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

CBCT

 Vue of the region

Vue of the region

   sluice preparation B.Y.S.4

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

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

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

Bleeding after membrane elevation

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

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

Sutures

Final result implant

Final result implant