NeoBiotech Sinus Crestal Approach Kit

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Neobiotech · Sinus Lift SCA KitSinus Crestal Approach Kit A complete surgical kit for crestal sinus elevation — perforating the sinus inferior cortical wall and lifting the Schneid erian membrane without membrane damage or the need for mallet osteotome technique. The S-Reamer's uniquely designed blade structure forms a protective bone disk against the membrane, enabling safe, high-speed drilling at 1,200 RPM even in misaligned and septum cases. No Mallet — No Membrane Tear S-Reamer 1,200 RPM · Bone Disk Protection CMI Fixation — Tri-cortical Stability Clinical Insight What clinicians are saying Real-world feedback from implantologists using the SCA Kit for crestal sinus elevation in their surgical practice. "The SCA Kit has changed how I approach short residual bone cases. The S-Reamer drills at speed — you're not hammering an osteotome, so patient feedback is completely different. The bone disk that forms in the reamer head is what really makes the difference clinically: even when I've had the reamer touch the membrane directly in a septum case, there's been no perforation. It's built more confidence into what used to be a high-anxiety step of the procedure." Crestal Approach · Septum Case · Bone Disk Protection "CMI fixation was the concept that made me try the SCA Kit — getting engagement in all three bone zones from a crestal approach is something conventional osteotome technique simply doesn't achieve reliably. The stopper system makes sequential depth progression feel controlled and safe, and the whole procedure from initial drill to final implant placement follows a logical step-by-step sequence that's easy to train staff and residents on." CMI Fixation · Depth Control · Operator Training Resources Product Documentation Product Brochure User Guide Indications When to use the SCA Kit Indicated for crestal sinus elevation in cases where residual bone height is insufficient for standard implant length — without the need for lateral window approach or mallet technique. Crestal Sinus Elevation — Posterior maxillary implant sites with insufficient residual bone height requiring sinus floor elevation via the transcrestal (crestal) approach without lateral window surgery. Misaligned & Septum Cases — The S-Reamer's 'S'-shaped blade design and bone disk mechanism allow safe perforation even in cases with a misaligned sinus floor or septum — conditions that increase membrane perforation risk with conventional osteotome technique. CMI Fixation Cases — Where tri-cortical initial stability is required: simultaneous engagement in the crestal cortical bone, middle cancellous bone, and sinus inferior cortical bone in a single implant placement. Simultaneous Implant Placement — Single-stage crestal elevation and implant placement at the same surgical visit, where residual bone height and density support immediate fixture insertion following sinus floor preparation. Minimally Invasive Sinus Augmentation — Where a less traumatic alternative to the lateral window approach is preferred — reducing patient morbidity, shortening operative time, and improving post-operative comfort. Crestal Bone Grafting — Bone grafting material is placed via the transcrestal osteotomy site using the Bone Carrier, Bone Condenser, Bone Inserter, and Bone Spreader — elevating the membrane and building sinus floor volume without open sinus access. The 3S of SCA Kit Safety · Speedy · Simple Three design principles behind the SCA Kit — each directly addressing a clinical limitation of conventional crestal sinus elevation technique. Safety Bone disk shields the membrane— even on direct contact The S-Reamer's specially designed blade structure does not tear the sinus membrane even in direct contact. During drilling, bone chips fill the reamer head space and form a flat bone disk surface between the reamer and the membrane — providing an additional protective layer. This makes the SCA Kit safe to use in misaligned and septum cases where membrane contact risk is highest. Speedy High-speed drilling— 1,200 RPM with irrigation High-speed drilling of the S-Reamer at 800–1,200 RPM (with saline irrigation) enables safe and rapid perforation of the sinus inferior cortical wall without membrane damage. The 'S'-shaped blade design allows the reamer to cut the bone effectively at speed, removing the need for the slow, physically demanding mallet-and-osteotome technique and shortening the operative time significantly. Simple User-friendly design— reduced technique-sensitivity The SCA Kit provides a much easier and less technique-sensitive approach to sinus crestal elevation. Each component is purpose-designed for a specific step in the procedure sequence, the stopper system controls drilling depth in 1mm increments, and the kit uses a general rotary drilling method that any trained implant surgeon can perform without specialised mallet training. Technique Guide Step-by-step procedure sequence From initial osteotomy preparation through to final implant placement — each SCA Kit component performs a defined role in the crestal elevation sequence. 1 Initial Drill & Widening Drill to 1mm shorter than residual bone height. Widen to final diameter based on bone density. Do not reach within 1mm of the sinus membrane. 2 S-Reamer Drill remaining bone to the sinus inferior cortical wall. Gently perforate the cortical floor until opening is detected. Speed: 1,200 rpm with irrigation. 3 Depth Gauge Confirm complete sinus floor opening by hanging gauge tip in the sinus wall. Feel membrane with the flat end. Do not insert more than 1mm into sinus. 4 Bone Carrier Insert bone graft into the osteotome site using the bone carrier (0.05cc per insertion). Approximately 0.1cc of bone is needed to lift the membrane 1mm. 5 Bone Condenser Push graft material to the sinus floor. Use the wide end for fine particulates and the narrow end for coarse particulates. 