Video:

Since the 1980's articles of Boyne & James descriptive technique, we have been treating the atrophic posterior maxilla almost in the same way. The piezoelectric surgery changed the manner and safety of accessing the schniderian membrane, but in order to establish a predictable result we have to be precise in the three important parameters: the shape, size and location of the lateral access. This is the basis of the procedure, and we introduce here the "Wet Gauge Technique", that makes access safer and cleaner. This method for Schneiderian membrane lift, as well as a new Incision design based on maximizing maxillary vascularity will be introduced . Also, the use of the Clinicae Template for precise implant placement is highlighted as well as the myth of the use of the lateral window wall to be utilized as a new sinus´ floor will be discussed.