04/03/2019
I present a sinus bump case in honor of Wednesday Hump Day :) There are many options for sequencing dental implant therapy in the posterior maxilla. There are many people that advocate extracting a tooth, elevating the floor of the sinus, and placing the implant fixture, all in one visit. In my hands, I am usually more comfortable extracting the the tooth, and getting soft tissue healing first. After 3-6 months of healing, if the bone volume allows, we can punch the tissue, and do a flapless implant fixture placement, while at the same time, tenting the sinus floor through the osteotomy of the implant. This procedure is quick, efficient, and results in almost no pain post-operatively for the patient. It still amazes me to this day how little pain there can be with this type of minimally invasive approach. In this case above, I used a combination of twist drills and Piezosurgery to access the sinus, small particle size bovine xenograft (BioOss by Geistlich), and a Straumann Bone Level Tapered fixture. This method is my go to for cases where I have sufficient residual bone below the sinus to place the implant at the time of sinus floor elevation. The implant is restored 3 months after placement.
I present a sinus bump case in honor of Wednesday Hump Day :) There are many options for sequencing dental implant therapy in the posterior maxilla. Many people advocate extracting a tooth, elevating the floor of the sinus, and placing the implant fixture, all in one visit.
In my hands, I am usually more comfortable extracting the the tooth, and getting soft tissue healing first. After 3-6 months of healing, if the bone volume allows, we can punch the tissue, and do a flapless implant fixture placement, while at the same time, tenting the sinus floor through the osteotomy of the implant. This procedure is minimally invasive, quick, efficient, and results in almost no pain post-operatively for the patient. It still amazes me to this day how little pain there can be with this type of minimally invasive approach. In this case above, I used a combination of twist drills and Piezosurgery to access the sinus, small particle size bovine xenograft (BioOss by Geistli @ San Francisco Bay Area