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Narrow ridge at 26: split crest and mini sinus lift through a single crestal incision

2 messages · In conversation order

MICHELE MELILLOCase author · Opening message

Good morning, everyone. Here is an example of how the Mallet makes life incredibly easier. An 83-year-old patient lost the terminal abutment because of caries. We decided to section the bridge and leave a cantilever unit, because it was impossible to place an implant at site 25. An implant at 26—but how? The ridge was narrow anyway!

Original text · Italian

Buongiorno a tutti. Ecco un esempio di come il Mallet semplifichi incredibilmente la vita. Paziente 83 anni che perde per carie il pilastro terminale. Decidiamo di tagliare il ponte e lasciare un elemento in estensione perché in zona 25 impossibile mettere un impianto. E impianto sul 26 ma come? Cresta Comunque stretta!

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M. M.

We proceeded with an implant at site 25, using split crest and a small sinus lift through a crestal incision alone. The sequence was SPLIT tips, Cut, then BR 1–2–3. A 3.8 × 10 mm implant with a 3.3 mm neck was inserted below the crest, with a small crestal sinus lift of a couple of millimetres. Editorial clarification: the final implant site is 26; the original message states 25.

Original text · Italian

Procediamo con un impianto in zona 25 con split crest e minirialzo con la sola incisione in cresta. Poi punte SPLIT - Cut e a seguire BR 1-2-3. Inserito impianto 3.8 h10 con collo da 3.3 che viene affondato e con un rialzino crestale di un paio di mm