SINUS ELEVATION VIA SMALL FENESTRATION
(Clinical case provided by Dr. H. Jambrec, Geneva, Switzerland)
X-ray showing a bone height of 4mm, which is not enough to place an implant.
After preparing the flap, a small fenestration (size ~8mm) was made to access the sinus.
Mixing of THE GRAFT (granules 1-2mm / 3.6 cc) with blood.
Filling of tube with xenograft.
Filling of sinus cavity.
Fenestration covered with very small pericardium membrane (SMARTBRANE mini, size: 10 x 10 mm).
6 MONTH POST-OP
Bone height of around 14mm was achieved.
Higher magnification image showing vital bone completely surrounding the graft material. The bone marrow is well vascularized with sparse lymphocytes in places.*
* Histology performed by Prof. T Lombardi, Université de Genève
20 MONTH POST-OP
Situation 20 months after grafting procedure. Implant seems well integrated and bone height looks stable.