Gianluca is preparing a first transcrestal mini sinus lift and asks for advice on instruments and materials. Colleagues focus on ridge anatomy and suggest alternatives to the sequence Gianluca is considering.
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What is the anatomy of the ridge you need to treat?
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Anatomia della cresta che devi approcciare?
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Rather than performing a mini sinus lift, I think I will try to displace that cortical plate. However, I would like to be prepared to perform a mini lift if I decide to place a 10 mm implant.
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Più che un mini rialzo credo cercherò di spostare quella corticale , ma vorrei essere pronto a fare anche un mini rialzo nel caso volessi mettere un 10 mm
I will leave the answer to the experts.
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Parola agli esperti
I would use Vicryl sutures. No bone graft and no Condress either.
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Io metterei suture vicryl No osso Nemmeno condress .
I would use a modified Summers technique here, without attempting any substantial elevation. All the requirements are present for a straightforward procedure with the Black Ruby tips. Therefore, I would not use any biomaterial.
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Io qui farei una summer modificata Senza andare a rialzare chissà che. Ci sono tutti i requisiti per farlo facile facile con i BR. Quindi no biomateriale
Thank you very much.
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Grazie mille sei sempre gentilissimo
Make sure you use the drill followed by the Black Ruby tips.
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Mi raccomando fresa più black ruby
So, Black Ruby rather than Elevate?
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Quindi BR no elevate?
My plan was to use a 2.2 mm drill to within 1 mm of the sinus floor, followed by Black Ruby tips 2, 3 and 4, also stopping 1 mm short, to expand and condense the bone without perforating the floor. If elevation proved necessary, I would then use Elevate with an 8 mm stop, followed by Condress, hyaluronic acid and a 4.1 × 8 mm Straumann Tissue Level implant.
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Io pensavo fresa da 2,2 a 1 mm dalla corticale del seno, poi Br 2 poi 3 e 4 sempre ad 1 mm per espandere e condensare, senza sfondare, poi eventualmente necessario rialzare elevate con stop a 8 mm. Condress e ac ialuronico e impianti 4,1 da 8 Straumann tissue level
Alternatively, I could follow your advice, use the Black Ruby tips to a depth of 8 mm, place no graft material and insert the implant.
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Oppure pensavo di seguire il tuo consiglio e vado di BR fino ad 8 mm, non metto niente e inserisco l’impianto
Your experience can take this discussion further.
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