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Sinus Elevation

Sinus Elevation. Open Sinus Elevation with Lateral Ridge Augmentation. Pamela Nicoara DDS. Fractured abutment #11 and recurrent decay abutment #13. Bridge to be sectioned and #15 temporarily used as temporary RPD abutment. Note large pneumatized sinus in area of proposed implants.

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Sinus Elevation

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  1. Sinus Elevation Open Sinus Elevation with Lateral Ridge Augmentation Pamela Nicoara DDS

  2. Fractured abutment #11 and recurrent decay abutment #13. Bridge to be sectioned and #15 temporarily used as temporary RPD abutment. Note large pneumatized sinus in area of proposed implants. Pamela Nicoara DDS

  3. Note lack of osseous density in area of extraction sites. Pamela Nicoara DDS

  4. Note severely resorbed ridge in canine/premolar region. Pamela Nicoara DDS

  5. Lateral sinus access and elevation, filled with bone grafting material. Pamela Nicoara DDS

  6. Ridge also augmented with bone grafting material and a membrane used to maintain bone grafting material in the proper location. Pamela Nicoara DDS

  7. 6 month Recall Initial Pamela Nicoara DDS

  8. Note augmented ridge and sinus, with tacks and membrane still in place. Pamela Nicoara DDS

  9. Precision surgical guide fabricated to assist in accurate implant placement. Pamela Nicoara DDS

  10. Pamela Nicoara DDS

  11. Initial Pamela Nicoara DDS

  12. Pamela Nicoara DDS

  13. Pamela Nicoara DDS

  14. Pamela Nicoara DDS

  15. Sinus Elevation Closed Sinus Elevation Pamela Nicoara DDS Pamela Nicoara DDS

  16. Patient presents with prior extraction and simultaneous bone graft site #4. Perforation of sinus is anticipated when placing appropriate length implant. Flapless implant placement and sinus elevation is planned. Pamela Nicoara DDS Pamela Nicoara DDS

  17. Osteotome used to elevate sinus floor. Pamela Nicoara DDS Pamela Nicoara DDS

  18. Pamela Nicoara DDS Pamela Nicoara DDS

  19. Note osseous sinus floor appropriately tented over implant apex. Pamela Nicoara DDS Pamela Nicoara DDS

  20. Thank You! Pamela A Nicoara DDS MSD PLLC 3125 Colby Avenue, Suite H Everett WA 98201 T: 425-374-5380 • F: 425-374-5382 16030 Bothell Everett Hwy, Suite 260 Mill Creek WA 98012 T: 425-224-8199 • F: 425-338-7062 www.NICOARAperio.com • NICOARAperio@gmail.com

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