Tian's sinus lift, Dental Education Lecture

I just did the sinus lift with implant placement a few days ago. Drs. Wei and Mu are real experts. 班门弄斧了。Peter Tian Wednesday, May 1, 2013 10:11 PM

Peter: In fact, you open my eyes. How did you place these two implants so parallel? Used commercial surgical guide? Bone grafting looks terrific, although it is redundant to me. You must have spent time putting it into the sinus. Any leakage of graft into nasal cavity? It is fortunate to be your patients. What sizes of these implants? Xin Wednesday, May 1, 2013 10:22 PM

Thanks Dr.Wei for quick response.

I used free hand drilling and I am very good about that. You need to training yourself. Basically, I need to watch the drill 3 angles, front, buccal and lingual to make sure they are parallel to #12 all the time. I don't use commercial guide, it costs $$$. I used little over 1g of bone. It took me about 1.5 h from sitting patient, to raise the flap, drill, lift, inject the bone, place implants, suture, give the instruction and collect the payment. No leaking, I used hydraulic sinus lift so that patient and I would know if there is any water leaking right away. Patient's son in law is ENT specialist. They know this very well. Implants 4.8mm x 10mm, the bone thickness 7mm and 6mm. Peter Wednesday, May 1, 2013 10:36 PM

Peter: What is hydraulic sinus lift? Give me a brief answer. May I post your case? Every picture has your name. I am not going to make a profit from your case, right? Xin Thursday, May 2, 2013 12:13 AM

Dr. Wei, Please feel free to post them on your site. Hydraulic sinus lift is a technique to lift sinus membrane by slow injecting normal saline water little by little and bone graft after crestal approach osteotomy. It is safer and predictable. Peter Thursday, May 2, 2013 1:19 PM

Dear Dr. Tian: Thank you for generosity sharing the wonderful case. I am posting it. I am still impressed by your implant parallelism. It seems to me that my implants are never placed in a right position, nor in right angulations, although I am watching one dimension while my assistant the other (mesiodistal vs. buccolingual). Xin

We can talk how to get better angulations. Only you need to check all angulations. Not rely on others. Take study casts. Play them. Remember them of all angulations. You will get sense. Peter Thursday, May 2, 2013 8:43 PM