FRESH SOCKET IMPLANT PLACEMENT WITH SIMULTANEOUS CRESTAL SINUS ELEVATION WITH MAGNETIC MALLET
Case of an upper right canine cracked crown with the necessity of an implant replacement. The tooth apex was drawing out in the sinus so a membrane elevation was necessary. The ankylosed root has been easily extracted with the magnetic mallet blade insert. By using conical osteotomes the bio-material has been pushed by gently cracking the sinus floor while laser marks on the tips helped to reach the correct work lenght. After 4-5 increases was possible to place a 4.2mm ø x 11.5mm. The bone condensation has generated 60 Ncm torque. The crest thickness was 7mm, performing about 5-6 mm sinus elevation without damages. The post op x-ray shows how the particulate bone moved to surround the medial apex of the sinus, gently moving it up and back. The 5 months post op x-ray shows the complete integration of the bone graft and the sinus health.