The patient returns for #13,14 implant placement.  The ridge is wide buccolingually (Fig.1 mirror view). Use surgical stent to determine the area for osteotomy and 4 mm tissue punch to start osteotomy.  Immediately postop, the gingiva adapts to the implants nicely.

One Piece Implant for Sinus Lift

Xin Wei, DDS, PhD, MS 1st edition 11/16/2014, last revision 11/16/2014