Boschini describes approximately 7 mm of sinus elevation using the bone-plug technique, starting with 3 mm of residual bone. Colleagues ask about implant placement timing and whether hyaluronic acid can be used on its own.
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I am sharing a case I have just completed. This was an approximately 7 mm sinus lift performed using the bone-plug technique, starting from about 3 mm of residual bone. A trephine was used to prepare a bone core approximately 2.5 mm high. The Mallet impulses subsequently reduced its thickness by compressing the cancellous bone. The 300 instrument was then used to displace the core towards the sinus without tearing the membrane. A xenogeneic bone graft mixed with hyaluronic acid was inserted, followed by the implant.
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Condivido con voi un caso appena fatto. Si tratta di un rialzo di circa 7 mm eseguito con la tecnica del tassello. L’osso di partenza era circa 3 mm. Con una fresa carotatrice è stata realizzata una carota alta circa 2,5 mm (con i colpi del mallet si è poi assottigliata comprimendosi la midollare). Con lo strumento 300 è stata spinta verso il seno evitando di lacerare la membrana. E stato inserito un innesto di osso eterologo mescolato con acido ialuronico e alla fine l’impianto.
The postoperative low-dose CBCT clearly shows the small bone core above the implant apex.
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Nella CBCT low dose post operatoria si vede bene la carotina sull’apice dell’impianto.
Very good.
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Molto bravo.
Very nice. 🤩 May I ask whether, in less experienced hands, it would be reasonable to wait six months after the crestal sinus lift before placing the implant when the residual bone height is below 5 mm? Thank you very much.
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Molto bello 🤩 posso chiederti se in mano meno esperte delle tue magari attendere dopo il rialzo crestale 6 mesi per poi procedere all impianto in caso di osso sotto i 5 mm di altezza ha il suo razionale ? Grazie mille
Waiting is absolutely appropriate. I remained undecided until the very last moment about whether to place the implant.
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Attendere e assolutamente corretto. Sono stato fino all’ultimo momento indeciso se mettere o meno l’impianto.
Luca, what do you think about using hyaluronic acid alone in similar cases?
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Luca che ne pensi se in casi simili si inserisce solo acido ialuronico?
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