{"id":40890,"date":"2023-05-01T16:51:27","date_gmt":"2023-05-01T15:51:27","guid":{"rendered":"https:\/\/www.btitrainingcenter.com\/two-step-progressive-transcrestal-sinus-augmentation-using-a-4-5-mm-unloaded-implant-as-a-temporary-implant-in-highly-atrophic-ridge-case-report\/"},"modified":"2025-07-21T17:27:34","modified_gmt":"2025-07-21T16:27:34","slug":"two-step-progressive-transcrestal-sinus-augmentation-using-a-4-5-mm-unloaded-implant-as-a-temporary-implant-in-highly-atrophic-ridge-case-report","status":"publish","type":"post","link":"https:\/\/www.btitrainingcenter.com\/en\/two-step-progressive-transcrestal-sinus-augmentation-using-a-4-5-mm-unloaded-implant-as-a-temporary-implant-in-highly-atrophic-ridge-case-report\/","title":{"rendered":"Two-Step Progressive Transcrestal Sinus Augmentation Using a 4.5 mm Unloaded Implant as a “Temporary Implant” in Highly Atrophic Ridge: Case Report"},"content":{"rendered":"

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Abstract<\/h3>\n
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Severe atrophic posterior maxillary ridge (residual bone height < 3 mm) could be a challenging situation to place dental implants. Several treatment options have been proposed, but some of them may require advanced surgical skills to achieve best results. In this article, we present a novel and easier technique to allow implant placing in localized areas of severe atrophy. In a first step, a 4.5-length extra-short (unloaded) implant is placed after a transcrestal maxillary sinus floor augmentation (MSFA). After the gained apical bone consolidation, this “temporary implant” is atraumatically removed and a longer and wider definitive implant is placed to support the definitive single restoration. The case of a 45-year-old female treated with this approach is also presented. The patient suffered a severe resorption in the upper right molar area after a tooth extraction. Four months after the “temporary implant” placement and MSFA grafting with plasma rich in growth factors and autologous bone, 3 mm of dense apical bone gain could be observed. In a second surgical time, the 4.5 mm-length “temporary implant” was removed, and a 5.5 mm-length “definitive implant” was placed. This second implant was placed in a denser type 1 (1,000 Hounsfield Unit) new formed apical bone. Four months later, the implant was loaded with a screw-retained crown over a transepithelial (intermediate abutment). After 1-year follow-up, the implant was in health and no mechanical or biological complications were noticed. The satisfactory results of this case encourage the realization of new studies to elucidate its reproducibility.<\/p>\n<\/div>\n<\/div>\n<\/div>\n

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Eur J Dent. 2023 May;17(2):560-566.<\/strong>
\nSevere atrophic posterior maxillary ridge (residual bone height < 3 mm) could be a challenging situation to place dental implants. Several treatment options have been proposed, but some of them may require advanced surgical skills to achieve best results. In this article, we present a novel and easier technique to allow implant placing in localized areas of severe atrophy. In a first step, a 4.5-length extra-short (unloaded) implant is placed after a transcrestal maxillary sinus floor augmentation (MSFA). After the gained apical bone consolidation, this \"temporary implant\" is atraumatically removed and a longer and wider definitive implant is placed to support the definitive single restoration. The case of a 45-year-old female treated with this approach is also presented. The patient suffered a severe resorption in the upper right molar area after a tooth extraction.\n<\/p>\n","protected":false},"author":2002,"featured_media":40831,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[149],"tags":[],"class_list":["post-40890","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oral-implantology"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/posts\/40890","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/users\/2002"}],"replies":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/comments?post=40890"}],"version-history":[{"count":1,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/posts\/40890\/revisions"}],"predecessor-version":[{"id":40891,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/posts\/40890\/revisions\/40891"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/media\/40831"}],"wp:attachment":[{"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/media?parent=40890"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/categories?post=40890"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.btitrainingcenter.com\/en\/wp-json\/wp\/v2\/tags?post=40890"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}