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 • NICOARAperio@gmail.com

Pamela A Nicoara DDS MSD PLLC