ru a ruil:u Rr:fi o r:6rnrj uu203.155.220.238/csc/attachments/article/186/dent600901.pdf ·...

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ru a { ruil:u no u Rr:fi o r:6rnrj :vrfi uu nna cl AJ' rilr o u si .r 6'q1 fr ri r : q ci r n m d .r rJ : y r n vr? s r R r : o I eJ d o A -y eJ 9l I t [?l u {l Tl u 9r t[]l 11 u T r u I ru R I : ]t tfl u (n I u yt u 9t n 5 :il ) rtaqfirauol#rj:yrfiu t. ^uu-rudrfl unr:rirrfiusrudr.irurul Atve t:oit nt:rulstotunvr^utlry#a (sinus lift) Isrglff osteotome technique lvgtdvd :?tJ RU R'ttFl {:1 ntilUn?r u n - It a a4 A v 4 av I otud r a a e z. dorsuo uuafi n ?trRr :rfl o?rfl ur{r ufl6orjYurJ:r,rrul#fi rj:y?yrGnrvrrurnfi u q iaavar t:0il nauRilugtn::il:1Rrnuil tfluo log .t/ it tl I uxarrud r6odvrByr: q o I v do -9, ef, r un ri I riu st ur{ yt ri,fr r u 1 q n I : ( dr u fru n n : : ru ) ,o t j (st]uffu{laqjn :ilR. 753) n{ru.rrufi'un n::il n{ruu? nr:nr{ R-rlnrrvrd I:wsrurnnar{ dr#nnr:uyrnri

Transcript of ru a ruil:u Rr:fi o r:6rnrj uu203.155.220.238/csc/attachments/article/186/dent600901.pdf ·...

Page 1: ru a ruil:u Rr:fi o r:6rnrj uu203.155.220.238/csc/attachments/article/186/dent600901.pdf · 2017-09-15 · Jf n'r ier : ?o Grfl r vr n r u'lud o s il r ntta v n rs u o nd o s il r

ru a { ruil:u no u Rr:fi o r:6rnrj :vrfi uu nnacl

AJ'rilr o u si .r 6'q1 fr ri r : q ci r n m d .r rJ : y r n vr? s r R r :

o I eJ d o A -y eJ9l I t [?l u {l Tl u 9r t[]l 11 u T r u I ru R I : ]t tfl u (n I u yt u 9t n 5 :il )

rtaqfirauol#rj:yrfiu

t. ^uu-rudrfl

unr:rirrfiusrudr.irurulAtvet:oit nt:rulstotunvr^utlry#a (sinus lift) Isrglff osteotome technique

lvgtdvd:?tJ RU R'ttFl {:1 ntilUn?r u n

- It a a4 A v 4 av I otud r a a e

z. dorsuo uuafi n ?trRr :rfl o?rfl ur{r ufl6orjYurJ:r,rrul#fi rj:y?yrGnrvrrurnfi uq

iaavart:0il nauRilugtn::il:1Rrnuil

tfluo log.t/ittl

I

uxarrud r6odvrByr:q

o I v do -9,ef, r un ri I riu st ur{ yt ri,fr r u 1 q n I : ( dr u fru n n : : ru )

,o t j(st]uffu{laqjn :ilR. 753)

n{ru.rrufi'un n::il n{ruu? nr:nr{ R-rlnrrvrd

I:wsrurnnar{ dr#nnr:uyrnri

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.ldl o a Atf{a{tumruufl ontto'tluu.r-lunruluil1

A I v i rn ,. s 6y t @ q 4 u 4t. Sorua.:ru nr:tir$r-'qunu^u'lryfc (sinus lift) Iquld osteotome technique durri'unr:f,{:tnttlutttluvt

2. :yuvl?orrirrfiunr: qresrreirfioufi'uu'ruu 2558 - nilnril"uf 2559

3. n?ril3ilrrivrnr:ntouurFnfl fflunr:drfi unr:q

:rnflurfiurLrfluor'rrrvrfiuruodrrilfirfifl'rr{rhJlun:&nnurn::'ln:1usl'rrrru.rfifinr:crouflubjo

rvlool#rfjus,r"'r6flf,urfiuil fi.rororflulilurfiuilel^qrruu r?olilurfiururruuooer,lri'fild'duodri'ranrudorrJrn

