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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 performs LMSF with Black Ruby.

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Initial situation.

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Original text

Situazione iniziale.

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Site 2.7, with marked pneumatization and 1.8 mm of residual bone.

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Zona 2.7 con pneumatizzazione importante e 1.8 mm residui

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Zone 2.6 with invaginated sinus between roots

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Zona 2.6 con seno invaginato tra le radici

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Intraoral X-ray after a first sinus lift and biomaterial in pasta that has detached

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Endorale dopo un primo rialzo e biomateriale in pasta che ha scollato distalemente

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Periapical radiograph after the second application of gel, which also detached the membrane mesially. Implant placement at 2.7, followed by LMSF at 2.5, where the bone distraction can be clearly seen.

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Endorale dopo secondo apporto di gel. Che ha scollato anche mesialmente. Inserimento impianto 2.7 E poi LMSF su 2.5 dove ben si apprezza da distrazione ossea

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Cbct low dose that makes us appreciate the quality of the sinus lift and its homogeneity.

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Cbct low dose che ci fa apprezzare la qualità del rialzo e la sua omogeneità.

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