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Pamela Nicoara DDS
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.
Initial
6 month Recall
Pamela Nicoara DDS
Pamela Nicoara DDS
Note augmented ridge and sinus, with tacks and membrane still in place.
Pamela Nicoara DDS
Precision surgical guide fabricated to assist in accurate implant placement.
Pamela Nicoara DDS
Initial
Pamela Nicoara DDS
Pamela Nicoara DDS
Pamela Nicoara DDS
Pamela Nicoara DDS
Pamela Nicoara DDSPamela Nicoara DDS
Closed Sinus Elevation
Sinus Elevation
Pamela Nicoara DDSPamela 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 DDSPamela Nicoara DDS
Osteotome used to elevate sinus floor.
Pamela Nicoara DDSPamela Nicoara DDS
Pamela Nicoara DDSPamela Nicoara DDS
Note osseous sinus floor appropriately tented over implant apex.
Thank You!
3125 Colby Avenue, Suite HEverett WA 98201T: 425-374-5380 • F: 425-374-5382
16030 Bothell Everett Hwy, Suite 260
Mill Creek WA 98012T: 425-224-8199 • F: 425-338-
7062www.NICOARAperio.com • [email protected]
Pamela A Nicoara DDS MSD PLLC