,rt v JY<;l Y u q d o u I dt r 6l

"ljo.:riilrfl t[ayflt:?t{ttfluto,l11ugttlilytut'tlilnt::nut :tflT'lulvtutJ vt't0]n'lc{Fr titanium tilud?u tttflJqqqu

rA d qr)9) * d1 -. Aqg, tJ a I

rrsinrLilnr:dr zirconium rurldrir.r ts.:rilufaqfildarrur:nrqirri'uld'ri'udr.rnru'lbio.ornpatability)

nu'hlur:rufifinr:uusr-'rro.rRsverflrtn::'ln:uurir?ilflun:rruila-{0'rnflr:ooudlu lirl#finrrrua'rqs{

uiqralrr'u9)atuiysilo.rfl:ynnrrn::'[n:m liln\u{ry{o nonr:r'1.::rntfruru tyr:rvqvuu0vsro.:ilnr:prrnnunrdotirulvr:rornrq{q

rrayilann:vqn r?'{jorfiiln?rrufl{flo{n:vqntrn:r'ln:uurioufiovdrnr:flr:tnrfiuri rvrnfinfildri'ucirugqo{

ch n i queo riJ u n r : ni rri'er [0 rv p'ru-{ ] T{ :.r o r fl rfl ri'r u'flr { I n u l#il"'r n : o

nrnrilu: rarsrdo#ruh\r{orn'rflltarondu ]flu ,in* currette ornrlulrin:vflntfiuil tduflqru{atrav sottp{nfltu

id

n

o I st 4ou1{uou 8 [9tou 0{m1n1:tl.l:]n[llutJ t9t lllnunurufl tsnufl:g9tflililn?til14utuoun?1 5 ilil. lJotdu'ljo{n]:t

r.irror"'q n^o nr:p.irsr-qfid{urnd'udourrave{o{nr:n:eqnrfiuililErurcururnlunr:rfirunrrrua{ro{n:vqn{rn::uln:qqqq

9 4 tngu 4 I lng) i t - t Y q | 4 4t{aljt.:lftu{ fiu tlufloutJolnt:il?9tu?tJ t9ril]n ruo{o'lntr9{aP{tnqnoul't{ ll.tiu 010ru10{tHa'] il:o lflun:v8R

rfiuruilrmr{oiln1u:vuvao{drilfurr:nfiii'{nr:r.irsr-er rlodtorrvrnfind n^o rflunr:nirsl-erfiarrur:nuXu:ouilvaqq

A9 t a 9 ^ & r h9u ds q9) o i 4 q9,,"[dodl,i'qrou tirriler:oumvaflu drtJlrodiotJrrryrulsilrlufi Inoldcoilagen membrane tmnfrnfraor fro nr:]f5-6 4 qY i ar i<- a q 4 o s s

osteotome nonr: rstfr:o.llJoYtilanuflrvrl.rrJoul{?n:o :1nlmuil drnr:nonruri{Jv{:loinrnlusirrruulfi

oydl{:rnrfiuru ru'klnrrrudnrvirfid'o.rnr: d'rnr:merc{ou:ouilvo lqunr:nharuoonmr{0runlquilqoiln'}{qgs

l4rflvlu:ouvrvq ororlorld collagen rravr6:Lilq :oouunr6ou 6.rrioudrnr:r"irsi'qlilri utn'hiur:oumvqtng) < As) tt q 4 n9/ u a g4 o 6t t/ ,, t u

ilav tqn?lilanmno{fl]:ltn?dttJt:i]t'1.1:lfltYtuu t9tiluYt ,u09t yn lilaqn?truu{u'ln cruerou 10{n]:rutnna.1q

4 | o9/r o o I 4 1 q 4 tn9@ a u u qgt o i:?il0{aqnt [s0ru tufl1: tsn:venliluil d]ru1:0t|.::tnlnuil [9riluvt aq:vuv[?a'ln]::nut iln [Tlmnunu

