization of the soft tissue thickness

3

Sonic KAVO handpiece with diamond restorative tip. Abrades hard tissue ( bone), while not affecting soft tissue (schneiderian membrane)

4

Lateral sinus access grafting with ceramic material ( unigraft) Non resorbable titanium reinforced membrane covering DynaBlast putty

5

Planning two implants

6

Six months healing.

7

BLP in position for cement retained crown.

8

BLPâ&#x20AC;&#x2122;s in position for two implants

9

Ideal implant spacing for two premolar crowns

10

# 12 site, correct image, no need for rotational adjustment, hence using a green 0-degree rotation-block

11

Flap to allow visualization of grafted ridge, and to position attached tissue on the buccal

12

1.5 mm twist drill

13

BTI motorized expanders

14

# 12 site, 10 mm x 3.5 ND Nobel Active

15

# 13 at 7 mm, so OK for 10 mm implant

16

Additional 3 mm Flexistop for stepped back preparation for tapered implant

17

# 13 site , 10 x 3.5 NP Nobel Active

18

Bone-mill

19

Implants installed per planning

20

Tissue glue

21

Implants placed per planning

22

Attached tissue towards the buccal. Guided surgery does not mean flapless surgery

23

Turn static files into dynamic content formats.