I have placed 3 implants 4x10, betwen the last two implants there was a remaining Root, with insuficient residual bone, so i decided to place the implants with internal sinus lifting. The residual bone in the last implant was 8 mm, and in the midle was 6-7mm.
How much intralift in mm can i go?
When i have 6-7 mm i always want to make intralift, and temporize the external.sinus lift.
Is IT ok?
I am not sure that I understand what you are asking but I think the answer is Yes it is ok as long as it works for you…
We also weren’t sure exactly what the question was, so we took the opportunity look up the Intralift with the help of OsseoNews AI. Here’s what we got:
The Intralift procedure is a hydrodynamic ultrasonic-driven transcrestal sinus grafting technique. It is designed to elevate the Schneiderian membrane and create a sufficient recipient site for implants, particularly in cases where there is less than 5 mm of remaining bone height. This procedure uses ultrasonic tips to prepare the bone under the sinus and elevate the membrane with a trumpet-shaped instrument. A high-temperature sintered bovine grafting material is then introduced into the newly created subantral space.
The results from studies on the Intralift procedure have shown the formation of new vital bone and the presence of bone substitute material without signs of abnormal inflammation. This technique allows for new bone formation in the sinus, enabling the placement of implants without the need for additional autogenous bone.
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Volumetric changes of grafted volumes and the Schneiderian membrane after transcrestal and lateral sinus floor elevation procedures: A clinical, pilot study. Journal of clinical periodontology. Volume: 44, Issue: 6, 2017 - Andy Temmerman , Jeroen Van Dessel , Simone Cortellini , Reinhilde Jacobs , Wim Teughels , Marc Quirynen
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Incremental, transcrestal sinus floor elevation with a minimally invasive technique in the rehabilitation of severe maxillary atrophy. Clinical and histological findings from a proof-of-concept case series. Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons. Volume: 73, Issue: 5, 2015 - Leonardo Trombelli , Giovanni Franceschetti , Paolo Trisi , Roberto Farina
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Primary implant stability in augmented sinuslift-sites after completed bone regeneration: a randomized controlled clinical study comparing four subantrally inserted biomaterials. Scientific reports. Volume: 4, Issue: , 2014 - Angelo Troedhan , Izabela Schlichting , Andreas Kurrek , Marcel Wainwright
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Histological and histomorphometric study using an ultrasonic crestal sinus grafting procedure. A multicenter case study. Medicina oral, patologia oral y cirugia bucal. Volume: 21, Issue: 3, 2016 - M Wainwright , D Torres-Lagares , B Pérez-Dorao , M-A Serrera-Figallo , J-L Gutierrez-Perez , A Troedhan , A Kurrek
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Minimally invasive technique for transcrestal sinus floor elevation: a case report. Quintessence international (Berlin, Germany : 1985). Volume: 41, Issue: 5, 2010 - Leonardo Trombelli , Pasquale Minenna , Giovanni Franceschetti , Luigi Minenna , Angelo Itro , Roberto Farina
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An Atraumatic Approach to Internal Sinus Lifting: The Motorized Expansion Drill Technique. Compendium of continuing education in dentistry (Jamesburg, N.J. : 1995). Volume: 41, Issue: 6, 2020 - Michael K Sonick , Debby Hwang , Rui Ma
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Retrospective analysis of time-related three-dimensional iliac bone graft resorption following sinus lift and vertical augmentation in the maxilla. International journal of oral and maxillofacial surgery. Volume: 51, Issue: 4, 2022 - D Steller , M Falougy , P Mirzaei , S G Hakim
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Minimally invasive transcrestal sinus floor elevation with deproteinized bovine bone or β-tricalcium phosphate: a multicenter, double-blind, randomized, controlled clinical trial. Journal of clinical periodontology. Volume: 41, Issue: 3, 2014 - Leonardo Trombelli , Giovanni Franceschetti , Claudio Stacchi , Luigi Minenna , Orio Riccardi , Rosario Di Raimondo , Alessandro Rizzi , Roberto Farina
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Minimally invasive transcrestal sinus floor elevation with graft biomaterials. A randomized clinical trial. Clinical oral implants research. Volume: 23, Issue: 4, 2012 - Leonardo Trombelli , Giovanni Franceschetti , Alessandro Rizzi , Pasquale Minenna , Luigi Minenna , Roberto Farina
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Modified internal sinus elevation for patients with low residual bone height: A retrospective clinical study. Clinical implant dentistry and related research. Volume: 25, Issue: 3, 2023 - Yinxin Deng , Chunyu Tong , Kang Gao , Yiping Dou , Ruihong Ma , Yilin He , Beibei Li , Weiwei Liu , Pan Ma
can you explain what you mean by:
“temporize the external.sinus lift”
I was confused also. But I think you’re talking about vertical sinus lift instead of lateral sinus lift. If you implant is 10mm and ur sinus floor is 6-7mm. Then you just need to add enough BG to lift 4-5mm. Also. I would have just replaced second premolar and 1st molar. I think your position of 2nd implant is little too mesial. Which isn’t a big problem.
There are many different techniques for vertical sinus lift. Where as lateral sinus lift there’s pretty much only one way. Either way as long as ur bone graft covers the implants you should be good.