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Crestal or lateral sinus lift? A lateral approach for a wide sinus with limited residual bone

Boschini explains the reasons for choosing a lateral approach for a wide sinus with limited residual bone. A colleague shares another case, and R. C. asks when the implants should be loaded.

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I performed a double sinus lift: there were less than 4 mm of bone anteriorly and less than 3 mm posteriorly. After very gently elevating the sinus floor, I injected NovaBone graft material with the syringe and also used the final Mallet tip. I completed the procedure with 1 cc of material, placing a 4.3 × 8 mm implant anteriorly and a 5 × 6 mm implant posteriorly.

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Doppio mi rialzo, anteriormente c’erano meno di 4 mm di osso e posteriormente meno di tre. Dopo aver sollevato molto delicatamente il pavimento o innestato osso Nova bon con la siringa e anche aiutandomi con l’ultima punta del Mallet con un CC di materiale ho fatto tutto, anteriormente impianto lungo 8 mm per 4, 3 e posteriormente lungo 6 mm per 5 di diametro.

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I forgot to mention: the patient is a 78-year-old woman.

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Dimenticavo: signora di 78 anni

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Excellent work. How long will you wait before loading the implants?

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Ottimo lavoro. Qnt aspetti ora x caricare?

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