Sinus Lift with PRF

A 54-year-old man presents to office with a request to get a tooth back in the upper left posterior region (Fig.1 #14, wearing RPD).  Upon examination, he feels that the tooth #2 is mobile, requiring more urgent care (Fig.2).  The infection also involves the tooth #1.  Extraction of the latter seems to be imminent.  At either site, bone height is limited.  Sinus lift is expected with PRF.  Place an implant that just passes the sinus floor for stability, e.g., 5-6x10 mm at #2 (Fig.3), but not too long into the sinus.  At the 2nd stage (Fig.4), use Magic drill with 2 mm stopper as a tissue punch.  Then with 3 mm stopper start osteotomy, followed by Magic lifter, PRF/bone graft and dummy implant or tap.  More bone graft and definitive implant.  In fact the patient wants to have #14 implant first.

Return to Upper Molar Immediate Implant, Prevent Molar Periimplantitis (Protocols, Table), Armaments, Metronidazole

Xin Wei, DDS, PhD, MS 1st edition 07/04/2018, last revision 09/23/2018