May 26, 2023

Case of a Sinus repair and full restoration from DIIWC

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This is a case of a sinus repair from a failed implant referred by another colleague, followed by crestal lift, 2 implants and restoration. Implants positioned using Implant Positioning Kit. DSI Implants used. Custom Abutments & Crowns designed on Exocad and milled in house – (except the abutments milled @ Truabutment).

Initial situation and planning
Implant positioning
Examining the "old" sinus lift site
Cleaning and preparing
Bone Grafting and covering with a barrier membrane
Suturing and left to heal
21 day Post-op
20 weeks post-op
Flap reflected - looks ready to go!
DSI IPO Positioner Kit
7.5 and 9mm pins to simulate future restoration
DSI Premium Implants 3.75x11.5 & 5.0x10mm
Flap sutured and left to heal
Post-op in 6 weeks
Good tissue profile and thickness, ready for the crowns
Scan posts
Screw-retained milled crowns
Final view - crowns in situ
Materials used:
DSI Premium Implants Mountless
DSI Toca Kit
DSI Implant Positioner Kit
DSI PDO Sutures
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Dr Carmy Michael


A graduate of University of Western Ontario Schulich School of Medicine & Dentistry with a degree of Doctor of Dental Surgery 2004 with a 6 months residency.

Also a graduate of Cairo University, School of Dentistry 1993 with a 1 year residency. Extensive training in the field of Dental Implantology and Digital Work Flow in Dentistry, A journey that started over 10 years ago and is still ongoing. Certified in Oral Sedation through DOCS and IV Conscious Sedation.

Active member of the Academy of Osseointegration (AO)

  • A Fellow of the Global Dental Implant Academy-CA (GDIA)
  • A member of the International Congress of Implantologists (ICOI)
  • Extensive training in Full Arch Restoration (Nobel and GDIA)
  • A Certified Provider for Institute for Advanced Laser Dentistry (LANAP & LAPIP)
  • Specialized training on 3 Shape & Exocad
  • Fellowship from Dental Implant Association (DIA)
  • Member with good standing in the CDA, MDA, ADA & OCDS
  • Digital Work flow for Implant Restoration.

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