Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski

  • 1/13 - Initial situation: X-ray shows eggshell thin sinus floor (1-3 mm) on both sides of the maxilla. Green areas indicate the planned maxgraft® bonerings and red areas the planned implants.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 2/13 - Lateral window prepared with a piezo electric instrument.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 3/13 - Detaching the Schneiderian membrane.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 4/13 - Filling up the defect with cerabone®.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 5/13 - Direct implantation in the area with sufficient maxillary bone height.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 6/13 - Preparing ring and implant extraorally. The implant should be placed a little lower as the margin of maxgraft® bonering.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 7/13 - Implanted bone ring and implant secured with a membrane screw.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 8/13 - The sinus cavity is filled with a cerabone®.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 9/13 - Jason® membrane secured with titanium pins.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 10/13 - PRF matrix to support soft tissue healing.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 11/13 - Sutured with single stitches and apical mattress sutures.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 12/13 - Second side proceeded in the same manner.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
  • 13/13 - 9 months after surgery: Eventless healing and gingiva former in situ.
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski
    Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus -Dr. K. Chmielewski