™
Clinical Cases
Minimally invasive sinus lift procedures
with the iRaise™ Sinus Lift Implant
Uplifting Implant Dentistry
TABLE OF CONTENTS
MINIMALLY INVASIVE SINUS LIFT AND SINGLE-UNIT RESTORATION WITH iRaise™
Dr. Dragos Slavescu, DDS, DMD, PhD, Specialist In Oral and Maxillofacial Surgery, Bucharest
4
MINIMALLY INVASIVE SINUS LIFT WITH iRaise™ USING A SURGICAL STENT
Surgery: Dr. Hadar Better, MD, DMD, MSc, Specialist In Oral and Maxillofacial Surgery, Tel Aviv
Prosthodontics: Dr. Yuval Wind, R.E Goldstein Center For Aesthetic Dentistry & Clinical Research,
Prosthodontics Department, Faculty Of Dentistry, Hebrew University-Hadassah, Jerusalem
6
MINIMALLY INVASIVE SINUS LIFT AND TWO-UNIT RESTORATION WITH iRaise™
Dr. Dragos Slavescu, DDS, DMD, PhD, Specialist In Oral and Maxillofacial Surgery, Bucharest
8
MINIMALLY INVASIVE SINUS LIFT AND TWO-UNIT RESTORATION WITH iRaise™
Surgery: Dr. Hadar Better, MD, DMD, MSc, Specialist In Oral And Maxillofacial Surgery, Tel Aviv
Prosthodontics: Dr. Eran Dolev, Tel Aviv
10
MINIMALLY INVASIVE SINUS LIFT WITH iRaise™ IN CASE WITH MAXILLARY SEPTUM
Surgery: Prof. Gabriel Chaushu, DMD, MSc, Specialist In Oral and Maxillofacial Surgery, Director,
Department Of Oral and Maxillofacial Surgery, Rabin Medical Center
Prosthodontics: Dr. Doron Haim, DMD, MPH, Director, Center For Dental Health and Implantology,
Assaf Harofeh Medical Center
12
BILATERAL MINIMALLY INVASIVE SINUS LIFTS WITH iRaise™
Surgery: Dr. Hadar Better, MD, DMD, MSc, Specialist In Oral and Maxillofacial Surgery, Tel Aviv
Prosthodontics: Dr. Tirza Ramon, DMD, MPH, Specialist In Public Health Dentistry, Tel Aviv
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Maxillent Ltd. Proprietary Information | 3
Minimally Invasive Sinus Lift And Single-Unit Restoration
with iRaise™
Dr. Dragos Slavescu, DDS, DMD, PhD, Specialist in Oral and Maxillofacial Surgery, Bucharest
A 61 year old female, with no prior medical history, presented with a missing first upper left molar. Due to
insufficient residual height of the alveolar ridge (4.5 mm), a sinus lift was indicated.
Pre-operative Examination
Treatment plan:
Simultaneous sinus lift and
implantation with iRaise™ Sinus
Lift Implant, 4.2 mm diameter, 14
mm length
Panoramic X-ray showing missing upper left first molar, with 4.5 mm of
residual alveolar bone height
Surgery
Saline injection and retrieval
through the iRaise™
Bone graft injection
Follow-up Treatment
Healing cap in place following
second stage surgery at 8 months
4
Final restoration at
19 months post-op
Post-operative periapical X-ray
showing iRaise™ fully inserted
Follow-up X-rays
Periapical X-ray at 7 months
Panoramic X-ray at 13 months
CT Images
Pre-op CT with implant site marked by yellow outline (top), and at 19 months (bottom)
Clinical Notes
•• The iRaise™ procedure and subsequent restoration were uneventful.
•• This case presented a single-tooth gap between adjacent teeth, and the iRaise™ instrumentation was
successfully introduced and operated between them.
•• The post-healing CT indicates significant generation of new bone around the implants.
Maxillent Ltd. Proprietary Information | 5
Minimally Invasive Sinus Lift With iRaise™ Using A Surgical
Stent
Surgery: Dr. Hadar Better, MD, DMD, MSc, Specialist in Oral and Maxillofacial Surgery
Prosthodontics: Dr. Yuval Wind, R.E Goldstein Center for Aesthetic Dentistry & Clinical Research, Prosthodontics
Department, faculty of Dentistry, Hebrew University-Hadassah, Jerusalem
A 48 year old male presented with missing first and second upper right molars, requiring a sinus lift in order
to place implants (5.5 mm residual bone height). The patient had no prior medical history.
