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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 asks whether the gel helps prevent graft particles from dispersing.

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With the correct protocol, the entire case can be managed predictably through a crestal approach. In this case, I used a modified technique and a gel biomaterial for the first time. The initial handling was very good, but we will need to assess healing.

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Con il giusto protocollo si può approcciare il tutto serenamente per via crestale. In questo caso per la prima volta ho usato una variante e un biomateriale gel. Feedback molto buono ma vedremo la guarigione

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The follow-up low-dose CBCT shows excellent, uniform detachment and elevation of the sinus membrane extending to site 27. A 4.8 × 8 mm implant was placed.

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La cbct low dose di controllo mostra un bellissimo scollamento ed elevazione del seno in maniera omogenea fino al 27. Impianto inserito 4.8 h8

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👏🏻👏🏻👏🏻 Very nice. Which gel biomaterial did you use?

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👏🏻👏🏻👏🏻Molto bello. Quale biomateriale gel hai usato?

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This was my first time using Fisiograft paste.

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Prima volta fisiograft pasta

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Thank you.

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Grazie

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Why did you choose not to put biomaterial?

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Come mai hai scelto di non mettere biomateriale?

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A biomaterial was used, but it is a gel.

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C’è biomateriale Ma è un gel

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Gel granules?

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Granuli in gel?

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Recently, I have been using hyaluronic acid followed by low-temperature-processed biomaterial granules. This is my first case using Fisiograft gel.

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Ultimamente sto usando acido ialuronico e poi granuli di biomateriale trattato a bassa temperatura Questo primo caso con gel fisiograft

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Which gel do you use? Do you use it to create a matrix that prevents the granules from dispersing?

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Che gel usi? Lo usi per creare una matrice e non far disperdere in granuli?

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A tooth in the maxillary tuberosity; without the Mallet, the procedure would have been very difficult.

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Dente nella tuberosita, senza mallet sarebbe stato molto difficile

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