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Immediate Placement with Lift--Densah Drills
Posted on 05.31.2015 12:03 PM
By Emil DDS
In Implants
Extraction and immediate placement using the Densah Sinus lift protocol.
Megagen implant with no bone aded.
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6 Comments
Maurice Salama says on 05.31.2015 12:05 PM
Very nice but please describe or show the "protocol". thanks Dr. Salama
Salah Huwais says on 05.31.2015 12:54 PM
Dr. Salama:
Please find protocol for Sinus Autografting in the below link
http://versah.com/wp-content/uploads/2015/01/Maxillary_Sinus_Autograft.pdf
I hope this will help. If you have any questions please let me know.
The burs are not end-cutting burs in CCW densifying mode, in CCW direction, they create a hydrodynamic pressure wave that help gently lift up the sinus membrane. They will help with up to 3 mm lift with autogenous bone graft. If more than 3 mm lift is needed, allograft is needed. You may use the Densah bur in CCW osseo-desifying mode to push up the graft material further to give the lift/graft needed.
Emil DDS says on 05.31.2015 12:34 PM
Dr.Salama
I have taken this from the Versah.com website. With all protocols there is a deviation due to individual cases.
I extracted by sectioning to preserve the furca bone site.
I could see on the CBCT the slope of the sinus.
Drilled to 1mm shy of the sinus floor
Followed with the bur sequence in counterclockwise direction at 1200prm with copious irrigation.
Salah Huwais says on 05.31.2015 12:58 PM
Thank you Dr. Verban for sharing this excellent case. Look forward to your update on how healing went.
Emil DDS says on 12.25.2015 03:04 PM
Case update!
Gregory Mark says on 12.25.2015 04:13 PM
Great case! Emil, do you think that implant placed a little bit buccal? I also sent you email about this drills and stops for guided surgery. Gregory