Guided Bilateral Crestal Sinus Lift with Densah/HPISE+GBR+6 Implants

114 Rating(s).

Posted on 01.10.2018 11:14 PM By Anton Andrews In Sinus Augmentation

Complete maxillary Rehabilitation.
The treatment plan includes 7 maxillary implants, vertical bone reduction in the premaxilla to eliminate “gummy smile “ and flexible Restorative Plan -either for three fixed implant bridges or an All-on-7 fixed implant bridge.

This video shows Phase 1 - bilateral non-invasive Guided crestal sinus lifting, bilateral GBR, placement of 6 implants. #GuidedPET on #12(24).

Presented for the first time in the clinical application, Specially designed with biomimetic approach Surgical Healing Abutments had been used in the ULQ. They were covered by a collagen membrane and had been submerged under the flap.
2-week follow up demonstrates excellent soft tissue healing.

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9 Comments

Maurice Salama says on 01.11.2018 05:37 PM

Wow, remarkable utilization of technologies...what or did you use in the sinus? Only Densah OD? did you add bone? Great post. Compliments. Maurice

cafer yamis says on 01.14.2018 10:33 AM

congratulations
you have experienced such a complicated case. what was the method of lifting and grafting the sinus memand and how was the primer stabilization of the implants? also gives a view of the operation field "newly plowing field": :)) Could it be bone protrusions? Thank you in advance for your reply.

Anton Andrews says on 01.14.2018 12:54 PM

Maurice and Cafer, thank you for compliments and your questions.
Due to the case complexity, I came up with the hybrid approach for sinus lifting.
It had been initiated with Densah, followed by Dr. Sohn's HPISE and finalized with Samuel Lee's crestal sinus kit - to ensure adequate membrane elevation.
All implants initial stability had been good, and the best was #2 which had allowed a MUA placement instead of a healing abutment.
With all that being said, I have to admit, few modifications had been applied to all above mentioned techniques to achieve the best result.
Sinus lift graft composition was made of 70% PRF and 30% allograft in the "sticky bone" format.
GBR was done with the "sticky bone" as well .

Gregory Mark says on 01.28.2018 09:21 AM

Great case! Looking forward to see final result! Gregory

Anton Andrews says on 01.30.2018 09:36 PM

Thank you Gregory.
I’ll keep everyone updated.

Anton Andrews says on 05.20.2018 07:13 PM

6-month