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12-24 Months, Augma Bone Cement Academy, Bond Apatite®, Bone Cement, Bone Cement Expert, Buccal Defects, Clinical Cases, Clinical Indication, Clinician, Closed Sinus Lift, Dental Notation, Images, Media, Oro-antral Communication, Post-Op Period, Sinus Lift, Upper Left Molar, Upper Left Premolar
Implant-Prosthetic Rehabilitation of Alveolar Defect with Sinus Communication
The patient is a 48 years old female, non-smoker, with good general health. She came to the clinic for treatment on the left upper jaw, complaining of discomfort while chewing.
Upon clinical examination severe mobility of the dental bridge in the area of #25 (13) – #27 (15) was discovered. There was no bleeding and no pus discharge. CBCT of the site revealed chronic sinusitis and resorption of alveolar bone on both the buccal and palatal cortex, with loss of the left sinus floor.
The treatment plan consisted of a few steps:
1) Extraction of teeth #25 (13) & #27 (15), sinus curettage and reconstruction of the alveolar bone.
2) Sinus lift and implant insertion #25 (13) & #26 (14)
3) Prosthetic rehabilitation
Tight suturing of the gingiva is done to prevent any communication with the oral cavity, which was the main concern.
Post operative instructions involved antibiotics and anti-inflammatory treatment for 1 week. Follow up was scheduled for 3 weeks post-op, and once a month after that.
Uncovery of the implants took place 6 months after placement, to ensure osteointegration. The CBCT at this stage confirmed the amazing results. Cortical regeneration by Augma bone cement, alveolar bone formation and osteointegration of the implants.
