Help required in implant placement of upper right first molar

[Dr. Veerendra Darakh]

Dear all eminent Implantologists,

Female patient / Age 45 years. Medical History :- Well controlled Diabetes. Physicians consent  has been obtained for a minor dental surgery.

Tooth :- 1-6 (Upper right first molar)

Distance from the alveolar crest to the floor of the sinus is 6 mm. Distance from distal of upper right second premolar to mesial of upper right second molar is 8 mm .

I would like to place a D5 or D6 implant of length at least 8.5 mm or if possible 10mm.

What would be a better approach?

a)    Sinus floor upfracture or

b)    Vertical bone regeneration around the implant after keeping a few threads open.

c)    Combination of both ( I don’t know if that is feasible , never done that before )

Hope to see a lot of responses and many thanks in advance for the same.

Regards,

Dr. Veerendra Darakh

 

        

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