-j<t9to-ja,tu,tnutnflniln:v9tfl14u11ltnn'lt 5 utJ. 1oldu10.l?ru lilunt:r.trnnfr'hiarru]:fi9t:?0dou:ouilea'191]qufl:{

drl#rfiqnrrfir*u'lrrrnl:JtuJr,r:'rornrfllei rreic{'ril'r:6114ru'lei'd''ruer-rro{ rreil4'rnfinlrvrrm:n,#ou In:.rq 4 r 4 I q t tad t 9t a

OlnlflOnt6{U 14:O1''lU?'ltJ14UO.1O0flruln'lnltti0 [[AvA'l{[ttlO [1'lUlljflS?UV:?tJql?U 91919lltJO'1fl'l:

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4. d? il dr r v cir 6'q t o r rt u u,,u, #u "

u u n r : ri r tfi u n r :

nuldfid'ornr:lrirflurfiururrurGnrrriuilqrrnulurilur.rd'ruurrsivru'irfirJ3rurarn:vgnrutn::'ln:

kirfiurv{eeionr:dlr:rnrfiuillururqrJno^ldrfu luo6nd'uErrrvwdd'o.r1#f,utfiuilrruu0osr'ldrurvrqrrvrul#

nu'lclrrovv'ru'irlunu'l,flur.r:rufifirliyur1unr:1#lilurfiurutruuooprld'rrsilurloqriuld'fitilnfinnr:nirsl-er

6 | 9 t y 4 d 14 q a of q ul | 4 I -- -af drfiilrruJ'rs?urlnuililrnr:ilfl:yqnrrn:: ln:ruluu?r'rarfluilai'.r'hirfiu{vrosionr:ptrl:tflttlutJ d-ttJt:o

9u:t9)9) t u"rr - - --^,s qyrrn tqq?uflt:rurflgunfiulryula (sinus lift) lquldosteotome technique irruri'lnr:p1{:rntfrutJiliufrdrlfi

vrlunrrnmdarrurrolirflurfiururrur-rsr^qrruulri'nul'fllu:rufifir-Jcgr.rrr,r"'.:ncirrld'6rdrl#nul'flld'fililutfiuil

a r a9 r d A I J oat9,, tlYa v i43 -!-9r'-ttt_tugifittuul.frruourlfi riluil:udytrRtl\fl1:uqrtflu?yn t?tnu tqjtJdnt?vvluflqtRlv{vl9ttu nl:tl'lgl9l

undu'lmia (sinus lift) lqul# osteotome technique irruri'lnr:fl1:rnrfiuru?tiufirJ:vnour1ru#uruuru-n,

s zuiunou

n rrnrf o r il r n rdo rdo fi : o.r fu zu u r n d'u rrt o n'i n oo'' r r ri't u'' u qt n rn ln u il-r'Iil

l:nr-J:vsirel-r rravdrnr:firLdrjrnrvloorurlirrruuiirao'rti'unrton'irrruao'lildrrntorfiorjrmtl (surgical -

radiographic steng rrayrdodrunrnfs?ronryr:dtffolirnr:rxrtruunr:inurrravl#lunr:nirsi'qetrl:rnrfiuru

z. cirunr?,{fl?ronu:d (cone Beam computer Tomography, CBCT) lqunuldlcirn3olfiorjrvrx

?r.r[[t{unr:;RU'r

3. nr:r.irsr-prandulryfa (sinus lift) leuld osteotome technique irrLnlunr:flc:rnrfiuru?tiufi

a dr A . q 44. n 1 : il tJ v,l lJ I n tT'l 0 yl I n : o u y,l u u u :'l fl tyl u tJ

s. n r : lcin : o r f,u r u : r n rfi u ru 1#{:J'r u n r : fr o n flrJ r u n aiu fi e n r il il a n r : fn s r

q)l o a5. 9.t:?rJ9r][Uiln]:g

hrdttIlJll"

o. dauuos.r rufi ffrauorfl urfrrJfr rja

:rusru{iJru

flrJruvralmuo'lrl 6s TJ anrunru druTd orfivrdrusr-'l rurfunr:kiflurJnorufil:{v,rulurana'r':

ri'rufrildei'uii'.rn-q il:slGmr{nr:rrr,rlldrravrJ:vrGnr.tmiunn::ruEi,:hurJq^ratl:nrJ:siirr,r"rld'flnr:qnflu

aouliluruiornnfifin

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fJ

n'r ier : ? o Grfl r vr n r u'lud o s il r ntta v n rs u o nd o s il r n

AJdq fr nu ntauonryotilrn (Extraoral findings)

