Fig. 5: Clinical documentation of the intervention.

A Specifically designed silicone retentive end combined with a metallic injection stent. B Top view showing how the metallic injection stent supports the silicone retentive end from within to prevent its deformation upon being inserted through the osteotomy. C Side view of the retentive end/ injection stent assembly combined with a silicone fluid supply tube. D The 3.1 mm and 3.8 mm diameter safe drills from CAS kit (Hiossen Canada) along with the 2 mm and 3 mm drill stoppers used to safely expose the sinus membrane. E Following the completion of both right and left side osteotomies, the white arrows show the intact exposed sinus membranes. F Omnipaque 240 contrast agent (GE Canada). G The specifically designed apparatus combined with a 3 ml graduated syringe loaded with contrast agent. H The self-retaining apparatus inserted into one of the osteotomies. I Silicone conical plug. J Self retaining conical plug inserted into the osteotomy following the fluid injection. K White arrow showing artificial perforation in the sinus membrane. L Extension cone paralleling device in place prior to periapical radiograph acquisition.