
CBCT

CBCT Slice 1mm Bone below the sinus

View of the region

Full thickness flap

First osteotomy by B.Y.1

We are still in the thickness of the subsinus bone

Osteotomy by B.Y.2

The B.Y.2 fractured the sinus floor, bony disk surounded by bleeding sinus membrane

The membrane elevation by osteotom 3mm, 4mm, 5mm, 6mm, 7mm

Seringe bone carrier filling

The seringe bring the bone graft to the osteotomy
![Osteotom 6 mm grafting the graft in the sinus, Repeat these steps [bringing bone graft and pushing bone graft] 5 times with removing 1 mm of the osteotom 5mm, 4mm, 3mm, 2mm](https://vangus-cdn.com/assek-lift.com/wp-content/uploads/2025/02/fig-12-osteotom-6-mm-grafting-the-graft-in-the-sinus-repeat-these-stapes-bringing-bone-graft-and-pushing-bone-graft-5-times-with-removing-1-mm-of-the-osteotom-5mm-4mm-3mm-2mm.jpg)
Osteotom 6 mm grafting the graft in the sinus, Repeat these steps [bringing bone graft and pushing bone graft] 5 times with removing 1 mm of the osteotom 5mm, 4mm, 3mm, 2mm

Osteotomy closing

Sutures

Periarical Radiography Day 1

Final result 4 months post op implant 5/10