6 Bone Inserter Alternative method to push graft into sinus using the spiral bone inserter. Connect stopper (residual alveolar bone height) and rotate at 80 rpm. 7 Bone Spreader Spread bone laterally to reduce tension against the membrane. Connect stopper and rotate at 50–80 rpm. Repeat after every 0.1cc of bone insertion. 8 Final Drill & Implantation Freshen up the channel with a larger drill to remove excess graft material. Place implant and obtain CMI fixation from the sinus inferior cortical wall. Technique guide courtesy of Neobiotech. Select S-Reamer diameter 1mm shorter than estimated residual bone height. Advance depth 1mm per step using 1mm longer stopper for each increment. Kit Components Complete instrument set Every instrument required for the full SCA crestal elevation procedure is supplied in a single organised tray — from initial osteotomy through to bone spreading and final implant placement. Component Function Key Spec Initial DrillSSD20 Creates guide hole at precise osteotomy point before S-Reamer Ø2.0 · 1,200 rpm S-ReamerICR24 / 28 / 32 / 36 Main instrument — perforates sinus inferior cortical wall without membrane damage via bone disk mechanism Ø2.4 / 2.8 / 3.2 / 3.6 · 800–1,200 rpm StopperSKS02–SKS11 Controls S-Reamer drilling depth in 1mm increments; also used with Bone Spreader and Bone Condenser to prevent membrane rupture 10 pieces · 2mm–11mm (1mm steps) Depth GaugeSDG00 Confirms complete sinus floor perforation and measures residual bone height after S-Reamer Single instrument · 3 / 6 / 9 / 12mm markings Bone CarrierJUMBO2 Delivers bone graft material into the osteotome site 0.05cc per insertion Bone CondenserSBC01 Packs graft material onto the sinus floor; wide end for fine particulates, narrow end for coarse Ø1.6 / Ø2.2 Spiral Bone InserterSBI27 Alternative method to push bone graft into sinus after bone carrier placement 80 rpm · use with 1mm stopper Bone SpreaderSBS20 / SBS30 Spreads bone graft laterally to reduce membrane tension and increase sinus floor volume Ø2.7 / Ø3.1 · 50–80 rpm S-Reamer diameter selection guide: For 1–3mm sinus insertion depth — Regular fixture: Ø2.4 · Wide fixture: Ø3.2. For more than 4mm insertion depth — Regular fixture: Ø2.8 · Wide fixture: Ø3.6. S-Reamer diameter is directly related to CMI implant diameter and must be selected carefully. Specifications Technical specifications Device type Sinus Crestal Approach Kit — transcrestal sinus elevation surgical instrument set Material Medical grade stainless steel (surgical tools and drivers) S-Reamer diameters Ø2.4 (ICR24) · Ø2.8 (ICR28) · Ø3.2 (ICR32) · Ø3.6 (ICR36) S-Reamer operating speed 800–1,200 rpm with saline irrigation Stopper range 2mm–11mm (10 pieces, SKS02–SKS11) — 1mm increment steps Bone Spreader / Inserter speed 50–80 rpm Bone Carrier volume 0.05cc per insertion Sterilisation Steam autoclave — Pre-vacuum: 132°C / 2 bar / 3 min / 30 min dry · Gravity: 121°C / 1 bar / 40 min / 30 min dry Sterility Non-sterile medical device — must be sterilised before and after each procedure Manufacturer Neobiotech Co., Ltd — Seoul, Korea Origin Made in Korea Clinical Tips Getting the most from the SCA Kit Practical guidance for safe, predictable crestal sinus elevation with the SCA Kit. 1 Select S-Reamer diameter based on fixture size — not just residual bone. S-Reamer diameter directly determines CMI fixation and must match the planned implant diameter. For regular fixtures: Ø2.4 (1–3mm insertion into sinus) or Ø2.8 (more than 4mm). For wide fixtures: Ø3.2 or Ø3.6 respectively. An undersized reamer risks inadequate CMI fixation; an oversized reamer increases membrane perforation risk. 2 Advance drilling depth 1mm at a time — not in one pass. The stopper system is designed for 1mm incremental progression. Confirm the Valsalva test (patient blows nose with mouth closed) after each increment to check membrane integrity before advancing to the next stopper size. This step-by-step approach is the single most effective safety measure in the SCA Kit protocol. 3 Use the depth gauge to confirm — not to measure. The depth gauge confirms complete opening of the sinus floor by hanging its tip on the inner sinus wall. Feel for the membrane with the flat end of the gauge. Do not insert the depth gauge more than 1mm beyond the residual bone height — the purpose is sinus floor confirmation, not further membrane elevation. 4 Plan bone volume based on the elevation height required. Approximately 0.1cc of bone graft material is required to lift the membrane 1mm in height. For lateral expansion, insert at least 0.3cc before starting bone spreading. Use the narrow bone spreader (SBS20 Ø2.7) for 2.4–2.8mm S-Reamer cases and the wide spreader (SBS30 Ø3.1) for 3.2–3.6mm cases. Spread after every 0.1–0.2cc insertion to expand the membrane progressively. 5 Use a freshen-up drill before final implant placement. After completing bone grafting, freshen the channel with a slightly larger diameter drill to remove excess graft material from the osteotomy walls. This ensures clean cortical engagement at fixture placement, reduces the chance of graft material being forced laterally during implant insertion, and supports the CMI fixation achieved from the sinus inferior cortical wall. ⚠ Clinical Notice: The SCA Kit is a non-sterile medical device intended for use by dental surgeons who have completed implant procedure training. The kit must be sterilised by steam autoclave before and after each procedure. Hydrogen peroxide is prohibited for cleaning — it damages the TIN coating and laser markings. Do not use in patients with uncontrolled systemic disease, active infection, malignancy under radiation treatment, blood clotting disorders, titanium allergy, or unrealistic treatment expectations. Follow AS/NZS sterilisation guidelines. Refer to the Instructions for Use for full indications, contraindications, and handling guidelines. Show more