- ki r,r u fr r fi fl il n er^ uE n €u h u #r ki fi o r n r : si o r # r tu fi o r I Er

- .[tlr#rsirur.rr?rsr:rfinnrLdilqd:ylr'jr'rrlrudrurravs1rutrr

(symmetry) n-nuarslur.irir

dtliluglJ Square-Tapering

- hr r?rsirudr r o r nl or : vrilu dr g ru 0 { n [ta v r] a r sn x fi #nu Gu v rfJ u ctass I normal profi le

lnrdd4ug&l.tr)- lutJotnt:[nil[tn&0 tnt: gl {91 ?1 0{natiltu0uqtnu ] []J14u l[[nyaln0

-'hifirdci{rrayornrrrdufirTosiozurn::'ln:vre.rRorrlxzuarvfinr:rerdoufrro{rrn::1n:

n I: rn do u ra""lzu o { I I n : : 1n: rij u hJ o dI{ r Iild u

- ?fi'rrilrqr

-3ffihjrnfinr:,nduu'l"r'ki'odr.:r.lnpr^ n'rurutrSffihjrnuurjnfi (normat lip length)

A-l o ,

?1fi uun r uluriolrJtn (intraoral findings)

- hivruR.:frqilna'fi3L?hjrn rrrllL dutjln (floor of the mouth) tuiotdooounralu'iorrjrn

llo v fi o 14 o u14 ti's lio { il r n (oropharynx)

- qqr?ur,ilun: rrluc! s1rur r ruu (#r6,t7)

- I r n : :'l a : u u fi zu u r q 1 il c! r u3o rd o ei o u fi n r r r r.r tj u sl"'r rJ n er^ (nr-)

&a o u- ru^odq (frenum) lnryqiludurrionuuttavrnrvpir'luti'uru-l^oneix]qu'hit-rrzu'lr.r

sionr:1ciflurfiaru

- nl:c{Ulilu class I ridge relationship

loaFlalntAirZ- u r a r u L q il n r il [ [a v il3 L r su rJ n h^ hj fi n r 5 il ? LJ ] n I o I si o ru ilr n t u

Saroorraa&r- a u ru r u.i el r r a v n r : rfl 60 u fi rJ n fi r ra v o d1 u sir r rv u I il n pr^ n a rL tH ru fi u rl r n

- qtnr?{nrulusiolilrnoqjlurnnr.li6

q q

AAU<nl5?UOiUl:n

edentulous area#16,77

q.il il r u,t'q o qj1 u rJ : v rn u fi tr q fi r.r a (Philosophical type)

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ntr;nu] (Treatment)

t. dnrj:vifirravdrnr:rium*nil:srh n:?0dRryrnruuoflttcvflruludo{ilrn firuvf,ri'urrton

'jxuurrayrirsrirufaqfiilfrJrn'[a]q:nonnoueit.t'unii'lhjld' (Irreversible hydrocolloid) ryu^er Dust free

alginate drflu ..grt* set (Jeltrate @ Dentsply) irilri'uorqtfrruv(rJrnrirrBogil (stock trays) tl'lioti'tdunrio

dru4s4q9,/udnur (Diagnostic casts) nrunrnitdl[il [u:'ltJl (Panoramic radiograph) I !9t uuvlflfll:dilflurl?u?dEu4e

t-Iu vt* n n r : a u ilu (B ite re gistration material,imprint 3 M)

2. ryt:oufiilvfufiotir#urciofinurd'?u rype III dental stone rjrdureiofifluruu rirl ilrdqrdrniil

nnqrJn:aitrn::'[n:,itno{ (Semi adjustable Articulator) leol#iaquiufinnnr:auf,u 0rn{oryafiki'orn

414rqrqtn,Sur,rrioRnu'r ?uJir arrur:akiflu'ld'nrilrurnr travgr-l*rsfirHilrscru lirrnSo.rfiorirvrr'rlunr:p.irst-n

I!

