In Misch Class IV it is not usually possible to place fixtures at the same time as carrying out the sinus lift procedure. For these situations, the use of several devices to immediately stabilize implants lacking in primary stability have been proposed. Among these, the simplest to use is the titanium S.I.S. plate. The aim is to allow, in the case of Misch Class IV, for the insertion of implants at the same time as the sinus lift. To perform the sinus lift, an equine enzymatically deantigenated xenograft and an equine derived collagen membrane were used.
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