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She reports no systemic conditions, no history of sinusitis, and no allergies. Medications include acetaminophen and ibuprofen as needed for pain. The patient's dentition is minimally restored, with no active caries. Cone\u2010beam computed tomography reveals a clear, pneumatized left maxillary sinus and inadequate bone volume to support dental implant placement (Fig. ). No septa or pathologic lesions are present, the ostium appears patent, and no thickening of the Schneiderian membrane is appreciable. The patient states that she wants to replace her missing molar without restoring adjacent teeth (Figs. and ).<\/jats:p>Baseline clinical appearance (example sinus elevation case). The patient is a healthy 38\u2010year\u2010old female missing tooth #14. Inadequate bone volume is present for dental implant placement due to pneumatization of the left maxillary sinus.<\/jats:p><\/jats:caption>image<\/jats:alt-text><\/jats:graphic><\/jats:fig>Preoperative cone\u2010beam computed tomography images. 2a<\/jats:bold> Sagittal view. 2b<\/jats:bold> Coronal view.<\/jats:p><\/jats:caption>image<\/jats:alt-text><\/jats:graphic><\/jats:fig>Cone\u2010beam computed tomography images at postoperative month 6. 3a<\/jats:bold> Sagittal view. 3b<\/jats:bold> Coronal view.<\/jats:p><\/jats:caption>image<\/jats:alt-text><\/jats:graphic><\/jats:fig>Definitive implant\u2010supported restoration, tooth 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