Download - Sinus Elevation
![Page 1: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/1.jpg)
Pamela Nicoara DDS
Sinus Elevation
Open Sinus Elevation with Lateral Ridge Augmentation
![Page 2: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/2.jpg)
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.
![Page 3: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/3.jpg)
Pamela Nicoara DDS
Note lack of osseous density in area of extraction sites.
![Page 4: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/4.jpg)
Pamela Nicoara DDS
Note severely resorbed ridge in canine/premolar region.
![Page 5: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/5.jpg)
Pamela Nicoara DDS
Lateral sinus access and elevation, filled with bone grafting material.
![Page 6: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/6.jpg)
Pamela Nicoara DDS
Ridge also augmented with bone grafting material and a membrane used to maintain bone
grafting material in the proper location.
![Page 7: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/7.jpg)
Initial
6 month Recall
Pamela Nicoara DDS
![Page 8: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/8.jpg)
Pamela Nicoara DDS
Note augmented ridge and sinus, with tacks and membrane still in place.
![Page 9: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/9.jpg)
Pamela Nicoara DDS
Precision surgical guide fabricated to assist in accurate implant placement.
![Page 10: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/10.jpg)
Pamela Nicoara DDS
![Page 11: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/11.jpg)
Initial
Pamela Nicoara DDS
![Page 12: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/12.jpg)
Pamela Nicoara DDS
![Page 13: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/13.jpg)
Pamela Nicoara DDS
![Page 14: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/14.jpg)
Pamela Nicoara DDS
![Page 15: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/15.jpg)
Pamela Nicoara DDSPamela Nicoara DDS
Closed Sinus Elevation
Sinus Elevation
![Page 16: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/16.jpg)
Pamela Nicoara DDSPamela Nicoara DDS
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.
![Page 17: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/17.jpg)
Pamela Nicoara DDSPamela Nicoara DDS
Osteotome used to elevate sinus floor.
![Page 18: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/18.jpg)
Pamela Nicoara DDSPamela Nicoara DDS
![Page 19: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/19.jpg)
Pamela Nicoara DDSPamela Nicoara DDS
Note osseous sinus floor appropriately tented over implant apex.
![Page 20: Sinus Elevation](https://reader035.vdocument.in/reader035/viewer/2022062408/5681417c550346895dad6d3a/html5/thumbnails/20.jpg)
Thank You!
3125 Colby Avenue, Suite HEverett WA 98201T: 425-374-5380 • F: 425-374-5382
16030 Bothell Everett Hwy, Suite 260
Mill Creek WA 98012T: 425-224-8199 • F: 425-338-
7062www.NICOARAperio.com • [email protected]
Pamela A Nicoara DDS MSD PLLC