Crestal Sinuslift + ZERAMEX Implant Placement by Dr. Joseph Sarkissian

Social Media Case featuring Dr. Joseph Sarkissian

“Crestal #sinuslift is performed when available bone height is 4-6 mm and the sinus floor is not extremely sloped. Just warn the patient about the hammering 😀so hopefully you are very close to the floor with the osteotomy which would not require too much unnecessary banging.

The first X-ray with the pin not only gives me direction but also how many more mm are left to stop short of the sinus floor. After the floor of the sinus is “broken” and punched out with the hammer (HAS to have a stop so it doesn’t jam into the sinus and tear the membrane) it should carry the sinus membrane with it, forming a “tent”.

This is inspected with a blunt probe which will feel like a “trampoline”. The PRF is taken from the patient’s own blood and is perfect for these small lifts requiring only 2-4 mm “tenting” to place a 10 mm implant. For larger lifts the first increment is pure PRF (in case there is a tear in the membrane this will prevent particulate from pouring into the sinus) and then BIO-OSS or other material of choice. The nose is pinched and the patient is instructed to blow. The air pressure rise in the sinus will create bubbles through the osteotomy socket if there is a tear.

Notice I observe with a mirror. Zeramex XT #zirconia #metalfree #implant is placed and the flap is sutured back.”

About the Doctor

Dr. Joseph Sarkissian

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Dr. Joseph Sarkissian studied microbiology at the University of Alabama. He then attended the dental school of the University of Goettingen in the former West Germany, where he graduated in 1989.

Over the next eight years he practiced dentistry on the Mediterranean island of Cyprus. During that time he trained in homeopathy, completely abandoned the use of amalgam (mercury) fillings, and expanded his knowledge in the biological aspects of therapy.

In 1998, he moved to Los Angeles and received his license to practice in California. He currently owns a state-of-the-art biological dental practice in Glendale, California.

Dr. Sarkissian is a member of:

  • the IAOMT (International Academy of Oral Medicine and Toxicology),
  • the WCLI (World Clinical Laser Institute),
  • the NCH (National Center for Homeopathy),
  • the IABDM (International Academy of Biological Dentistry and Medicine),
  • the IAO (International Association of Orthodontists),
  • the AIID (American Institute of Implant Dentistry),
  • and IAOCI (International Academy of Ceramic Implantology).


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Implant Tribune

Spotlight on ZERAMEX®XT for the month of April 2020