CASE PLAN TWO

	August 2000
	Case Review No. 2
	The Illusion of the Panorex and the Sinus Augmentation.

Another case submitted for the forum for discussion. The illustrated case demonstrates that this technology requires planning before the scan is done, and before the sinus augmentation procedure is done.

There are SEVEN NEW FIGURES.

Please scroll down or click here for FIGURE 3.

Figure 1. Panoramic / Axial view

Figure 2. Panoramic with implant placed.

Click here for FIGURE 4.

Figure 3. Three views of "placed implant" - Not so ideal after all?
Bone graft placed buccal to the barium template.

Click here for FIGURE 5.

FIGURE 4a. Implant placed at peak of bone.
FIGURE 4b. This would result in a lingual cantilever. Acceptable?

Figure 5a. Implant placed within central fossa of barium sulfate tooth.
Figure 5b. The implant is shorter and would create a crown-root ratio problem.

COMMENTARY:

It is important to understand the three dimensional picture of the sinus for purposes of augmentation. If we are going to add bone in the sinus, it would be great to get adequate height and width of new bone with sufficient volume to surround a long and wide implant. And without a CT scan template to indicate proper or desired tooth position, you never know the true relationship of the alveolar crestal bone to the restorative needs of the patient.

To Review CASE One ----------------------------->>> Click HERE!