Case description:

A 65-year-old female patient with a thin ridge in the right maxilla. The procedure consisted of a sinus lift using KIT A, combined with a lateral augmentation of the ridge in the anterior sector, all in a single session.

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  1. Detailed visualization of sectors 13 to 15, with CBCT to highlight the bone structures.
  2. Panoramic view of the sector
  3. The CBCT of sector 15 reveals a lack of bone height under the sinus, the presence of a retention cyst, and a bone crest whose thickness is significantly reduced, thus illustrating the challenges related to implant placement in this area.
  4. Sections of sectors 12, 13 and 14: The crest is particularly thin.In this case, the management consists of performing, during the same intervention:
    • An elevation of the sinus membrane with bone graft using KIT A.
    • A lateral augmentation of the crest in the anterior sector.
  5. The B.Y.1 under irrigation slightly displaced palatal.
  6. B.Y.1
  7. B.Y.2
  8. B.Y.3
  9. B.Y.4 dives
  10. The bloody buoy and the bone disc
  11. Osteotome pushing back the membrane, millimeter by millimeter (positions at 5, 6, 7, 8 and 9 mm).
  12. The Bond Apatite is deposited at the edge of the hole using the “bone carrier” syringe
  13. This operation (deposition of Bond Apatite and graft by osteotomy) is repeated five times, removing one millimeter of height of the osteotome at each pass.
  14. After closing the hole, the widening of the crest in sector 12-13 is carried out.
  15. Thin crest, it is necessary to “decorticate”
  16. Bond Apatite graft.
  17. The operated area is sutured.
  18. Intraoperative radiographic result (CBCT): The CBCT reveals a well-defined graft material, protected by an intact membrane.Conclusion:
    Sinus floor elevation using KIT A was shown to be an effective minimally invasive procedure. This technique allowed, during the same session, to obtain a thin ridge thickening with almost non-existent postoperative effects. The success of this approach underlines its interest in the treatment of patients requiring bone regeneration for optimal implant placement.