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    • Clinical case of bilateral sinus lift for implant placement

    • cover image
    • 1. Initial panoramic X-ray, showing pneumatization of both maxillary sinuses
    • 2. Initial intra-oral situation
    • 3. Full thickness mucoperiosteal flap with mesial release incision, to access the right maxillary sinus
    • 4. Opening of lateral window with a high speed bur
    • 5. Raising of the Schneiderian membrane creating the space for the graft
    • 6. Collagen membrane OsteoBiol<sup>®</sup> <i>Evolution</i> protecting the ceiling of the sinus
    • 7. Beginning filling the lifted sinus with OsteoBiol<sup>®</sup> <i>Putty</i>
    • 8. Finishing the filling of the sinus with OsteoBiol<sup>®</sup> <i>Putty</i>
    • 9. Protecting the xenograft with OsteoBiol<sup>®</sup> <i>Evolution</i>
    • 10. Suture of the flap with polyamide 4(0) suture with simple stitches
    • 11. Full thickness mucoperiosteal flap with mesial release incision, to access the left maxillary sinus
    • 12. Opening of lateral window with a high speed bur
    • 13. Raising of the Schneiderian membrane of the sinus, creating the space for the graft
    • 14. Beginning filling the lifted sinus with OsteoBiol<sup>®</sup> <i>mp3</i><sup>®</sup>
    • 15. Finishing the filling of the sinus
    • 16. Protecting the xenograft with OsteoBiol<sup>®</sup> <i>Evolution</i>
    • 17. Suture of the flap with polyamide 4(0) suture with simple stitches
    • 18. Four dental implants (2 in each sinus) were placed after 8 months of healing. Rehabilitation with fixed ceramic bridges after 3 months
    • 19. Final fixed oral rehabilitation with bridges over implants in the posterior regions and ceramic crows on the anterior teeth (occlusal view)
    • 20. Patient smile after the rehabilitation
    • 21. Panoramic final X-ray at 5-year follow up
    • Clinical indication: lateral access sinus lift
    • Products : Evolution, mp3®, Putty
    • Authors : Dr. Raquel Zita Gomes
    • Information about patient: Female, 50 years old
    • Credits : Documentation provided by Dr. Raquel Zita Gomes, Oporto, Portugal
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