(Surgical stent) Inud,n'trriudduduu't,fJur-rillu (anatomic wax up) rrovrirnr:rrJduufif,u1l#u,iJu

A- aa a 4fi fl u o v n? fr n rfr q fi u fl ? (radiopaque self cure acrylic)

AA3. ao{[niolruourmxlunr:p.irsr-or (Surgical steng lurJrnnu'[{ rironrnflSrdnryr:dnorufirrsro$

R 1?\Yqfir6nryrT dnorufirrn o$ Crrnt u q?ilufr r o

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n r?'r f.rftrdnryrT dn o rufr rtn o f Crtrr u w{u fr n

ornrloryafi'ld'ornnrnsirufr?ilu'jrluafrrrru.rf,u t6 n:vnnulrflufrnrrrLn{rl 9.75 tJtJ. fl?rilq{

to.gl lil. sirrrililrf,utz n:vqnuiflufinrrrun{r{ 11.0s ,.,u."u.luU{ 8.08uu.6.rr#u1d'jrrJSruror

n:yqnfi'lrjrfiuwosionr:dk:rnrfiuiln?rruu'r? 10 u:J. 'lshxrrp.run'tr;nn,lrunr:l#ursr 2Yoxylocaine dtu

irrrrtiution technique nirst-qundulryu1d(rins rm) Iottlldstraumanosteotome ovd[l:rntfiuilbone level

taper strauman, SLA rutot 4.1*10 ilru. 'lusirttilrisfira ttnsovdlq:rntfiuil lurn 4.8*10 ttru.luel"rtruilsdrz

tri'rJrrrtflilrq(Ibuprofen)rrnvurrJ6^firuv(amoxycilin) rd'lnr:p'irst-q rtuvdreGqttnrtr.rard'rr.irot-n

+. nr:p'irr;t"'erondul*ruutntfl (sinus fin) 'lus{rrrilrjlfludrz lquld strauman osteotome

rntor:r^ofin"nunrsrflurrvirrrdn g:Jixnrru:rnrfiurufiovflu fiture'#{rrsirSnhJ6{1vtqtz.z,z.t,3.s,4.1 ilil.)

fir'rrJruraflord'rtorvn:snncJor:tntfiuu sffauman rJarufin-nuEltvrflutrci{r{r

AARlTlttCfFl{[FITO{}JO strauman osteotome

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9- a t u A t qg)a 6t o t i--4 , avuuugtou [un]:ru19t9t [:il9t?u t.t'il?n:o pilot drill 2.2 NN. r01v tua]trl4u{cr17 nn 6 ilil. tTr?n5o

d Y- ail o n

2.8 ilil. lolvnfl 6 ilrJ. otnuu tu osteotome uu'rgr 2.8 ruil. lirnr:nonn:setnfiu]n:{otfl'1fl 1#1d'f O ruil.

drnr:gt:roaou:ounvn lnuld'nuhirrulooonmxo:rnlquflqorun'l{ rrnvii'.rrnnfisirrnnirfitotv

(valsava technique) vru'jrnra,ilunu 'hifi:ouvrvq ovlirrn:fl:'ro:ouvrvq4nnr9.rfitil6uutlurqil-'lnroltav

'- qs)- "

, , 4 q9)

q q

u t4osreotome o]nuulfil?n:o 1u19t 3.5 tJtJ. t0lv6in 6 ilil. qflyl]Uo{ tT oteotome 1jul9l 3.5 tJtJ. nofln{ lilof]

'- uct 4 Y- alv u I 4 Y 4 q9)n:{ 0u lgtn?]ilan l0 ilrJ. otfluu t,[,fi?n:091?dgrYnu 1]u19t 4.2 tJrJ. [o'lvnfl 6 ilil. qqnluo{ tT oteotome

b ra '- ut:y 41JU1914.2 U:J. AOnA{ tilonn:{ tU tgrn?rilnn l0 }JtJ.

