Typically, the greater the atrophy of the process the more extensive and invasive is the sinus floor elevation procedure. A case of a 39 - year - old man demonstrates a minimally invasive hydrokinetic sinus lift from 1.7 mm height process in the site of lost tooth no. 16. Using small flap, safe drills for crestal approach diameter 2.8mm, 2ml of saline solution under pressure of syringe plunger and 1g of particulated bovine xenograft a 14mm height and 12mm width sinus floor elevation was obtained. Implant was placed with torque 30 Ncm, and healing cap was attached. Despite the very difficult conditions presented method obtain not only a very good therapeutic effect, but also reduce the number of procedures and time necessary for the full rehabilitation of the patient. Total treatment time to final crown delivery was 6 months.

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