CBCT

Cbct slice 5mm bone below the sinus

View of the region

Full thickness flap

We are still in the thickness of the subsinus bone

B.Y.S.6

The B.Y.S.6 fractured the sinus floor, bony disk surounded by bleeding membrane

The membrane elevation by osteotom 7mm, 8mm, 9mm,10mm , mm by mm

Bleeding signe of the membrane integrity

The syringe bring the bone graft to the osteotomy

Osteotom 10 mm grafting the graft in the sinus, repeat these stapes [bringing bone graft and pushing bone graft] 5 times with removing 1mm

Implant 3.75 11.5 in place

Sutures

Final result implant 3.75 11.5