Nasal Floor Elevation with Transcrestal Hydrodynamic Approach Combined with Dental Implant Placement: A Case Report

Severe atrophy of the anterior maxilla represents a major challenge for the clinician when planning an implant-supported rehabilitation. Several surgical options are available for augmenting bone volume in this area, including onlay or interpositional bone grafts, guided bone regeneration, distraction osteogenesis, and nasal floor augmentation. This case report describes a novel approach to nasal floor elevation using ultrasonic instruments to prepare the implant sites followed by transcrestal hydrodynamic nasal mucosa elevation and grafting with a collagenized xenogeneic biomaterial. This minimally invasive technique allowed for vertical augmentation of the atrophic anterior maxilla together with implant placement in a single-stage surgery.