Sinus floor augmentation combined with 3D alveolar reconstruction

1. The baseline OPT shows a tooth (28) retained inside sinus

2. The bony window is removed to access the sinus

3. The Schneiderian membrane is protected with a collagen sponge

4. mp3® is grafted (first layer) and three implants are placed

5. mp3® is grafted (first layer) and three implants are placed

6. mp3® (second layer) is grafted and stabilised with an Evolution collagen membrane

7. After eight months, the healing is uneventful

8. Partial thickness access flap is raised to uncover implants

9. A Derma dermal matrix is used for connective tissue protection

10. The partial thickness flap is repositioned apically, buccally and mesially, in order to provide adequate keratinezed tissue buccally

11. The partial thickness flap is repositioned apically, buccally and mesially, in order to provide adequate keratinezed tissue buccally

12. The partial thickness flap is repositioned apically, buccally and mesially, in order to provide adequate keratinezed tissue buccally

13. Healing at three weeks

14. Healing at eight weeks, at the time of provisonal restoration application

15. Final zirconia restorations. Implant supported screwed crowns for treated sites

16. Final zirconia restorations. Implant supported screwed crowns for treated sites

17. Final zirconia restorations. Implant supported screwed crowns for treated sites

18. Final OPT