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How would you treat this sinus membrane perforation? 📌 Patient information Patient: 70-year-old, Male Medical history: N/S 📌 Chief Complaint: Pain during chewing food 📌 Diagnosis Periodontitis of #24, 25, 27 📌 Treatment plan Extraction of #24, 25, 27 Implant with Socket graft at #24 and 25 Sinus bone graft and staged implant of #27 📌 Discussion In the perforated maxillary sinus membrane technique methods are leaving the perforated site untreated, suturing, sealing with collagen membrane and PRF and Preventive collagen membrane sealing. In this video, we used a procedure to prevent sealing the collagen membrane. Sinus elevation can be successfully performed and produce a good outcome even in cases of abruptly perforated sinus membrane, regardless of the location or the size of the perforation. Repair using dermal graft material (Megaderm plus) has predictable results and is a reliable technique. With a follow-up period for a long-term survival rate of implants in the maxillary sinus with perforated sinus membrane and confirmation are needed.