Prior to placement of 5.5x9 mm IBS implant (~ 35 Ncm, Fig.5), a piece of Osteogen plug is inserted into the osteotomy for repair of the perforation.  The final implant is also shy of the sinus floor (^).  The Osteogen plug is apparently placed underneath the sinus floor so that it should be able to repair hard and soft tissue defects.  The remaining sockets are mainly filled with Osteogen plug, while the implant plateau is covered by autogenous bone and Osteogen.  A 6.5x4(3) mm abutment is placed for an immediate provisional.

Repair Sinus Membrane Perforation

Xin Wei, DDS, PhD, MS 1st edition 12/29/2016, last revision 01/19/2018