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Graftless crestal sinus lift with the Mallet only: stable bone at the 8-year follow-up

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Case discussion

30 replies

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An incidental follow-up during treatment of site 23… graftless!

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Controllo occasionale durante la gestione del 23… graftles!

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Congratulations; this is a very nice case. What are the dimensions of the MegaGen implants?

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Complimenti Bel. Caso che misure hanno i Megagen ?

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One is 8.5 mm long and two are 7 mm long.

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Sono un 8.5 e 2 da 7

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Hello Michele. Do you use Black Ruby tips in All-on-4 cases? How do you manage the tilted implants? Thank you.

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Ciao Michele volevo sapere negli all in four usi i black ruby? Come ti regoli per gli inclinati? Grazie

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A nice case of crestal lift Grafless, approached only using the MM… This was the base line

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A nice case of crestal lift Grafless, approached only using the MM… This was the base line

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8 years later (we are treating the tooth 2.3). The bone is super stable!

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8 years later (we are treating the tooth 2.3). The bone is super stable!

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Freehand or guided?

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Freehand or guided?

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Excellent case. Just did a graftless sinus lift. Just elevation with MM. Feeling more confident after seeing this followup

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Excellent case. Just did a graftless sinus lift. Just elevation with MM. Feeling more confident after seeing this followup

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Little close to the 23? Or does it just looks like that on the PA?

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Little close to the 23? Or does it just looks like that on the PA?

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Graftless, meaning no bone substitutes?

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Graftless, meaning no bone substitutes?

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@⁨Michele Milillo⁩ can you share your protocol and the kit sequencing you use ?

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@⁨Michele Milillo⁩ can you share your protocol and the kit sequencing you use ?

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Nice results

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Nice results

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Yess

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Yess

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Only the implant acting like a tent pole and elevating the sinus. Blood fills in and converts into bone

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Only the implant acting like a tent pole and elevating the sinus. Blood fills in and converts into bone

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Done numerous such cases. With very very high success rates. And followups of more than 5 years using densah burs. Shifted to MM a couple of years back. Even better control

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Done numerous such cases. With very very high success rates. And followups of more than 5 years using densah burs. Shifted to MM a couple of years back. Even better control

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Nice protocol please?

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Nice protocol please?

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Freehand

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Freehand

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No it’s only the prospective

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No it’s only the prospective

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Exactly

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Exactly

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It’s an old case and so old protocol, it was before the Black Ruby… But this means that every protocol can produce great results

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It’s an old case and so old protocol, it was before the Black Ruby… But this means that every protocol can produce great results

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No here I broke the bone, lifting the floor (bone and membrane) with the implant

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No here I broke the bone, lifting the floor (bone and membrane) with the implant

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yes thats what i meant

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yes thats what i meant

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Which short implants are these ..?

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Which short implants are these ..?

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Fully agree, please don’t use substitute with a Summers lift :)

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Fully agree, please don’t use substitute with a Summers lift :)

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Interested: what is the smallest Elevate size you dare to use?

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Interested: what is the smallest Elevate size you dare to use?

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SONDAGGIO: Smallest size Elevate for Summers? OPZIONE: Elevate 1 (0 voti) OPZIONE: Elevate 2 (0 voti) OPZIONE: Elevate 3 (5 voti) OPZIONE: Elevate 4 (1 voto) OPZIONE: Elevate 5 (0 voti)

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SONDAGGIO: Smallest size Elevate for Summers? OPZIONE: Elevate 1 (0 voti) OPZIONE: Elevate 2 (0 voti) OPZIONE: Elevate 3 (5 voti) OPZIONE: Elevate 4 (1 voto) OPZIONE: Elevate 5 (0 voti)

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Summers lift? Kindly elaborate. Have no clue

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Summers lift? Kindly elaborate. Have no clue

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So basically what the elevate does: moving the cortical plate of the sinus floor bij an osteotome.

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So basically what the elevate does: moving the cortical plate of the sinus floor bij an osteotome.

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Then the implant holds this plate up and the area fills with a blothcloth which then is the scaffold for regeneration, hence that there is no need for bone substitute!

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Then the implant holds this plate up and the area fills with a blothcloth which then is the scaffold for regeneration, hence that there is no need for bone substitute!

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Autogenous is always the best way IMHO

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Autogenous is always the best way IMHO

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