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Video Details
Maxillary Molar Extraction and Immediate Implant Placement with Crestal Sinus Lift

Description:
Atraumatic maxillary molar extraction via root sectioning followed by hydraulic crestal sinus lift and immediate implant placement. Sinus lift performed at interradicular area with sinus membrane elevated approximately 3 mm with specialized kit using saline injected through osteotomy. Hydraulic pressure gently raises the sinus membrane without risk of perforation.

Date Added:
5/22/2014

Author(s):

John DiPonziano, CDT, DDS, MAGD, DICOI John DiPonziano, CDT, DDS, MAGD, DICOI
Dr. John DiPonziano has been performing the surgical placement and prosthetic restoration of dental implants since the mid-eighties.

A 1983 graduate of Templ...
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Questions & Comments
Joon Kim554 - (9/12/2017 11:04 AM)

Is it not necessary to have primary closure for implants?

amr al-khairi - (4/4/2017 3:23 PM)

thanks, good case presentation.

Eric Pena - (4/6/2015 12:40 PM)

Thanks

Adalberto Villa - (1/12/2015 5:48 PM)

what is going to hapend with the exposed membrane

Dr. Ilukhin - (9/30/2014 4:33 PM)

Good work! I'd like to know why didn't you use FGG into the removed tooth area or another soft-tissue manegement? I think it is risky to hold the membrane open still!?It's one thing if the sutures are not stable and therefore the membrane is stripped.The other lead is initially wound with an open membrane(though non-resorbable PTFE) Thanks.

yaarob sara - (5/30/2014 1:50 PM)

I hope you could explain why you used this membrane? Thank you

Maurice Salama - (5/30/2014 8:30 AM)

John; How do you test for sinus perforation? If you have one how do you manage it with an internal approach? Thanks for sharing Dr. Salama

byron scott - (5/30/2014 7:55 AM)

Brief & thorough review. Thanks

John DiPonziano - (5/27/2014 1:24 AM)

Dr. Imran... the membrane is non-resorbable PTFE, and does not need to be covered. As long as it is not contaminated when placed, it usually does not become infected. It is removed in one month.
Dr. Potocsky...I showed this case because the large intraradicular area allowed simultaneous sinus lift, and it became an all-in-one video. That large of an area of bone is not seen routinely.
Typically in a maxillary molar, the tooth would be extracted and just socket grafting performed. Then in four to five months, a crestal lift is done and implant placed.
I don't like placing implants into the palatal socket, since the angulation of the abutment relative to the implant becomes severe.
Dr. Zidile...this was a referred case to me so I don't have follow-up restorative photos yet. I will try to get them and post them.
John DiPonziano

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