Case Report: Immediate Extraction and Implant Placement with Internal Sinus Lift – Ten Implants in Bilateral Molar Regions
I. Basic Information
Name: Mr. Zhai
Gender: Male
Age: 80
Chief Complaint: Tooth loss; requesting implant‑supported restoration.
Past Medical History: Denies any systemic diseases, and no known food or drug allergies.
Present Dental History: Bilateral posterior tooth loss affecting mastication; presented to our clinic for consultation.
II. Clinical Examination
Intraoral examination was performed.

Radiographic examination was performed.

III. Diagnosis and Treatment Plan
Diagnosis: Bilateral posterior partial edentulism.
Treatment Plan: Restoration‑driven approach using ten Hanzu® implants in the posterior regions (sizes: 4.5×10 mm, 5.0×8.5 mm, and 4.0×13 mm).
IV. Treatment Procedure
Surgical Procedure: Under local anaesthesia, incisions were made and osteotomies were prepared. Bilateral internal sinus floor elevation was performed, and immediate extraction and implantation were carried out on the left mandibular posterior sites. Hanzu® implants were placed, and the wounds were sutured.


Prosthetic Phase (March 2025): Healing was satisfactory; impressions were taken and definitive restorations were delivered.


V. Case Summary
The Hanzu® implant system demonstrates excellent osseointegration. The sloped shoulder design allows for more favourable bone coverage over the implant, which is conducive to bone attachment and growth, thereby ensuring long‑term implant stability and facilitating favourable stress distribution.
VI. Clinician Profile
Name: Yan Guangdi
Affiliation/Title: Clinic Director
Honours and Achievements:
Attending Stomatologist (with intermediate qualifications in Prosthodontics and Dental Technology).
Member of the First Committee of the Oral Preventive Medicine Specialty Committee, Henan Preventive Medical Association.
Technical Director of Zhengzhou Yuemeijia Dental Laboratory.
Over 10 years of clinical experience in both dental practice and laboratory fabrication.
Has systematically received formal training in various implant systems from Switzerland, the United States, South Korea, etc., and obtained corresponding certificates; has been engaged in implant dentistry for more than eight years.
Specialises in endodontic therapy, aesthetic restorative dentistry, aesthetic porcelain laminate veneers, functional prosthetic rehabilitation, sinus floor elevation, immediate loading for edentulous arches, minimally invasive implant placement, and minimally invasive tooth extraction.