Sinus Elevation Open Sinus Elevation with Lateral Ridge

Sinus Elevation Open Sinus Elevation with Lateral Ridge Augmentation Pamela Nicoara DDS

Fractured abutment #11 and recurrent decay abutment #13. Bridge to be sectioned and #15 temporarily used as temporary RPD abutment. Note large pneumatized sinus in area of proposed implants. Pamela Nicoara DDS

Note lack of osseous density in area of extraction sites. Pamela Nicoara DDS

Note severely resorbed ridge in canine/premolar region. Pamela Nicoara DDS

Lateral sinus access and elevation, filled with bone grafting material. Pamela Nicoara DDS

Ridge also augmented with bone grafting material and a membrane used to maintain bone grafting material in the proper location. Pamela Nicoara DDS

6 month Recall Initial Pamela Nicoara DDS

Pamela Nicoara DDS Note augmented ridge and sinus, with tac membrane still in place.

Precision surgical guide fabricated to assist in accurate implant placement. Pamela Nicoara DDS

Pamela Nicoara DDS

Initial Pamela Nicoara DDS

Pamela Nicoara DDS

Pamela Nicoara DDS

Pamela Nicoara DDS

Sinus Elevation Closed Sinus Elevation Pamela Nicoara DDS

Patient presents with prior extraction and simultaneous bone graft site #4. Perforation of sinus is anticipated when placing appropriate length implant. Flapless implant placement and sinus elevation is planned. Pamela Nicoara DDS

Osteotome used to elevate sinus floor. Pamela Nicoara DDS

Pamela Nicoara DDS

Note osseous sinus floor appropriately tented over implant apex. Pamela Nicoara DDS

Thank You! Pamela A Nicoara DDS MSD PLLC 3125 Colby Avenue, Suite H Everett WA 98201 T: 425 -374 -5380 • F: 425 -374 -5382 16030 Bothell Everett Hwy, Suite 260 Mill Creek WA 98012 T: 425 -224 -8199 • F: 425 -338 -7062 www. NICOARAperio. com • NICOARAperio@gmail. com