Pre-operative CT
Treatment Plan
A simultaneous, minimally invasive sinus lift procedure and dental implantation with an iRaise™ Sinus Lift
Implant, 4.2 mm diameter, 17 mm length, and one additional standard implant. The prosthodontist prepared
a surgical stent to indicate the preferred location of both implants.
Surgery
Initial view
Surgical stent
Final Restoration
Final restoration at 10 months
6
Saline injection and retrieval
X-rays
Periapical radiographs: intra-operative with depth guide (top), immediately post-op with two implants (middle),
and with PFM try-ins at 9 months (bottom)
Clinical Notes
•• The iRaise™ procedure and follow up were uneventful.
•• The appearance of blood in the returning saline was found to be a useful clinical marker, indicating that
the Schneiderian membrane was accessed by the saline injection.
•• The surgical stent was successfully used in conjunction with the iRaise™ and facilitated an optimal
implant location in accordance with the restorative plan.
Maxillent Ltd. Proprietary Information | 7
Minimally Invasive Sinus Lift And Two-Unit Restoration
With iRaise™
Dr. Dragos Slavescu, DDS, DMD, PhD, Specialist in Oral and Maxillofacial Surgery, Bucharest
A 42 year old male, with no prior medical history, presented with missing first and second upper right molars.
Residual height of the alveolar ridge was 6 mm, necessitating a sinus augmentation procedure.
Pre-operative Panoramic X-ray (before initial preparation)
Treatment plan:
Simultaneous sinus lift and
implantation with iRaise™ Sinus
Lift Implant, 4.2 mm diameter,
17 mm length, and an additional,
standard dental implant, 4.2 mm
diameter, 14 mm length
Surgery
iRaise
View after initial preparation
iRaise™ insertion
Follow-up Treatment
Healing caps in place
at 8 months
8
Final restoration at
16 months
Post-operative periapical
X-ray with iRaise™ and
additional implant
Panoramic X-ray at 24 months
iRaise
CT at 24 months
iRaise™ location is marked by yellow outline
Clinical Notes
•• The iRaise™ procedure and clinical follow up were uneventful.
•• A post-operative CT indicated significant bone formation around the implants, including several millimeters
apically.
Maxillent Ltd. Proprietary Information | 9
Minimally Invasive Sinus Lift And Two-Unit Restoration
With iRaise™
Surgery: Dr. Hadar Better, MD, DMD, MSc, Specialist in Oral and Maxillofacial Surgery, Tel Aviv
Prosthodontics: Dr. Eran Dolev, Tel Aviv
A 63 year old male, with no prior medical history, presented with missing second upper left premolar and
first upper left molar. Residual height of the alveolar ridge was 5.5 mm, necessitating a sinus augmentation
procedure.
Pre-operative CT
Treatment plan: Simultaneous sinus lift and implantation with iRaise™ Sinus Lift Implant, 4.2 mm diameter,
17 mm length, and an additional standard dental implant (4.2 mm diameter, 13 mm length)
10
Surgery
iRaise
Initial view (temporary
bridge removed)
Saline injection through
partially inserted iRaise™
Post-operative periapical X-ray with
iRaise™ and additional implant
Follow-up Treatment
Healing caps in place
at 10 months
Final restoration at 14
months post-op
Follow-up X-ray at 10 months
iRaise
Healing caps in place at 10 months
Clinical Notes
•• The iRaise™ procedure and follow up were uneventful.
•• The patient resumed an extremely active lifestyle on the day of the iRaise™ procedure.
Maxillent Ltd. Proprietary Information | 11
Minimally Invasive Sinus Lift With iRaise™ In Case With
Maxillary Septum
Surgery: Prof. Gabriel Chaushu, DMD, MSc, Specialist in Oral and Maxillofacial Surgery, Director, Department
of Oral and Maxillofacial Surgery, Rabin Medical Center
Prosthodontics: Dr. Doron Haim, DMD, MPH, Director, Center for Dental Health and Implantology, Assaf
Harofeh Medical Center
A 51 year old female, with no prior medical history, presented with missing upper left first and second molars.
