Teeth #25 and #26 required extraction after failed root canal treatments. A sinus graft was also required for tooth #27. Immediate implants were placed in sites #25 and #26 using the crestal approach sinus lift technique with the SCA kit. This involved carefully preparing the interradicular bone and drilling 1mm at a time into the sinus cavity without tearing the membrane. Bone grafting material was placed after membrane elevation. The implants achieved good torque values and were restored with a 3-unit zirconia bridge after 3 months of healing. Follow up radiographs at 2 years showed osseointegration and no signs of complications.

1. SCA Kit Clinical Case
Safe, Simple, Speedy Sinus crestal approach
No.1 Sales Sinus Approach Kit
Originality since 2007

2. Diagnosis
• #25 & #26: extraction required after failed endodontic therapies
• #27: implant placed with sinus graft
Treatment planning
• Implant site: Immediate placement on teeth 25 and 26
• Surgery date: March 28, 2014
• Time for total treatment: 3 months
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3. Both extraction sockets 25 and 26 were carefully debrided with copious saline
solution after extractions. Clinical view of socket 26 clearly shows interraicular
bony septa.
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4. The center of the interradicular septum of bone was prepared with S-reamer
to enable an implant to be placed in the middle of the socket without the
membrane tearing.
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5. The remaining bone height was 3mm. Starting from 2mm stopper, the site
was drilled 1mm by 1mm until the sinus cavity opened without the
membrane tearing.
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6. Occlusal view of the drilling site. Sinus membrane was seen intact.
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7. In a reduced bone height less than 3mm, the maxillary sinus membrane can
be elevated using a micro-lateral sinus elevator in the SLA kit through the
crestal approach. This is #1 elevator.
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8. #2 elevator. After elevation of the membrane, bone graft was performed with
an alloplast (Calpore)
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9. CMI IS-II Active implant 4.5*11mm was placed in the site 25, achieving 30Ncm
of insertion torque value.
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10. CMI IS-II Active implant 5.0*8.5mm was placed in the site 26, achieving
30Ncm of insertion torque value.
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11. The gaps between the implants and the bony socket walls were filled with an
allogenic bone substitute material (RegenOss).
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12. Healing abutments in place. Ø8.0 wide healing abutment was palced on
tooth 26.
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13. Radiograph taken after implant placement.
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14. Clinical view of the implant site after 3 months of healing.
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15. A 3 unit full zirconia SCPR was prefabricated.
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16. Occlusal view.
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17. 3 SCRP multi-abutments were connected in the implant 3 months after the
surgery.
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18. The 3 unit SCRP full zirconia was cemented on the SCRP multi-abutments and
the abutment-prosthesis unit was removed and polished and reinserted in
the mouth.
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19. 2 years postloading radiograph.
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