The osteotomy for the placement of an extra-long tilted implant should be positioned in close proximity to the anterior wall of the maxillary sinus, maintaining its anatomical inclination.
In this case, a drilling depth of 16 mm was confirmed. The system provided precise intraoperative identification of the anterior sinus wall, eliminating the need for a lateral window approach and thereby reducing surgical invasiveness and morbidity.
Correct parallelism between the two tilted osteotomies was clearly observed. A 22.5 mm implant was placed together with a parallel implant in a mesial position measuring 20 mm in length.
The image also confirms the distance to the floor of the nasal fossa and the geometric relationship with the adjacent tilted implant, demonstrating accurate spatial positioning and radiographic precision.