SAFETY SURGICAL HAMMER IN CLOSED SINUS ELEVATION Inventor DR.JUI-YUAN SHIH Dentop dental clinic

1980 Bonye and James—lateral window, blade type implant. 1986 Tatum—crestal approach sinus floor elevation, using currete ,bur remove bone to sinus floor. 1997 Engelke and Deckwer—sinus endoscope aided closed sinus elevation. 2001 Davarpanah—twist drill make osteotomy combined Summers osteotome technique. 2002 Fugazzoto—trephine bur ,combined osteotome . Hydraulic pressure technique, piezoultrusonic tip technique, ballon sinus membrane elevation technique, electric hammer technique, S reamer technique.

► Take X ray or CT scan to evaluate the thickness of sinus floor. ^^^^9 Drilling with 2.0 mm twist drill to the depth short of estimated length about 1 mm. Sequentially drilling with wider diameter drills . ► Insert osteotome to the osteotomy site, using the surgical mallet to drive the osteotome. Until it lift the sinus floor. ► Insert the bone graft material. ^^^^9 Implantation with the desired dental implant.

Bleeding—caused by sinus membrane perforation. Sinus membrane perforation—caused by over drilling or by over extrusion of osteotome. Positional vertigo—caused by over impaction force of surgical hammer. COMPLICATIONS OF CLOSED SINUS

Characteristics of safety surgical hammer 1.plastic hammer head.—provide resilient effect, less contact noise. 2.coil spring.—provide shock absorption effect. 3.magnetic nut.—provide constant impaction force, for sinus floor punctu

Inventor DR.JUI-YUAN SHIH The Director of the United States Patent and Trademark Office Has received an application for a patent for (j rrcii and useful invention, The title and description of the invention are enclosed. The requirements of tan hare I Veil complied willi, and ii has been determined that a patent on lire invention shall be granted under the low. United States Patent Grants to the person(sj having title to this patent /he right to exclude others from making. using, offering for sale, or selling the invention throughout the United Stales of America or importing the invention into...

THE SAFETY SURGICAL HAMMER CAN PREVENT SINUS FLOOR PERFORATION. Controlled impaction. Shock absorption effect.

CASE REPORT OF SAFETY SURGICAL HAMMER IN CLOSED SINUS ELEVATION

26.27.CLOSED SINUS ELEVATION WITH SAFETY SURGICAL HAMMER Surgical procedure DR.JUI-YUAN SHIH

Coronal Sagittal 0351129 [ROOT I THOOmm 0851129-Stt5f [P]CPW

MfR ID 000021856 THOOnun 0351129SMtif [ROTOY 301TO315 Seas 1

CASE REPORT OF CLOSED SINUS ELEVATION WITH SAFETY SURGICAL HAMMER

14.15.16. & 25.26.27. CLOSED SINUS ELEVATION WITH SAFETY SURGICAL HAMMER DR.JUI-YUAN SHIH

27.CLOSED SINUS ELEVATION WITH SAFETY SURGICAL HAMMER DR.JUI-YUAN SHIH

17.16. CLOSED SINUS ELEVATION WITH SAFETY SURGICAL HAMMER DR.JUI-YUAN SHIH

16. CLOSED SINUS ELEVATION WITH SAFETY SURGICAL HAMMER DR.JUI-YUAN SHIH

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26.27. CLOSED SINUS ELEVATION WITH SAFETY SURGICAL HAMMER DR.JUI-YUAN SHIH

Sagittal MPR ID 000010736 THOOmm 0680816«fift [RC07Y 20170503 Senes 1

MfR 10:0000101736 TH 00mm 0680316 «f£ft [FI COSY 20171212 Sans 1

15. CLOSED SINUS ELEVATION WITH SAFETY SURGICAL HAMMER DR.JUI-YUAN SHIH

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26.CLOSED SINUS ELEVATION WITH SAFETY SURGICAL HAMMER DR.JUI-YUAN SHIH

26.27. CLOSED SINUS ELEVATION WITH SAFETY SURGICAL HAMMER DR.JUI-YUAN SHIH

• Control the striking force, prevent surgical complication. • Improve the success rate of closed sinus lift.

Thank you for your attention. We sincerely hope this safety surgical hammer can be a good instrument in you daily surgical practice, and doing well for your patient.