Open sinus lift with implant placement at tooth 2.6
A 42-year-old man with limited bone under the sinus at 2.6. Through a minimally invasive 5 mm lateral window the sinus membrane was lifted, xenograft placed and a P7D implant inserted in the same surgery. At 6 months the implant was uncovered with bone contouring, Palacci technique and a palatal connective-tissue graft. The final restoration was a screw-retained zirconia crown on a titanium base.
Step by step
- Clinical and radiographic assessment
- Vertical and horizontal incisions, flap elevation
- Minimally invasive lateral window (5 mm); implant site preparation
- Sinus augmentation with xenogeneic bone graft; P7D 4.2×10 mm placed
- 6 monthsuncovering, bone contouring, HWD-5 mm healing cap, Palacci technique + palatal CTG
- Healing cap replaced with higher HW7D-7 mm
- Screw-retained zirconia crown on titanium base (STCSD 2.5 mm with hex); composite closure of screw channel
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