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Biomechanical considerations in solving demanding cases

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Fig. 1: Implant positioning should be as parallel as possible with regard to the future occlusal plane.

Fig. 1: Implant positioning should be as parallel as possible with regard to the future occlusal plane.

Fig. 2: Placement of four GC Aadva implants in the interforaminal region.

Fig. 2: Placement of four GC Aadva implants in the interforaminal region.

Fig. 3: Preoperative finding in a pneumatised lateral maxilla.

Fig. 3: Preoperative finding in a pneumatised lateral maxilla.

Fig. 4: Superimposing the pneumatised sinus floor CBCT scan over the surgical area.

Fig. 4: Superimposing the pneumatised sinus floor CBCT scan over the surgical area.

Fig. 5: Lateral window access to the maxillary sinus.

Fig. 5: Lateral window access to the maxillary sinus.

Fig. 6: Facilitation of Schneiderian membrane elevation with a collagenous fleece.

Fig. 6: Facilitation of Schneiderian membrane elevation with a collagenous fleece.

Fig. 7: Placement of a GC Aadva Standard 3.3 x 12.0 mm implant in the premolar region after the sinus graft.

Fig. 7: Placement of a GC Aadva Standard 3.3 x 12.0 mm implant in the premolar region after the sinus graft.

Fig. 8: Placement of a GC Aadva Standard 4.0 x 10.0 mm implant in the molar region.

Fig. 8: Placement of a GC Aadva Standard 4.0 x 10.0 mm implant in the molar region.

Fig. 9: Covering the access window with an absorbable collagenous membrane.

Fig. 9: Covering the access window with an absorbable collagenous membrane.

Fig. 10: Wound closure with monofilament sutures.

Fig. 10: Wound closure with monofilament sutures.

Fig. 11: Panoramic finding after six months of uneventful healing.

Fig. 11: Panoramic finding after six months of uneventful healing.

Fig. 12: Splinted, screw-retained metal-ceramic restoration for better load transfer.

Fig. 12: Splinted, screw-retained metal-ceramic restoration for better load transfer.

Fig. 13: CBCT reconstruction of a deficient ridge in the lateral mandible.

Fig. 13: CBCT reconstruction of a deficient ridge in the lateral mandible.

Fig. 14: Preoperative intraoral finding in the atrophic posterior mandible.

Fig. 14: Preoperative intraoral finding in the atrophic posterior mandible.

Fig. 15: Combination of full- and partial-thickness flap elevation.

Fig. 15: Combination of full- and partial-thickness flap elevation.

Fig. 16: Mandibular ridge splitting with vertical cuts.

Fig. 16: Mandibular ridge splitting with vertical cuts.

Fig. 17: Creation of space in between the buccal and lingual lamina with the intact attached periosteum on the buccal.

Fig. 17: Creation of space in between the buccal and lingual lamina with the intact attached periosteum on the buccal.

Fig. 18: Placement of two GC Aadva Standard implants with regard to the future restorative margins.

Fig. 18: Placement of two GC Aadva Standard implants with regard to the future restorative margins.

Fig. 19: Bone defect filled with xenograft and covered with an absorbable collagenous membrane.

Fig. 19: Bone defect filled with xenograft and covered with an absorbable collagenous membrane.

Fig. 20: Wound closure with monofilament sutures.

Fig. 20: Wound closure with monofilament sutures.

Fig. 1: Implant positioning should be as parallel as possible with regard to the future occlusal plane.

Fig. 2: Placement of four GC Aadva implants in the interforaminal region.

Fig. 3: Preoperative finding in a pneumatised lateral maxilla.

Fig. 4: Superimposing the pneumatised sinus floor CBCT scan over the surgical area.

Fig. 5: Lateral window access to the maxillary sinus.

Fig. 6: Facilitation of Schneiderian membrane elevation with a collagenous fleece.

Fig. 7: Placement of a GC Aadva Standard 3.3 x 12.0 mm implant in the premolar region after the sinus graft.

Fig. 8: Placement of a GC Aadva Standard 4.0 x 10.0 mm implant in the molar region.

Fig. 9: Covering the access window with an absorbable collagenous membrane.

Fig. 10: Wound closure with monofilament sutures.

Fig. 11: Panoramic finding after six months of uneventful healing.

Fig. 12: Splinted, screw-retained metal-ceramic restoration for better load transfer.

Fig. 13: CBCT reconstruction of a deficient ridge in the lateral mandible.

Fig. 14: Preoperative intraoral finding in the atrophic posterior mandible.

Fig. 15: Combination of full- and partial-thickness flap elevation.

Fig. 16: Mandibular ridge splitting with vertical cuts.

Fig. 17: Creation of space in between the buccal and lingual lamina with the intact attached periosteum on the buccal.

Fig. 18: Placement of two GC Aadva Standard implants with regard to the future restorative margins.

Fig. 19: Bone defect filled with xenograft and covered with an absorbable collagenous membrane.

Fig. 20: Wound closure with monofilament sutures.