This implant was placed 6 months ago with an internal sinus lift, but as can be seen, the bone placed as part of the sinus lift has resorbed (probably a sinus perforation that wasn’t noticed). The patient is a large person, with strong masticatory forces, and with a previously failed implant in the same position that occurred within 1 year of loading.
It is a Nobel Active 5.5x10mm implant.
What would you do?
– Restore as is?
– Try to do a sinus lift and add bone around the implant?
– any other thoughts?