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    • Trans-sinus implantation with restoration of hard and soft tissues on the upper jaw

    • cover image
    • Lack of teeth in the upper jaw and aesthetic dissatisfaction with the removable denture
    • Alveolar ridges of the upper jaw atrophied unevenly
    • Alveolar ridges of the upper jaw atrophied unevenly
    • Panoramic radiograph shows pronounced pneumatization of the maxillary sinuses and atrophy of the alveolar ridge of the maxilla. Their edges highlighted in blue
    • After infiltration anesthesia, teeth #13 and #23 removed, vestibular incision made and the mucoperiosteal flap skeletonized. Formed access to the anterior and lateral walls of both maxillary sinuses with mobilization of the Schneiderian membrane
    • Inclined implants installed transsinusally using the “All-on-4” protocol
    • Void between the anterior wall of maxillary sinus and the Schneiderian membrane filled with OsteoBiol® mp3®. Bilateral approaches to the maxillary sinuses were closed with the collagen membrane OsteoBiol® Evolution
    • Void between the anterior wall of maxillary sinus and the Schneiderian membrane filled with OsteoBiol® mp3®. Bilateral approaches to the maxillary sinuses were closed with the collagen membrane OsteoBiol® Evolution
    • To prevent retraction of the socket walls it was filled with OsteoBiol ® mp3®
    • Four holes made in the palatal flap to uncover the abutments and improve the quality of soft tissues around them. Suturing around installed abutments
    • Temporary prosthesis fixed to achieve aesthetic and functional results and to form adequate occlusion on the day of surgery
    • Final panoramic radiograph after implantation in the upper jaw
    • Soft tissues 6 months post-op
    • Installation of a permanent prosthesis using the FP2 protocol
    • Installation of a permanent prosthesis using the FP2 protocol
    • Panoramic radiograph 6 months after implantation with a permanent prosthesis installed on the upper jaw. The new edges of maxillary sinuses and alveolar ridge of the upper jaw highlighted in blue
    • Clinical indication: lateral access sinus lift
    • Products : Evolution, mp3®
    • Authors : Prof. Aleksei Reshetnikov
    • Information about patient: Male, 54 years old
    • Credits : Prof. Aleksei Reshetnikov, private practice, Russia
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