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Extraction and Lateral Wall Sinus Lift - Courtesy ROOTS

The opinions and photographs within this web page are not ours. Authors have been
credited for the individual posts where they are - www.rxroots.com
From: William Cohen
To: osseou@rxdentistry.com
Sent: Saturday, November 06, 2010 9:00 PM
Subject: Fwd: Extraction and "Lateral Wall Sinus Lift"

Sinus lift 4 months healing and implant placement with finalrestoration total time 9 months (Ankylos Implants)

This is how Dr. Goldenberg and I complete a complex restorative case.  I feel the lateral wall approach on this
type of  case is the only sure bet for bone thickness for future implant success.  If you do not know how to do
this type of approach there are many classes and hands on you can take to get started. We did a fixture level
impression and balanced abutments for the completion of the crowns.

As far as abutments and diameter discussions I have been hearing about.   I do not know what the fuss is about.
Mostly I guess is from new users or possibly inexperience users. Germany has been using this 2.5mm conical
abutment for over 20 years no problems.  I have been using it for 8 years and no problems. It is as good as it
gets and with CAD CAM now available you will see even better results with miss aligned implants.  Implant and
fixture Fractures can happen with any system over loaded etc.----- believe me I have seen it with astra, zimmer,
nobel biocare and 3i.  I have placed over 800 ankylos implants  and followed them through restorative completion
and have maybe two abutments that have loosened or broke.  It was an easy fix to repair. I suggest when we show
cases we show it to completion.  The hard stuff starts with the completion of implant final restoration.
Placing implants is fun and what this site is about, but the restoration and patient satisfaction is the bottom
line. I suggest everyone get experience with the final restoration and know the end at the beginning prior to
starting any case.

I hope this helps.   - Bill Cohen DMD, MS

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