Maxillary sinus graft, Tooth uprighting for space regaining (MTM) > DENTAL FORUMS

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Implantology Orthodontics
Maxillary sinus graft, Tooth uprighting for space regaining (MTM)

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Views : 640/ Nov, 17, 2022

This patient was a dental hygienist in my clinic. (code-CJmmj)

 


  1. The missing 1st molar space should be regained for the implant-supported crown. 

 

 

  2. A cyst-like appearance in the maxillary sinus was observed on CT.




  3. For the laterally approached maxillary sinus graft, the lateral window was opened using a Pizo piezo surgical equipment (SURGYBONE®, SIILFRADENAT Co,) 




  4. AIO(All-In-One) sinus curette was used. 



 

  5. The maxillary sinus membrane was sufficiently raised.

 


  6. To protect the roof of the maxillary sinus membrane, an absorbable collagen membrane is placed under the raised sinus membrane.




  7. By placing the collagen membrane in this way, the problem caused by the perforation of the maxillary sinus membrane that might not have been noticed can also be solved.



  8. Filling with graft material.


  9. Graft material. (FDBA+Xenogragt)

 

 

  10. Absorbable collagen membrane was placed.




  11. suture. 



  12. .CBCT after the graft.

 

 

  13. Photo 2 months later.


  14. The bracket was bonded and the segment wire was ligatured. 

 
 

  15. 50 days after orthodontic treatment. (coated Ni-Ti open coil spring)

 


  16. 85 days after orthodontic treatment

 

 

  17. The implant was placed in a conventional manner. (HIOSSEN CO. TSⅢ 4.5*11.5mm)




  18. 
Panoramic radiograph right after implant placement

 

 

  19. 6 months of implant placement. tissue punching instrument was used to expose the fixture.




  20.  
HA was connected by extending the gingiva from a small size to an appropriate size.



   21. Impression taking.



  22.  Custom abutment was connected.   



  23. Zirconium crown.

 


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