Staged sinus-lift

Page 1

Categories ; Posterior, sinus lift, multiple implants, Nobel Biocare

Copyright Š 2012 Idondivi, Inc. All rights reserved.


Crestal approach sinus lift, not incremental fill with glass ceramic graft ( Unigraft)

Copyright Š 2011 Idondivi, Inc. All rights reserved

2


Two implants planned after 6 months healing

Copyright Š 2011 Idondivi, Inc. All rights reserved

3


BLP positioned for screw retained restoration.

Copyright Š 2011 Idondivi, Inc. All rights reserved

4


Two implants planned, root of cuspid is far distal hence inclination

Copyright Š 2011 Idondivi, Inc. All rights reserved

5


Wings removed to allow side by side nesting for two implants

Copyright Š 2011 Idondivi, Inc. All rights reserved

6


Guide in place

Copyright Š 2011 Idondivi, Inc. All rights reserved

7


Guided surgery does not mean flapless surgery. A flap allows transportation of keratinized gingiva to the buccal

Copyright Š 2011 Idondivi, Inc. All rights reserved

8


Initial setup. Radiograph is diagnostic the buccal and lingual RIR’s overlap

Copyright Š 2011 Idondivi, Inc. All rights reserved

9


The red 7 degree RIR allow visualization of a 7 degree rotation

Copyright Š 2011 Idondivi, Inc. All rights reserved

10


# 12 yellow rotation-block for 3 degree rotation. 2 mm twist drill for 8.5 mm osteotomy

Copyright Š 2011 Idondivi, Inc. All rights reserved

11


8.5 x NP Nobel Active

Copyright Š 2011 Idondivi, Inc. All rights reserved

12


Bonemill

Copyright Š 2011 Idondivi, Inc. All rights reserved

13


# 13 site, 7 mm osteotomy. Red rotation-block gives 7 degree rotation

Copyright Š 2011 Idondivi, Inc. All rights reserved

14


7 mm osteotomy

Copyright Š 2011 Idondivi, Inc. All rights reserved

15


Motorized BTI expanders for sinus bump if needed

Copyright Š 2011 Idondivi, Inc. All rights reserved

16


Motorized BTI expander

Copyright Š 2011 Idondivi, Inc. All rights reserved

17


8.5 x ND Nobel Active implant

Copyright Š 2011 Idondivi, Inc. All rights reserved

18


Attached tissue moved towards the buccal

Copyright Š 2011 Idondivi, Inc. All rights reserved

19


Two implants placed as planned

Copyright Š 2011 Idondivi, Inc. All rights reserved

20


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