Bone resorption after intralift sinus lift and immediate implant placement?

I have a healthy 56 year old male patient, non-smoker.  I extracted #13 and placed an immediate implant, MIS 5×13.  #14 was already missing a tooth. I did an intralift sinus lift using the MIS compression kit. I packed cortico-cancellous bone through the opening.  I then placed an MIS 3.75×10 and achieved good primary stability and the radiograph looked good.  I achieved good primary closure.  The patient returned at one month to remove the PTFE suture and the radiograph showed significant bone resorption around the implant in #14 site.  Any thoughts on this? Recommendations?



10 thoughts on “Bone resorption after intralift sinus lift and immediate implant placement?

    • Mounir says:

      Thank you for your input, I already scheduled the patient to remove it but I can’t think of a cause for that specially everything was fine day of surgery and achieved good stability and closure.

      (0)
  1. Dr.Al says:

    Either there was a lot of heat generated during osteotomy, or patient was not following instruction and chewing with that side. Sometimes severe diabetes can cause encapsulation issues. I would extract, debride and graft. Wait 4-6 months to place the implants. Good luck

    (0)
  2. Khan says:

    Its very easy to think a cause. Its not always possible to find out he real etiology. think about the host. Despite best standards,techniques and protocols the host still plays a major role. Ask the medical doctor to carry out blood tests to find out any hormonal or haemantics deficiencies. Dont forget autoimmune conditions either.

    (0)
  3. Doctor X says:

    Perforation because you didn’t place more mezial the implant. …
    Grade 4 bone osteoporosis? ?
    When you do inter sinus lift and special after extraction need bone osteoexpander kit

    (0)
  4. Richard Hughes, DDS, FAAID, FAAIP, DABOI says:

    You stated the patient was healthy! Did you perform blood studies. Ie.:, LDL cholesterol; Vit D level; HBA1C. These factors and certain medications are not good for bone. The other issues are possible over heating of the bone or too much pressure on the bone causing avascular necrosis.

    There may be other systemic issues at hand. The prior doctors that posted made valid points to consider.

    (0)

Leave a Comment:

Comment Guidelines: Be Yourself. Be Respectful. Add Value. For more details, read our comment guidelines. Though we require an email to comment, we will NEVER publish your email.
Required fields are marked *

Posted in Clinical Cases, Surgical.
Bookmark Bone resorption after intralift sinus lift and immediate implant placement?

Videos to Watch:

Dealing with the Implant Gap

This short video discusses how to best deal with the gap after immediate implant insertion[...]

1 Comment

Watch Now!
Lower Right Molar Extraction & Immediate Implant Placement Using i-PRF

In this video, the lower right second molar was extracted and grafted with i-PRF and[...]

13 Comments

Watch Now!
Maxillary Implantation with Treatment of Chronic Sinusitis

This video shows two cases where implants were placed following treatment of Sinusitis. [...]

3 Comments

Watch Now!
Suturing in Guided Bone Regeneration

This video provides clinical tips for suturing techniques in Guided Bone Regeneration. In Guided Bone[...]

1 Comment

Watch Now!
Socket grafting with Collagen Dressing and Bond Apatite

This video demonstrates socket grafting with just bond apatite and a collagen wound dressing.[...]

Watch Now!
Dental Implant for Lower Right Second Molar

This video shows implant placement on the lower right second molar.[...]

Watch Now!
Saving a Bridge with Periodontal Therapy

This video shows a case involving a 48-year-old male who was referred for periodontal treatment[...]

Watch Now!
Immediate Loading Full Arch

This video shows a case of Immediate loading of a full arch with simultaneous guided[...]

Watch Now!
Apically Repositioned Flap Technique Around Implants

The apically positioned flap is a commonly used surgical approach, that may help the long[...]

Watch Now!
Digitally Planned Bone Augmentation and Immediate Implantation

This video shows a case using the Ring technique to provide bone augmentation along with[...]

Watch Now!
AnyRidge Implants: Replacement of Upper Left Molars

This video shows the replacement of maxillary upper left molars with Megagen AnyRidge Implants.[...]

1 Comment

Watch Now!
Guided Implant Surgery & Immediate Temporisation

This video demonstrates the placement of a missing pre-molar using computer-guided surgery and immediate temporization.[...]

1 Comment

Watch Now!