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    • One-stage crestal sinus lift with OsteoBiol® Gel 40 in anatomically narrow sinus, in presence of less than 5 mm of residual bone height

    • cover image
    • Fig. 1 Pre-surgical radiograph. An implant was inserted to replace tooth #16 about 10 years before. The implant subject to this case was placed in position #17
    • Fig. 2 The narrow anatomy of the sinus ( < 12 mm in width measured at 10 mm from the maxillary ridge) and residual bone height between 3 mm and 5 mm allowed a 1-stage surgical approach (crestal sinus lift and contextual implant insertion)
    • Fig. 3 Injection of OsteoBiol® <i> Gel 40 </i>
    • Fig. 4 Panorex at baseline (T0). OsteoBiol® Gel 40 elevated the sinus membrane in the site of the new implant and also above the apex of the old implant in position 16
    • Fig. 5 Cross-section CBCT at baseline (T0). OsteoBiol® Gel 40 elevated the sinus membrane in the site of the new implant and also above the apex of the old implant in position 16
    • Fig. 6 Intraoral radiographs: intraoperative and at T0, 2 months, 5 months
    • Fig. 7 Radiograph 7 months after surgery, OsteoBiol® Gel 40 has been remodeled into new bone above the new implant
    • Fig. 8 Radiograph 7 months after surgery, OsteoBiol® Gel 40 has been remodeled into new bone above the implant inserted 10 years before
    • Fig. 9 One year after surgery. Observing the radiograph, it’s difficult to identify the transition between pristine and newly formed bone
    • Fig. 10 Follow-up radiograph after one year of prosthetic load
    • Clinical indication: crestal access sinus lift
    • Products : Gel 40
    • Authors : Dr Fabio Bernardello, Prof. Claudio Stacchi,
    • Information about patient: Male, 59 years old
    • Credits : Documentation provided by Dr Fabio Bernardello, Italy
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