Michele Melillo presents a case performed entirely graftless with Elevate during a masterclass in Manfredonia, with an implant 5.5 h8.6 core 4.0. Participants discuss the movement of local bone and ask for protocol details.
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It seems that with the right protocol, this type of system can eliminate lateral sinus lifts. Is there any indication for doing these procedures anymore?
It seems that with the right protocol, this type of system can eliminate lateral sinus lifts. Is there any indication for doing these procedures anymore?
The lateral lift I mean. These crestal approaches with the MM seem so predictable!
The lateral lift I mean. These crestal approaches with the MM seem so predictable!
Attachment.
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Allegato.
Case performed as live surgery during the masterclass held yesterday and today at our training centre in Manfredonia.
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Caso eseguito in live surgery durante la masterclass svoltasi ieri ed oggi presso il nostro centro formazione a Mandredonia.
Case performed entirely graftless with Elevate. Implant placed: 5.5 h8.6 core 4.0
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Caso eseguito completamente graftless con elevate. Impianto iscritto 5.5 h8.6 core 4.0
Forgive me, Michele… without any graft material?
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Perdonami Michele….senza materiale di innesto?
Zero :) All the patient's own “stuff”, lifted with Elevate.
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Zero :) Tutta ciccia del paziente sollevata con Elevate
Thank you, and heartfelt best wishes.
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Grazie e auguri di cuore
Sorry, what exactly was lifted that is so radiopaque? 🤔 What do you mean by “stuff”?... Was the entire piece of bone moved?
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Scusa e cosa sarebbe stato sollevato di così radiopaco ? 🤔 Cosa intendi per "ciccia"?... Sarebbe stato spostato tutto il tassello di osso ?
The bone at the site. “Scraped” and then pushed upwards. Radiopaque for 2 reasons: - 1: compaction; - 2: we are comparing a 2D radiograph (which superimposes all the bone density) with CBCT sections that show the individual layers of bone in the video and therefore appear more radiolucent.
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L’oso del sito. “Grattato” e poi spinto in alto. Radiopaco per 2 motivi: - 1 la compattazione - 2 stiamo confrontando una rx 2d (che sovrappone tutta a densità ossa) a sezioni cbct che mostrano in video i singoli strati di osso e quindi risultano più radio trasparenti
And how is it “scraped”… Sorry for asking these questions, but I would like to at least try to get closer to your results 😅🙏🏻
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E come viene "grattato"... Scusa se faccio queste domande ma vorrei provare almeno ad avvicinarmi ai vostri risultati 😅🙏🏻
Summer technique. With concave osteotomes, bone is collected from the walls as the diameter increases.
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Tecnica di Summer. Con gli osteotomi concavi all’aumentare del diametro si raccoglie osso dalle pareti.
The osteotome collects bone from the walls and carries it downwards.
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L osteotomo raccoglie dalle pareti l'osso e lo porta verso il basso
Lifting the membrane and pushing bone fragments.
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Sollevando la membrana e spingendo frustoli
Well done 👏🏽 Could you share the detailed protocol that you followed for such wonderful sinus lifting? Thanks
Well done 👏🏽 Could you share the detailed protocol that you followed for such wonderful sinus lifting? Thanks
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