nice to meet you.
The methods suggested in the manual are mentioned for reference only.
After using the hatch reamer a few times, you know the feeling of the hatch opening moment, and if you have experienced the bone graft + sinis lift feeling while checking the elasticity of the membrane with the gauge, you can combine the procedure with your own surgery.
Of course, use the basic principles.
Hatch reamers are not meant to be used in one way.
As said, the contact between the implant surface and the autogenous bone is advantageous, but don't worry because it is not a disadvantageous situation when the implant is placed with the synthetic graft attached to the autogenous bone.
However, if you have lost the initial fixation and need to implant the implant after adding the bone for the initial fixation, it is better to avoid it.
I told you to add graft bone when you advance the hatchrimer, but it is safe to expand without bone graft if you have already advanced, that is, from 5mm to 7mm of the remaining bone, and then 7mm again.
It's because you've already won the maxillary sinus.
I don't know if it helped me solve the difficulties.
Thank you.
