Surgical Procedure
Two grams of Amoxicillin and 600mg Ibuprofen were given 1 hour before
surgery. Chlorhexidine mouth rinse was used beforehand. A crestal
incision with a full thickness flap was performed. The osteotomy was
prepared to less than 1 mm from the sinus floor. An Osteotome has been
used to gently fracture the sinus floor. The Putty was inserted
resulting in a hydraulic pressure onto the Schneiderian membrane, after
which the short implants 5mm(w) x 5 or 6 mm(l)2 were
placed. The implant gently pushes the putty into the sinus area
resulting in lifting of the Schneiderian membrane.
Fig. 1a. Osteotome Fig. 1b. Putty application Fig. 1c. Implant in place
Flaps are repositioned in a tension free manner and then are sutured
into place. They were removed 10-14 days after treatment. Implants were
allowed to heal for at least 4 months before crown placement. None of
the patients had any pain, swelling or other complaints after the
surgery.