Maxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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01/35 - Initial x-ray, tooth 25 compromised and to be extractedMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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02/35 - CBCT shows maxillary sinus cystMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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03/35 - CBCT shows maxillary sinus cystMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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04/35 - Preparation of the lateral sinus window using piezosurgeryMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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05/35 - Detached sinus membraneMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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06/35 - Aspiration of the cystic contentsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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07/35 - Removal of the cyst from the sinusMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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08/35 - CystMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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09/35 - Suture of the sinus membraneMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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10/35 - Protection of the perforation with Jason® membraneMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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11/35 - Re-Application of the bone window removed at the startMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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12/35 - Protection of the sinus window with Jason® membrane and L-PRFMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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13/35 - SuturesMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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14/35 - Histological analysis shows a salivary retention cystMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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15/35 - Buccal healing after 4 monthsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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16/35 - X-ray after 5 monthsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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17/35 - CBCT after 6 monthsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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18/35 - Re-opening of the flap for lateral sinus lift and implant positioningMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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19/35 - Preparation of the sinus window with piezosurgeryMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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20/35 - Detachment of the membrane using classic instrumentsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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21/35 - Bone augmentation using cerabone®, maxgraft®, and autologous boneMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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22/35 - Application of Jason® membrane to protect the sinus graftMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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23/35 - Protection of the sinus window using L-PRFMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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24/35 - SuturesMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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25/35 - Post-operative x-rayMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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26/35 - Radiological follow-up at 6 monthsMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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27/35 - Mini-invasive second stage, in order to save the keratinized mucosaMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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28/35 - Application of the healing cap after the second stageMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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29/35 - X-ray control after the second stageMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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30/35 - Peri-implant tissues at 3 weeks from the second stageMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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31/35 - Peri-implant tissues at 3 weeks from the second stageMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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32/35 - Impression with PermadyneMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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33/35 - Fitting of the zirconia crownMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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34/35 - Anatomical occlusal filling of the screw channelMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi
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35/35 - X-ray follow-up at 8 months from the delivery of the crownMaxillary sinus cyst removal using the Crocodile Technique and subsequent lateral sinus lift - Dres. C. Scognamiglio and A. Perucchi

Initial clinical situation. Atrophic maxillary ridge.

Initial x-ray showing bone loss around implants placed 5 years ago in another dental clinic

Initial view of the case. Discoloration of 1.1 and mild class I gingival recession

Situation after tooth removal.

Initial clinical situation with gum recession and labial bone loss eight weeks following tooth extraction

Three implants placed in a narrow posterior mandible

Pre-operative clinical situation.

Clinical situation with narrow alveolar ridge in the lower jaw

Initial clinical situation showing bone wall defect.

Initial clinical situation.

Pre-surgical situation.

Initial situation: missing teeth #11 & 12 and badly broken #21 root

Pre-operative OPG shows deep vertical intrabony defects on the distal aspects of teeth 13 and 14.

Instable bridge situation with abscess formation at tooth #15 after apicoectomy

Initial clinical situation.

Implant insertion in atrophic alveolar ridge

Preoperative clinical situation

Pre-operative OPG

Pre-operative X-ray. Hopless tooth 21.

Pre-surgical situation. Teeth 26 and 27 missing.

Extraction of tooth 21 after endodontic treatment

Pre-surgical probing reveals a deep intrabony defect on the distal aspect of the upper canine.

Initial clinical situation with single tooth gap in regio 21

Pre-operative radiographic view. Intrabony defect on the distal aspect of the lateral incisor.

Clinical situation before extraction and implantation

Pre-operative radiographic view.