Sinus graft combined with 3D alveolar reconstruction

Dr. Ferdinando D Avenia
Initial situation

A female patient (67 years old) shows a retained tooth inside the sinus

Used biomaterials
  • mp3®
  • Evolution
  • Derma
1. Baseline OPT: note retained tooth 28 inside sinus

1. Baseline OPT: note retained tooth 28 inside sinus

2. Access flap and antrostomy

2. Access flap and antrostomy

3. Schneiderian membrane protection with collagen sponge

3. Schneiderian membrane protection with collagen sponge

4. OsteoBiol® mp3® graft material (first layer) and implant placement

4. OsteoBiol® mp3® graft material (first layer) and implant placement

5. OsteoBiol® mp3® graft material (first layer) and implant placement

5. OsteoBiol® mp3® graft material (first layer) and implant placement

6. OsteoBiol® mp3® (second layer) and OsteoBiol® Evolution membrane

6. OsteoBiol® mp3® (second layer) and OsteoBiol® Evolution membrane

7. 8 months of uneventful healing

7. 8 months of uneventful healing

8. Partial thickness access flap for implant uncovering

8. Partial thickness access flap for implant uncovering

9. OsteoBiol® Derma graft for connective tissue protection

9. OsteoBiol® Derma graft for connective tissue protection

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

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

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

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

13. Healing at 3 weeks

13. Healing at 3 weeks

14. Healing at 8 weeks, at the time of provisonal restoration application

14. Healing at 8 weeks, at the time of provisonal restoration application

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

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

16. 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

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

18. Final OPT

18. Final OPT

Used biomaterials
mp3
mp3®
derma
Derma
evolution
Evolution
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