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.
- Detailed visualization of sectors 13 to 15, with CBCT to highlight the bone structures.
- Panoramic view of the sector
- 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.
- 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. - The B.Y.1 under irrigation slightly displaced palatal.
- B.Y.1
- B.Y.2
- B.Y.3
- B.Y.4 dives
- The bloody buoy and the bone disc
- Osteotome pushing back the membrane, millimeter by millimeter (positions at 5, 6, 7, 8 and 9 mm).
- The Bond Apatite is deposited at the edge of the hole using the “bone carrier” syringe
- 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.
- After closing the hole, the widening of the crest in sector 12-13 is carried out.
- Thin crest, it is necessary to “decorticate”
- Bond Apatite graft.
- The operated area is sutured.
- 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.