
CBCT

CBCT slice

Vue of the region

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 membrane

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

The Bone carrier releases the bone graft to the entrance of the sluice
![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-10.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]

Bone graft filling the sluice

Osteotomy closing

Sutures

Periarical radiography

Final result implant 4 post op