How wold you proceed with this case. Part 2.

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Posted on By yiannis vergoullis In Sinus Augmentation

This the video of what I did few years ago. The one thing I would probably do differently today would b to reposition the bony window.

Yiannis

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5 Comments

Yiannis; APPLAUSE. Just beautifully performed surgeries. Well done. Thanks for sharing. Maurice


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Yannis,
I like the entire surgical procedure and skills.
My compliments.
Armando


Reply

Thank you both for your nice words!

Yiannis


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Yiannis.
Outstanding diagnostics, treatment plan, execution and video! I really enjoyed watching. I also would have used a replacible window. In addition, I today I use Densah burs to prepare implant sites in a grafted sinus. I noticed during your drilling sequence some lack of density or voids seem to exist in the grafted bone. Do you remember feeling that? With Densah burs that sensation is minimized or avoided. Great work! Thank you for sharing. Best regards. Chuck


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Thank you Chuck! I really do not remember that as it was done a few years ago, however the insertion torque was very high and I was able to do immediate loading.

What I have noticed is that in the cases I did thorough condensation of the graft I always had good bone at the re-entry, while in the cases where the graft was more loosely packed into the sinus I have found less dense bone at the re-entry. Thus for me grafting a socket and grafting a sinus is different story but I do not know why there is this difference. This is only my clinical observation.

I am also looking into the Densah burs more likely for the initial penetration of the sinus during crestal lifts.

Yiannis


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