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An interesting case of sinus graft and implant placement. The anatomy of the sinus cavity, plus the fact that this was a single site made the lateral approach a difficult and risky procedure. Since we needed to lift the sloped sinus enough and gain at the same time good initial stability we utilised all the tools we have available in order to complete the case with a crestal approach. Thus, we utilised: The Cervico guide in order to center our osteotomy and control its inclination in relation to future gingival cervical profile, The versah drills in order to securely enter the sinus without hammering but also in order to improve bone response and increase our initial stability The piezotome, in order to continue the lift by means of hydraulic lifting and achieve more than 10mm lift uniformly. The hard tissue has been taken care of, so if patient's healing/response allows :))) at second stage we will take care of the soft tissue with the Cervico system.