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1/13 - Initial situation: X-ray scan reveals eggshell thin sinus floor (1-3 mm) on both sites 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
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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
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3/13 - Detaching the Schneiderian membrane
Sinus Floor Elevation with maxgraft® bonering and subcrestal implantation in an eggshell thin sinus - Dr. K. Chmielewski
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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