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1. Trans-illuminate sinus to identify osteotomy outline.
2. Prepare osteotomy with external irrigation. Inferior cut should be at level of sinus floor.
3. Elevate sinus floor keeping curette
in contact with bone.
4. Place graft material under elevated
sinus membrane.
5. After closure wait six months prior to placing implants.
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3a. Small perforation of membrane.
3b. Cover small perforation with resorbable
membrane.
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1. Large perforation of membrane.
2. Drill suture retention holes.
3. Lateral view of suture retention holes.
4. Suture resorbable membrane in place.
5. Coronal view of membrane in place.
6. Place graft material under membrane.
7. Final closure of graft under resorbable membrane.