May I use socket sinus lift (osteotome technique) in this case?
Posted on 07.29.2012 11:35 PM By TRI DUNG NGUYEN In Sinus Augmentation
Dear my colleagues,
My patient was lost the tooth 26 (left upper first molar) 8 months ago. It was extracted because of periodontitis with severe bone loss at palatal root.
The cone beam CT shows that the buccal wall is about 7mm height but the palatal wall is only about 4mm. Please check my CT images and help me to clear some my questions :
- Can I place an implant Ankylos 4.5*9.5 mm with socket sinus lift (osteotome technique) and GBR at the palatal wall? Is this a safe and predictable?
- If I can, how should I manage the flap to get primary closure ( how about tension-free releasing incision) because the graft will be at palatal wall, not buccal wall. Can I use rotation flap technique or another technique instead of a releasing incision at buccal flap?
- If I can't, how should I do? Patient doesn't want to try open sinus lift because of discomfort after operation. Really, I also prefer socket sinus lift and have no experience about open sinus lift (lateral sinus lift).
Thank you very much for your help.