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

Clinical view

Clinical view

Clinical view

Pre-op CT

Pre-op CT

Pre-op clinical view

Virtual planning

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

Surgical guide for bonny slot

Another view of the slot and the defect

TSR (titanium sinus roofing) Insertion

PRF was prepared

Bone substitute and implants Insertion

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

Immediate post op CT

7 months’ post op CT

Immediate post op CT (with implants)

7 months’ post op CT (with implants)

Excellent bone healing

Excellent bone healing

Excellent bone healing

Excellent bone healing

Panoramic view of the Implants

Panoramic view of the Implants

Final restoration

Panoramic view with the final restoration