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ePaper created 2016-03-24, 17:16:09 | version 1.38.0
| industry 36 implants 1 2016 Automatic crestal sinus lift by motorised impaction device Authors: Dr Georges Khoury & Dr Marc Revise, France Fig. 1: Osteo Safe® Kit. Fig. 2: Preoperative clinical view. Fig. 3: Preoperative panoramic view. Figs. 4 & 5: Preoperative subsinus height at 26–27. Introduction Implant placement on the upper jaw is often confronted with insufficient bone linked to the physiological pneumatisation of the maxillary si- nuses at molar sites. Sinus lift is frequent, which may or may not be linked to the contribution of biomaterials. In this clinical case we consider the use of a new automatic device: Osteo Safe® (Anthogyr). It is an instrument that facilitates axial liftingbymeansofamotorisedhandpiece,associated with straight impaction inserts or bayonets (Fig. 1). Case report The patient undergoing treatment is 56 years of age. He presents with hypercholesterolemia that is being treated with statins, as well as an allergy to penicillin. The treatment site in section 2 (Fig. 2) presents (Fig. 3) an additional wisdom tooth on radiological examination, ankylosed with a resorption process of its structure. No symptomatology is observed and there is no communication with the buccal environment. Its intrasinusal emergence could potentially be at risk during an extensive filling by lateral means. Owing to the crestal approach and the limited and localised increase at the apex of implants, it was decided to leave it in situ. The cone beam shows a bone height of 6 mm measured at sites 26 and 27 (Figs. 4 & 5). Con- ventional premedication is prescribed (antibiotic therapy + corticotherapy flash + level-one anal- Fig. 3 Fig.4 Fig. 5 Fig. 1 Fig. 2 12016