Use #15 to start bone expansion, followed by bone scalpels and bone blades, microosteotomes, DIO Sinus Master Kit and bone expander kit.  Initial depth will be 7-8 mm (gingival level).  It appears that UF implant (Fig.4) can be adapted to more varieties of abutments than SM (narrow and regular) or Tatum if ortho treatment can increase the edentulous space to normal mesiodistal width.  Place the implant slightly more distal.  Bone graft (.5-1 mm) will be used for sinus lift (red circles).

After 2 mm pilot drill at 3 mm (bone level) and 2.8 mm round drill until 5 mm, allograft and Osteogen are mixed and placed for sinus lift (Fig.1 *).  A 4x8.5 mm implant is placed with insertion torque <50 Ncm.  A 4.5x4(2) mm abutment is placed and more graft is placed around the crest at #3 and 4.  An immediate provisional is postponed due to limited space until wound heals.  No bone expansion is conducted (due to limited space), although the bone surface looks porous.

Ortho & Provisional

Xin Wei, DDS, PhD, MS 1st edition 03/12/2016, last revision 03/30/2016