3D “Custom Made Roofing” Technique for Maxillary Sinus Lift Augmentation

3D individual customized implant
Guided implant
Implants
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Sinus roof

3D “Custom Made Roofing” Technique for Maxillary Sinus Lift Augmentation

Dr. M. Shteif, Department of Oral & Maxillofacial Surgery, “Carmel” medical center, Haifa, Israel.
A 45-year-old woman was referred after failure of sinus augmentation with oro-antral communication for reconstruction of her posterior maxilla.

A.

Clinical view

B.

Clinical view

C.

Clinical view

D.

Pre-op CT

E.

Pre-op CT

F.

Pre-op clinical view

G.

Virtual planning

H.

3D prefabricated titanium plate and a plastic surgical guide were printed

I.

Surgical guide for bonny slot

J.

Another view of the slot and the defect

K.

TSR (titanium sinus roofing) Insertion

L.

PRF was prepared

M.

Bone substitute and implants Insertion

N.

A primary non-tension closure of the soft tissue was achieved

O.

Immediate post op CT

P.

7 months’ post op CT

Q.

Immediate post op CT (with implants)

R.

7 months’ post op CT (with implants)

S.

Excellent bone healing

T.

Excellent bone healing

U.

Excellent bone healing

V.

Excellent bone healing

W.

Panoramic view of the Implants

X.

Panoramic view of the Implants

Y.

Final restoration

Z.

Panoramic view with the final restoration