Maxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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01/35 - Initial x-ray, tooth 25 compromised and to be extractedMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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02/35 - CBCT shows maxillary sinus cystMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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03/35 - CBCT shows maxillary sinus cystMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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04/35 - Preparation of the lateral sinus window using piezosurgeryMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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05/35 - Detached sinus membraneMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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06/35 - Aspiration of the cystic contentsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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07/35 - Removal of the cyst from the sinusMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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08/35 - CystMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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09/35 - Suture of the sinus membraneMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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10/35 - Protection of the perforation with Jason® membraneMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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11/35 - Re-Application of the bone window removed at the startMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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12/35 - Protection of the sinus window with Jason® membrane and L-PRFMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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13/35 - SuturesMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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14/35 - Histological analysis shows a salivary retention cystMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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15/35 - Buccal healing after 4 monthsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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16/35 - X-ray after 5 monthsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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17/35 - CBCT after 6 monthsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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18/35 - Re-opening of the flap for lateral sinus lift and implant positioningMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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19/35 - Preparation of the sinus window with piezosurgeryMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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20/35 - Detachment of the membrane using classic instrumentsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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21/35 - Bone augmentation using cerabone®, maxgraft®, and autologous boneMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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22/35 - Application of Jason® membrane to protect the sinus graftMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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23/35 - Protection of the sinus window using L-PRFMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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24/35 - SuturesMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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25/35 - Post-operative x-rayMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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26/35 - Radiological follow-up at 6 monthsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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27/35 - Mini-invasive second stage, in order to save the keratinized mucosaMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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28/35 - Application of the healing cap after the second stageMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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29/35 - X-ray control after the second stageMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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30/35 - Peri-implant tissues at 3 weeks from the second stageMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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31/35 - Peri-implant tissues at 3 weeks from the second stageMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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32/35 - Impression with PermadyneMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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33/35 - Fitting of the zirconia crownMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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34/35 - Anatomical occlusal filling of the screw channelMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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35/35 - X-ray follow-up at 8 months from the delivery of the crownMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
Baseline clinical situation.
Situation before extraction of the teeth
Initial clinical situation
Initial situation after extraction of tooth 21 after 6 months
Preparation of a single tooth defect with severely resorbed vestibular wall
Initial clinical situation.
Initial clinical situation
Tooth 16 furcation involvement with gingival marginal recession and large Class 5 filling
Initial x-ray, ten years post implantationem alio loco, large peri-implant bone loss
Extraction socket with bone wall defect
Situation before tooth extraction
Initial clinical situation
Initial X-ray presenting a very deep intrabony defect of tooth 21
Implant placed in the deficient site. permamem® in place for covering.
Initial situation – Treatment plan: Replace the adhesive upper left central incisor bridge with a dental implant
Occlusal view of attached maxgraft® cortico at the buccal site
Initial x-ray, tooth 25 compromised and to be extracted
Clinical situation at baseline: Situation after tooth extraction UR1 due to a failed endodontic treatment 3 months previously
Alveolar socket before soft and hard tissue augmentation
Pre-operative situation; tooth 21 proved not to be worth preserving
Initial clinical situation: 9 mm pocket depth associated with root fracture
Initial situation - A young female 34 years old lost her front teeth in an surfing accident and she had a 5 unit bridge supported by her upper left lateral and right canine. The restoration failed and both supporting crowns have exposed and leaking margins.
Initial situation - endodontically failing tooth 22, very thin biotype, high lip line and esthetic expectations
Preoperative x-ray, severe bone atrophy
Initial situation - broken and missing upper right central incisor (UR1). This tooth was removed long time ago and there were signs of bone loss and resorption due to the bone remodelling. Patient was also undergoing orthodontic treatment due to the loss of mesio-distal space.


































