Anterior Sinus Grafts for Angled Implant Placement for Severe Maxillary Atrophy as an Alternative to Zygomatic Implants for Full Arch Fixed Restoration: Technique and Report of 5 Cases

We report on 5 cases, 4 to demonstrate the anterior sinus graft technique for angled implant placement and 1 comparison zygomatic case, all for immediate function implant restoration despite severe maxillary atrophy. The sinus graft was low volume, with less than 5 mL of bone morphogenetic protein-2/absorbable collagen sponge allograft in a 50% mixture placed against the lateral nasal wall, often in conjunction with implant placement. The importance of the technique is to simplify treatment of severe maxillary atrophy for immediate function to avoid the need for zygomatic implant placement in the vast majority of severely atrophic maxillas.