Bilateral sinus lift of an atrophic edentulous maxilla followed after 9 months by an immediately loaded implant-supported cross-arch prosthesis

  • cover image
  • 1. Pre-operative radiograph
  • 2. Pre-operative clinical photograph. Initial situation
  • 3. Pre-operative radiograph showing the insufficient residual bone height 3 months after extractions (right side)
  • 4. Pre-operative radiograph showing the insufficient residual bone height 3 months after extractions (left side)
  • 5. Flap elevation. (right side)
  • 6. Design of the window
  • 7. Sinus lift approach
  • 8. Insertion of Apatos 600-1000 µm (OsteoBiol®) xenograft
  • 9. Placement of an Evolution Standard (OsteoBiol®) collagen membrane covering the sinus window
  • 10. Flap elevation (left side)
  • 11. Design of the window
  • 12. Sinus lift approach
  • 13. Insertion of mp3 (OsteoBiol®) xenograft
  • 14. Placement of an Evolution Standard (OsteoBiol®) collagen membrane covering the sinus window
  • 15. Post-operative radiograph
  • 16. Placement of 8 cylindrical implants and 4 tapered implants 9 months after the sinus lift surgery
  • 17. Placement of 4 temporary screw-retained abutments for an immediate loading protocol including the 4 tapered design implants
  • 18. Post-operative radiograph. Note that the 2 posterior tapered implants are placed entirely in regenerated bone
  • 19. Provisional screw-retained restoration in place
  • 20. Final restoration in place. Smile line
  • 21. Final restoration in place. Front view
  • 22. Final restoration in place. Occlusal view
  • 23. Post-operative radiograph. Note that the tapered implants are ossointegrated (even with a high initial risk of failure under immediate loading protocol) but not included in the design of the final restoration; showing the good quality of the regenerated bone in the posterior maxilla
  • Clinical indication: lateral access sinus lift
  • Products : Apatos, Evolution, mp3
  • Authors : Dr. Bruno Negri,Prof. José Luis Calvo Guirado
  • Information about patient: Female 52
  • Credits : Documentation provided by Dr. Bruno Negri
    and Prof. José Luis Calvo Guirado
    University of Murcia (Spain)
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