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Tooth supported - with flap or flapless

Implant Placement in Left Maxilla With Closed Sinus Lift Using ABGuidedService

Dr. Ernest Reuveni & Dr. Gustavo Yatzkaier.

 

The patient is a healthy 53-year-old, and she does not smoke. The bone used is of animal origin.
This method of sinus lift was chosen to significantly reduce the risk of perforating the sinus membrane. The Safe system allows maximum elevation with minimal risk.
ABGuidedService allows the drill depth to be planned 1mm from the sinus floor. This can be difficult to measure using the CT alone, as the sinus floor is curved. The exact location can be found with the guide which is digitally produced from the planning in the 3D software. The entry into the sinus can then be completed using an osteotomy.

A. 26 planned to 1mm from sinus floor for closed sinus lift
B. Implants planned relating to tooth positions
C. 26 drill depth to 1mm below sinus floor Longer implant inserted
D. AB Guide
E. ABGuide-color coded sleeves indicating drill length
F. Confirming depth with Safe drill, stopped 1mm from sinus floor
G. Ready to use hydraulic pressure to raise sinus membrane
H. Saline inserted with controlled pressure
I. Drop of pressure seen in the device display, indicates that the membrane was successfully elevated
J. Saline extracted after membrane lift
K. Osteotomy to fracture the sinus floor
L. Hydration of bone granules
M. Bone granules compressed through the osteotomy into the sinus
N. Implants inserted with AB Guide and depth controlling implant mounts
O. Implants with healing caps. One-stage flapless surgery
P. Post-op X-ray
Q. Post-op X-ray with healing caps

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