Site 15: sinus wall displacement with Black Ruby and a shorter implant
Zone 15 , intervention in consulting therefore with few means, what I like is the distal shift of the breast wall , with BLK R1 and 2 . Since the…
By surgical technique
Sinus lift
Cases shared by colleagues and discussions about this procedure.
36 clinical cases
Sinus elevation with Elevate in a ridge with about 3 mm of residual bone
Extreme case. 3 mm average of height. Here only elevate 5 Stop 2/3/4 Ialuronico Acid and biomaterial Implant 4.5 h8.5 Post op (horrible section 😅)
Crestal sinus elevation with Elevate and grafting in very soft bone
Indirect / internal sinus lift with Elevate kit and bone graft Extremely soft bone Remaining bone height was 3 mm and 5 mm
Crestal sinus lift with Elevate, collagen and Biosorb
Fabio Caliendo describes a crestal sinus lift with a 2 mm drill, Elevate tips with stops at 6 mm anteriorly and 3 mm posteriorly, collagen sponge and…
Post-extraction implant with crestal sinus lift and stabilization in the interradicular septum
Luca Boschini describes a post-extraction implant stabilized at the base of the interradicular septum. In his replies, he specifies a Neodent GM diam…
Graftless crestal sinus lift with Elevate: live surgery case
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…
Short press-fit implant with sinus lift in severe atrophy
Gianmario Scalvi presents a case with an Ornaghi 5x5 implant. In his replies, he describes using the 300 insert, bone harvested from other implant…
Distal displacement of the sinus wall with Black Ruby
Francesco Benvenuto shares a small distal displacement of the sinus wall with BR. A discussion with Luca Boschini follows about whether the manoeuvre…
Graftless crestal sinus lift with the Mallet only: stable bone at the 8-year follow-up
Un simpatico caso eseguito solo con Mallet 8 anni fa
Sinus lift on 2 mm of bone after removing an orthodontic screw: a risky case
After removing an orthodontic screw, Melillo performs a sinus lift with Elevate on 2 mm of bone and places the implant. Colleagues discuss the risks…
Sinus lift with the Elevate kit on 2–3 mm of residual bone: expand and lift together
N. P. describes a sinus lift with Elevate on 2–3 mm of residual bone, combining expansion and elevation. When a colleague asks about the protocol, N…
Crestal sinus lift with a bone plug from 3 to 7 mm: bone core, instrument 300 and xenograft
L. B. describes a crestal sinus lift of approximately 7 mm with approximately 3 mm of residual bone, using a bone core and xenograft mixed with…
7 mm crestal sinus lift with the bone-plug technique on 3 mm of residual bone
Boschini describes approximately 7 mm of sinus elevation using the bone-plug technique, starting with 3 mm of residual bone. Colleagues ask about…
LMSF approach: changing the osteotomy direction by pushing the sinus wall
Melillo describes using the LMSF approach to change the osteotomy direction by pushing the sinus wall distally and explains the advantage Melillo…
Indirect sinus lifts at two sites in one session: hydraulic elevation at the FIRST upper molar and Mallet elevation at the SECOND upper molar
During a one-on-one mentoring session, N. P. uses a hydraulic Gdiff technique at the FIRST upper molar and the Magnetic Mallet at the SECOND upper…
Crestal sinus lift without collagen: it resorbs quickly and does not spread evenly
L. explains the reasons for believing that collagen can be avoided in a crestal sinus lift and describes the role L. assigns to the Magnetic Mallet.
Sinus floor lifted over the implant apex: predictable bone formation
S. R. considers the Mallet crucial to the sinus lift and links displacement of the sinus floor above the implant apex to what S. R. regards as…
Full-arch rehabilitation: displacing the sinus walls to obtain the most distal implant emergence
In a full-arch rehabilitation, Melillo describes maneuvers along the sinus walls to obtain remote anchorage and a more distal implant emergence…
Sinus lift with resorbable graft: new sinus floor at 1 and 2 years
L. B. compares the one- and two-year follow-ups and interprets the changes in the sinus floor. In reply to colleagues, L. B. specifies having used…
First transcrestal mini sinus lift: sutures, Condress, hyaluronic acid or nothing
Gianluca is preparing a first transcrestal mini sinus lift and asks for advice on instruments and materials. Colleagues focus on ridge anatomy and…
Less than 2 mm of residual bone at site 27: an almost flapless crestal sinus lift instead of a lateral approach
At site 27, with 1.8 mm of residual bone, Melillo describes a crestal sinus lift using gel and Elevate through a small incision. At site 25, Melillo…
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…
Atrophic ridge at 15–16: split crest, LMSF and Elevate in a single surgery
In one operation, Melillo addresses horizontal atrophy at site 15 and vertical atrophy at site 16. Melillo explains the anatomical assessment and the…
3 mm of residual bone at site 16 treated with Elevate and bone shaping of the septum at site 17: avoiding a lateral sinus lift
Franz presents a case planned and treated by Andrea: Elevate at site 16 with 3 mm of residual bone and bone shaping of the septum at site 17. The…
Tilted implants: reshaping the sinus with the Mallet, an immediate-loading case
Melillo describes repositioning an implant more distally to achieve a more distal prosthetic emergence and reports choosing immediate loading because…
Crestal sinus lift: graft or no graft? A protocol with more variables is needed
Michele Melillo discusses the criteria for choosing a crestal sinus lift and deciding whether to use graft material. In this case, Melillo uses…
Bone shaping on a thin ridge and crestal sinus lift with Elevate in the same case
In the same case, A. D. uses bone shaping on the narrow ridge at the mesial site and an Elevate crestal sinus lift at the distal site.
Guided sinus lift with Elevate and no graft: only collagen and native bone
V. presents a guided sinus lift with Elevate using collagen alone, without a particulate bone graft. P. E. shares a first experience with Elevate.
Sinus lift with 3 mm of residual bone: distal implant tilting or merely a projection artifact at six months
At the six-month follow-up, colleagues ask whether the implant has tilted or whether its appearance is due to the radiographic projection. Nicco…
Sinus lift using the bone-plug technique and the Mallet: 4.5 × 8 mm implants in 60 minutes
Filannino explains the sinus lift sequence and the decision to complete the operation despite the sinus width, based on what Filannino judged to be a…
LMSF at 6 months: better prosthetic emergence, straight abutment instead of a 30° MUA
Melillo presents the six-month follow-up of a case treated with LMSF and explains why the plan is to use a straight Octa abutment rather than a 30°…
Crestal sinus lift with Elevate, hyaluronic acid and graft in a single surgery
The discussion focuses on implant position, stability in the remaining 3 mm of bone and anatomical case selection. Colleagues also discuss the…
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…
Crestal sinus lift after extraction of tooth 16: a bone dome around the implant
After extracting tooth 16, L. B. chooses a sinus lift to allow implant placement and describes the operative sequence and the postoperative…
More clinical contributions
More experiences shared by colleagues.
Sinus lift
Crestal sinus lift with a sinus-floor bone plug: osteotome and trephine only
Marco Montanari describes a crestal sinus lift achieved by elevating a sinus-floor bone plug with an osteotome and a trephine.
Sinus lift
Mini sinus lift with the Mallet and a dedicated kit: healing at 4 months
S. D. presents a mini sinus lift performed with the Mallet and a dedicated kit, with a healing assessment at four months.