Implant Placement with Internal Sinus Lift – Tooth #24
Surgical Procedure
Chief Complaint
Missing upper left premolar (#24) requiring implant-supported replacement.
Clinical Findings
Edentulous #24 site
CBCT confirmed adequate ridge height with need for internal sinus lift
Sufficient bone width for implant placement
No sinus pathology detected
Treatment Plan
Implant placement at #24
Internal sinus lift using osteotomes
Autogenous and xenograft bone augmentation
Primary closure and post-op CBCT verification
Pre-operative Assessment
CBCT reviewed and implant angulation planned
Risks and procedure steps explained, including sinus lift considerations
Patient understood and agreed
Informed consent obtained for implant placement at #24
Anesthesia
Local anesthesia infiltration at #24 site.
Surgical Procedure
Patient cleaned and draped
Incision made; buccal flap raised
Osteotomy prepared using implant drills and osteotomes
Autogenous bone harvested from osteotomy site
Internal sinus lift performed with osteotomes
Megagen AnyOne Implant (4.5 × 8.5 mm, plasma-blasted) placed at #24
Buccal flap released
Bone grafting performed using autogenous bone + Dentium Osteon II Collagen (6.0 × 10.0 mm)
BSS × 5 placed for primary closure
Hemostasis achieved; POI given
Post-operative Assessment
Post-op CBCT confirmed dense graft material
Sinus lift intact with no membrane perforation or graft leakage
Implant position and angulation ideal
Patient satisfied with outcome