Recently, following the publication of one of my videos, some colleagues asked me how much crestal bone is needed to place a trans-sinus implant, emphasizing that some trainers claim and teach that at least 4/5 millimeters are required.
My response was:
‘If you wait to have 4/5 mm of crestal bone, you will never perform a trans-sinus implant!’
The technique we are discussing is meant to address cases of extreme atrophy before moving on to reconstructive or zygomatic techniques, so it’s very difficult to think that there are cases with 5 millimeters of bone in the premolar area… In fact, such cases wouldn’t be atrophic but simple cases accessible to everyone.
On social media, I keep seeing cases being published that, even if sometimes well managed prosthetically, are extremely simple in terms of the surgical component. Sometimes, they even stem from the massive extraction of teeth that were absolutely maintainable and recoverable.
On the other hand, I see very few (actually almost none) real cases. The ones I encounter daily in my practice, with jaws destroyed by decades of dentures or, increasingly, by advanced and undiagnosed peri-implantitis.
My concern is that these cases aren’t being published because colleagues actually don’t treat them, considering them too complex.
For years, I have been trying to help colleagues understand that even cases deemed very complex are, in fact, manageable by most surgeons, and I strive to teach them how to do it.
Today, with this video, I want to answer that question.
‘How many millimeters of crestal bone are needed for a trans-sinus implant?’…
There is no rule. Even zero if you’re skilled enough… check out the video of this case!”
The previous prosthetic situation is this, and I promise that I will soon publish the prosthetic solution for the case as well.
But for now, let’s see how I placed these implants.
See you soon.
Now I’ll let you watch the video. Make sure you’re logged into YouTube, otherwise, you won’t be able to see it due to the age restriction.
P.S. If you don’t see the video preview, click on this YouTube link.