Sinus graft with lateral approach and implants placement with C-reamer in Sinus All Kit

*Click on the picture to enlarge.

허영구 원장님 Dr. Heo

Author
Dr. Young-Ku Heo, DDS, MDS, PhD

Director of Global Academy of Osseointegration
Seoul, Korea



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Panoramic X-ray: Due to the limited amount of remaining bone, lateral approach for the posterior part of sinus is preferred.

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Clinical photograph of occlusal surface of the maxillary left edentulous ridge (#26 and #27) before surgery.

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Full thickness flap with papilla preserving incision was made.

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The C-reamer was used to obtain a thin bone disk for lateral sinus graft. Drilling with 2000 rpm or faster is recommended.

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A bony window was prepared in between #26 and #27.

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Careful detachment of the think bone disk from the membrane using the sinus elevator in Sinus All Kit.

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A Combination of Calpore(HA+β TCP) and autograft was used for the sinus graft.

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After bone grafting, 2 implants (IT-II(Neobiotech, Korea)) were placed simultaneously.

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2 implants(Ø5.0*10mm) were successfully placed in the site of #26 and 27, achieving 30N/cm of insertion torque.

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Ø6.0 Healing abutments were connected and simple interrupted sutures were performed in between healing abutments.

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One month later, good soft tissue healing was observed.

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Panoramic view of final prosthesis on maxillary left posterior region

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Periapical radiograph of #26 and #27

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3.5-year follow-up panoramic view and marginal bone level and sinus graft material has been well maintained.

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Focused view of #26 and #27

Sinus Graft with lateral approach at the time of implant placement of #26  and #27.

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