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implants - international magazine of oral implantology

industry report I _Methods and materials First stage was augmentation of the sinus flour according to the cardwell-luc approach after mid crestal incision and flap raised with releasing inci- sionatthecaninearea,cuttingthebuccalwallofthe sinuswithsinuslateralelevationkitofZimmerDen- tal. After membrane elevation filling the sinus vol- ume with lyophilised atelo-collagenated bovine bone graft (Hypro-Oss™, Bioimplon GmbH), grain size0.5–1.0mm,filling3ccofmaterialineachsinus, Saline was added five minutes before using the xenograft. The lateral window was covered with re- sorbablemembranethatcontainsabsorbablesterile bovineatelo-collagen(99.9%collagentypeIfreeof telo-peptide), Hypro-Sorb M™, Bioimplon GmbH. The site was sutured with 3-0 silk sutures. Amoxi- cillin 500 mg TID with 250 mg of metronidazole TID was recommended for seven days after surgery. Followupincludingclinicalexaminationwasheld once every two weeks and later once a month to evaluate the healing process. Radiographic exami- nationwasdoneatweek24toevaluatethebonevol- umeandasecondsurgerywasdonewhereimplants were placed at the sinus area using flap elevation. The implant site was prepared using trephine drills 2.5 mm diameter proceeded by drills according to implantation accepted protocol in addition to buc- calapproachbiopsyusing4.5mmtrephinebetween implants and then filling biopsy defect with Hypro- Oss xenograft and Hypro-Sorb M membrane. The bonebiopsiesweresenttohistologicalexamination, placingimplantsatthepreparedsitesmeasuringthe insertion torque-by-torque wrench tool. The histo- Fig. 3_Hypro-Oss™-granules. Fig. 4_Lateral window for sinus augmentation (Caldwell-luc approach). Fig. 5_Hypro-Oss™ filling. Fig. 6_Hypro-Sorb M™ membrane covering. I 37implants2_2014 Fig. 3 Fig. 4 Fig. 5 Fig. 6 Please contact Georg Isbaner g.isbaner@oemus-media.de AD [PICTURE:©SUKIYAKI]

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