26 Missing, 4-5 mm subsinus bone height

Young woman came to replace the missing the first maxillary molar with moderat atrophy

CBCT

Vue of the region

sluice preparation B.Y.S.4

$B.Y.S.4 didn t fracture the sinus flor$

B.Y.S.4 didn t fracture the sinus flor

Sluice preparation B.Y.S.5

$The B.Y.S.5 fractured the sinus floor, bony disk surounded by bleeding membrane$

The B.Y.S.5 fractured the sinus floor, bony disk surounded by bleeding membrane

$The B.Y.S.5 fractured the sinus floor, bony disk surounded by bleeding membrane$

The B.Y.S.5 fractured the sinus floor, bony disk surounded by bleeding membrane

The membrane elevation by osteotom 6mm, 7mm, 8mm,9mm , mm by mm

Bleeding after membrane elevation

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

Sutures

Final result implant