Sinus elevation with Elevate in a ridge with about 3 mm of residual bone
Extreme case. 3 mm average of height. Here only elevate 5 Stop 2/3/4 Ialuronico Acid and biomaterial Implant 4.5 h8.5 Post op (horrible section 😅)
All colleagues
Sinus lift Immediate implant placement and loading 
Sinus lift 
Sinus lift 
Atraumatic extraction 
Sinus lift 
Sinus lift 
Sinus lift 
Guided surgery and osteotomy 
Sinus lift 
Sinus lift 
Complications 
Complications Sinus lift 
Sinus lift 
Ridge expansion and split crest 
Sinus lift 
Immediate implant placement and loading 
Sinus lift 
Sinus lift 
MICHELE MELILLO
Clinical cases 20
Two immediate implants with sinus elevation and a provisional bridge
Case of the day. Tooth 1.5 was lost And in the zone 1.6 we had a huge defect affecting also the tooth 1.7 So I did 2 imediate implants to reduduce…
Graftless crestal sinus lift with Elevate: live surgery case
Michele Melillo presents a case performed entirely graftless with Elevate during a masterclass in Manfredonia, with an implant 5.5 h8.6 core 4.0…
Graftless crestal sinus lift with the Mallet only: stable bone at the 8-year follow-up
Un simpatico caso eseguito solo con Mallet 8 anni fa
Very difficult extraction with a conventional elevator: Blexo and Mallet in a few seconds
Melillo reports difficulty gaining access with conventional elevators. Melillo then chooses curved Blexo tips with the Mallet and describes an…
Sinus lift on 2 mm of bone after removing an orthodontic screw: a risky case
After removing an orthodontic screw, Melillo performs a sinus lift with Elevate on 2 mm of bone and places the implant. Colleagues discuss the risks…
LMSF approach: changing the osteotomy direction by pushing the sinus wall
Melillo describes using the LMSF approach to change the osteotomy direction by pushing the sinus wall distally and explains the advantage Melillo…
Full-arch rehabilitation: displacing the sinus walls to obtain the most distal implant emergence
In a full-arch rehabilitation, Melillo describes maneuvers along the sinus walls to obtain remote anchorage and a more distal implant emergence…
Freehand magnetodynamic full arch: distal emergence at position 5
Melillo presents a freehand magnetodynamic full-arch procedure with a microflap, aiming for distal emergence at position 5.
Less than 2 mm of residual bone at site 27: an almost flapless crestal sinus lift instead of a lateral approach
At site 27, with 1.8 mm of residual bone, Melillo describes a crestal sinus lift using gel and Elevate through a small incision. At site 25, Melillo…
Pneumatization between teeth 26 and 27: a gel-assisted crestal sinus lift instead of a lateral approach
With extensive pneumatization between teeth 26 and 27, Melillo chooses a crestal approach and uses Fisiograft paste for the first time. A colleague…
Implant at site 26 failed to integrate three months after sinus lift: replacement and three-year follow-up
At three months, Melillo replaces the implant that failed to integrate at site 26 while reporting good healing after sinus augmentation. Melillo…
Radiographic halo around the implant: a not particularly effective implant design
Melillo describes replacing the implant at site 26 after three months but considers healing after sinus elevation favorable. The three-year follow-up…
Atrophic ridge at 15–16: split crest, LMSF and Elevate in a single surgery
In one operation, Melillo addresses horizontal atrophy at site 15 and vertical atrophy at site 16. Melillo explains the anatomical assessment and the…
Tilted implants: reshaping the sinus with the Mallet, an immediate-loading case
Melillo describes repositioning an implant more distally to achieve a more distal prosthetic emergence and reports choosing immediate loading because…
Narrow ridge at 26: split crest and mini sinus lift through a single crestal incision
After an 83-year-old patient loses a bridge’s terminal abutment to caries, Melillo describes placing an implant in the narrow ridge at site 26, with…
Crestal sinus lift: graft or no graft? A protocol with more variables is needed
Michele Melillo discusses the criteria for choosing a crestal sinus lift and deciding whether to use graft material. In this case, Melillo uses…
Immediate implant in a molar with a 7 mm septum: septum expansion and slight sinus lift
With limited apical bone and a 7 mm septum, Melillo chooses to expand the septum for immediate implant placement and also reports a slight sinus…
LMSF at 6 months: better prosthetic emergence, straight abutment instead of a 30° MUA
Melillo presents the six-month follow-up of a case treated with LMSF and explains why the plan is to use a straight Octa abutment rather than a 30°…
Crestal sinus lift with Elevate, hyaluronic acid and graft in a single surgery
The discussion focuses on implant position, stability in the remaining 3 mm of bone and anatomical case selection. Colleagues also discuss the…