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Fig 3: Primary Osteotomy Fig 4: Final Osteotomy Fig 5: Putty Placement

Fig 6: Implant Placement and second premolar kept as Fig 7: Membrane Placement Fig 8: Immediate Post Operative With Bone Graft
an interim Vertical Stop

DiSCUSSiON
(accelerate tissue remodeling and plaque control), methyl salicylate
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The rehabilitation of partially or totally edentulous patients with (antiseptic), lactoferrin (bone growth factor) with neutral pH value.
implant-supported prostheses has become common practice in This present Clinical case demonstrates that performing a single step
dentistry: however the posterior maxilla represents a challenge because for the sinus floor elevation, grafting and dental implant placement has
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of alveolar ridge resorption and maxillary sinus pneumatization. The a high success rate. No change in the crestal bone level was seen after
maxillary sinus elevation technique (sinus-lift) is one of the most loading without any complications.
commonly used strategies for dental implant rehabilitation in atrophic
posterior maxillae. Some of the authors consider that, when sinus CONCLUSiON
pneumatization is relevant (residual height of <4 mm), sinus-grafting The long-term evaluation of sinus grafts has been evaluated based on
procedures can be safely and predictably used; However, it is not clear the implant survival. Implants placed with sinus lift grafts had superior
whether both implants and sinus-lift-grafting could be performed results than those placed without grafts. Angulated or short implant
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within the same surgical procedure. When the residual bone height success rates are unpredictable. The procedure of direct or indirect sinus
belongs to class C (residual bone height 4-6 mm), a lateral approach lift technique needs a sound knowledge of bone and sinus anatomy,
involving a grafting material with immediate or delayed implants is preoperative evaluation, diagnosis, proper surgical techniques, regular
advocated; when the residual bone height belongs to class D (residual recalls, and review.
bone height 1-3 mm), a lateral approach involving a bone grafting
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material and delayed implant placement is recommended. Bioner References
implant has the surface which is double etched instead of sandblasting 1. S Devameena, D S Dinesh, G Lakshmi Devi, G Shanmugavadivel.
which make is contaminant free as well as design makes it suitable for Sinus lift procedures in dental implants: A literature review
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immediate placement. Fluoride free Blue M gel was used to promote on techniques, recommendations and complications. Indian J
healing. It has xylitol and honey (plaque control), sodium perorate DentSCi2020;12:180-6.
Dental Practice i July-August 2023 i Vol 19 No 4 45