5. nt:dl{:tnrfiu:r ]qu1dtn3o.:n^orjrvrl{ (surgical stent) bone level taper strauman, SLA flu'lot

o o t j4.1*10 lrru. 'luafrrruri.rdrO inserrion torque 35 Ncm. Itnsdf{:tntfruil uuta 4.8*10 ruru. lual"rttrrilfrtz

inserriontorque 35 Ncm. l#r,rryn flurpr 5.5x5 rLru.'ltiln uu:lfllfruru rdlrrnrndtu'lililava'lu (coated

Vicryl* Plus 4-0)

R'l ?,t 1 u rJ r fl H d'{ n r : e'i r er-er u n fi u 1 ry#a (sinus lift) r r n u fl'r : t n tfi u ruta)Ed

fl lvt fil u: il d

R t?rt lu rJ tn il d'.r o rnlcim ry or (healing abutment)

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4lrO. tto-lornff{:]ntfruil 3r6ou lirnr:firuv(rjrn sio impression post uu:']flliluil [oncr[:u g?l

impression post rionlu:rnrfiuilosfi lirnr:vl^rufrJrn Jquld single mixed single impression slts polyether

(impregum soft consistency, 3M) ttou stock tray ooflltlJuf,urJnorurfJu Porceluin fuse to metal crown

Yfifl cement retained crown, occlusal metal3/+, 1# nC cementable abutment D6.5, GH3 tJtJ. AH5.5 ilil. Ti

z. 'lti "ro*n

l#nuhi oo.l cementable abutment luilrntonryt:dqnrriltluudfim nh ,.r"* gl':u

I ,- - '- , Y- , v 9) 4 i dr t

n

torque controller d?utt:.: 15 Ncm. dltJfli.lttstavnfl?nsnr-ufrurfr rfrorilunr: preload screw otnfutlogv!r"r.* d?u Teflon tape tta& composite filling material (filtex 350 ,3M) nlntiuno{n:ouf,u n:?tcYourhu

JeerJ:vfro d'ru'lililzu-qf,u ttnvfl:?0dount:uqlfiu?Fi?u articularing paper (accu foil 8 micron; ot:rovtolnt:duaJa'-urq04ql[ufluultavuonfluu 0]nuu19r[[9r{n:ouilu[[avil]nt:uftn:0ilflu6?u resin cement (Rely X U200, 3M)o

t o* Jr a da '-yl I n ? 1 il du o 1 q qrlil u gl d? u lfl u t [a v to fl ryt: u o n n t {

8. frprsnlrzunnr:fn u1 2 orfrndmd'qlcinrTouvilu rrny o r6ou rrnyqn 1 TJ

R 1 v{ 1 u rJ r n il d'r sir u il q rd u ? il d'q o r n 1 ri n : o u v{u

n r?'t fr fr ro n ryr: i vrd'q n r : lcin : o u rilu

R r n 1 u rJ r fl H n"r dr u,flr { il n-{ 0 r fl 1 rinr : o u vilu

nrvrronm: d rfl H n-{kivilu

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1. L. Feller, R. Chandran, R.A. Khammissa, R. Meyerov, Y. Jadwat, M. Bouckaefi, et a1.,

Osseointegration: biological events in relation to characteristics of the implant surface, South Afr.

Dent. Assoc. 69 (2014) 112-117.

2. J. Pennington, S. Parker, Improving quality of life using removable and hxed implant prostheses,

Compend. Contin. Educ. Dent. 33 (2012) 268-276.

3. C.A.A. Lemos et al. Shorl dental implants versus standard dental implants placed in the posterior jaws:

A systematic review and meta-analysis, Joumal of Dentistry 41 (2016) 8-17.

4. Pal US, Sharma NK, Singh RK, MahammadS,Mehrotra D, Singh N, et al. Direct vs. indirect sinus lift

procedure: A comparison. Natl J MaxillofacSurg 2012; 3:31-7.

5. Mahmoud Al-Dajani,Recent Trends in Sinus Lift Surgery and Their Clinical Implications,Clinical Implant

Dentistry and Related Research, I 8 (201 6), 204-212.

6. Esfahanizadehet. Al,Comparison of Lateral Window and Osteotome Techniquesin Sinus Augmentation:

Histological and Histomorphometric Evaluation, Joumal of Dentistry, Tehran University of Medical

S cienc e s, Tehran, Ir an 9 (20 1 2), N o.3,23 7 -2 4 6.

7. Brizuela A, Martin N, Fem5ndez-GonzalezFJ,Lanazabal C, Anta A. Osteotome sinus floor elevation

without grafting material: Results of a2-year prospective study. J ClinExp Dent.2014;6(5): e479-84.

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