Residual alveolar bone height of 5 mm indicated a sinus lift. However, a large septum in the maxillary sinus
complicated the treatment plan in case of a standard open sinus lift.
Pre-operative CT
Treatment plan: Simultaneous sinus lift and implantation with iRaise™ Sinus Lift Implant, 4.2 mm diameter,
17 mm, mesially located with respect to the septum; additional standard implant (4.2 mm diameter, 13 mm
length), distally located with respect to the septum
Surgery
Septum
iRaise
Saline injection through
partially inserted iRaise™
12
Bone graft injection
through iRaise™
Immediate post-op
periapical X-ray. Septum is
visible between implants
Follow-up Treatment
Healing caps in place at 9 months
Final restoration
Follow-up Panoramic X-ray at 9 months
iRaise
L
Clinical Notes
•• The iRaise™ procedure and follow up were uneventful.
•• The septum did not present any difficulty with the procedure. The membrane was raised hydraulically
without event.
•• The elevation was initiated mesially to the septum and proceeded distally beyond the septum.
•• In this case a synthetic bone graft was used (MBCP™ Gel by Biomatlante). Its increased radio-opacity,
relative to allografts that were previously used, granted improved imaging of the bone graft in immediate
post-operative radiographs.
Maxillent Ltd. Proprietary Information | 13
Bilateral Minimally Invasive Sinus Lifts With iRaise™
Surgery: Dr. Hadar Better, MD, DMD, MSc, Specialist in Oral and Maxillofacial Surgery
Prosthodontics: Dr. Tirza Ramon, DMD, MPH, Specialist In Public Health Dentistry, Tel Aviv
A 56 year old female, with no prior medical history, presented with multiple missing upper teeth bilaterally,
and an indication for bilateral sinus lifts (residual alveolar heights of 5.5 mm and 4.5 mm on the right and left
sides, respectively).
Pre-Operative CT
Treatment Plan
Treatment performed in two separate sessions. The left side treated first with an iRaise™ Sinus Lift Implant,
4.2 mm diameter, 17 mm length and two additional standard implants. The right side treated with an iRaise™
Sinus Lift Implant of 4.2 mm diameter, 17 mm length, and one additional standard implant.
Surgery
Left side: bone graft
injection
Right side: tube connector
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Left side after bone graft injection
(bone graft visible in opening)
Right side: bone graft injection
Left side: Three
implants in place
Right side: Two implants in place
Follow-up Treatment – Left Side
Healing caps in place at 9 months
Temporary restoration at 10 months
Periapical X-rays
Right side, immediately post-op
Left side at six months
Panoramic X-rays
iRaise
iRaise
Panoramic X-ray
immediately after the
second procedure (right
side), 10 months after
the first procedure.
Clinical Notes
•• Both iRaise™ procedures and follow up were uneventful.
•• The patient was highly satisfied with the result on the left side and eager to perform the second
procedure on the right.
Maxillent Ltd. Proprietary Information | 15
Company Profile
Maxillent’s development and manufacturing facilities are
certified for ISO 13485, and all the company’s products
are CE-Mark approved. FDA approval is currently in
process. Maxillent’s uncompromising commitment to
quality and strict adherence to regulatory guidelines
ensures that it not only meets, but exceeds the
industry’s most stringent quality standards.
Maxillent’s technology is based on proprietary R&D,
with a rich intellectual property portfolio. Maxillent
products are covered by US patents 7934929,
8029284, and additional US and international patents
pending. The following trademarks are owned by
Maxillent: Maxillent™, iRaise™, and iSure™.
Contact Information:
Maxillent Ltd. , 85 Medinat Hayehudim St.,
POB 4100 , Herzliya 46140 ISRAEL
T +972-9-953-4500 | F +972-9-953-4501
e-mail: [email protected]
website: www.maxillent.com
0344
MKCS10001
Maxillent Ltd. provides innovative solutions that
are transforming the field of dental implants. The
company’s flagship product is iRaise™, the Sinus
Lift Implant, which allows dental professionals to
perform a minimally invasive sinus floor elevation and
implantation in a single, simple procedure. In addition
to the iRaise™, Maxillent offers a comprehensive range
of iSure™ dental implants, prosthetics, bone graft
materials and tools that cover the entire spectrum of
dental implant procedures.