Molar xtraction/ Sinus Lift/ Oseodensification

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Posted on By Jorge Campos In Sinus Augmentation

When we xtract a molar we have to insert the implant on the interseptum space or in one socket. If we have width on the interseptum but not height a sinus lift procedure is done transcrestal. Here I used the Densah Burs to augment transcrestal the height.
Also to oseodensify bicuspid zone.
By inserting a litle deeper the bicuspid a bone peak was created between molar and bicuspid for papilla support.
Prf was sutured on top of molar to seal the socket.
No flap was raised on molar and minimal flap on bicuspid to check expansion.
Jorge




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10 Comments


Reply

Jorge. Nice treatment plan. Is this a straight autograft lift or did you add allograft? It appears you have gone beyond 3mm into the sinus. If going beyond 3mm I always add allograft. Thank you sharing. Warm wishes. Chuck


Reply

Yes Chuck I add Mineross plus PRF.
It is a good idea to add allograft also after 2/3 mm. of augmentation.
I´ve just checked at Dentalxp congress and hotel.
See you there.
Jorge


Reply

Jorge, How much of the resultant bone peak do you anticipate being able to maintain? Interesting thought, the first time I've seen this concept. Also, how did you accomplish the sinus lift? Neurosurgery burs, Balloon, Osteotomes, Piezo? Thank you.


Reply

Terry, the site of the bicuspid was higher in bone relative to the molar. Unexepectedly was at the level of the first bicuspid. So I deepened the implant 2 mm so there is a peak between the bicuspid and the molar of 2mm. Will it be preserved? Hope so. Time will tell in 6 months!
Sinus lift with Densah Burs, osseodensification technique plus Mineross.
Regards
Jorge


Reply

Jorge:

Just perfect... I always notice how preserving the septal bone and expanding it lateraly, make the roots sockets smaller defects and I usually end up using less or no allograft in these sockets. Another way to optimize the system....

Salah


Reply

You are right Salah. The sockets around the osseodensified implant socket are now minimized by the expansion and are difficult to graft also.
Thanks for comenting.
Jorge


Reply

A case recently performed by a novice at our AIE surgical course in Mexico
Extraction and immediate placement using Densah burs.

I will post the expansion of the furca bone in a following post.


Reply

The furca preservation and expansion.

No grafting


Reply

Well done Emil, and perfect example case for using and optimizing the bone on the site!
Thanks for adding to the post!
Jorge


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