# Extractions, Bone Graft, Sinus Lift, Membrane | Oral Surgery Techniques #1 with Dr. Gallagher

Page: https://stenobird.com/podcast/dr-gallagher-s-podcast-3360363/extractions-bone-graft-sinus-lift-membrane-oral-surgery-techniques-1-with-dr-gallagher
Text version: https://stenobird.com/podcast/dr-gallagher-s-podcast-3360363/extractions-bone-graft-sinus-lift-membrane-oral-surgery-techniques-1-with-dr-gallagher.md
Podcast: [Dr. Gallagher's Podcast](https://stenobird.com/podcast/dr-gallagher-s-podcast-3360363)
Published: 2026-09-10T00:30:40+00:00
Episode link: https://podcasters.spotify.com/pod/show/doctorgallagher/episodes/Extractions--Bone-Graft--Sinus-Lift--Membrane--Oral-Surgery-Techniques-1-with-Dr--Gallagher-e3oj5pv
Audio file: https://anchor.fm/s/3b14a948/podcast/play/125457663/https%3A%2F%2Fd3ctxlq1ktw2nl.cloudfront.net%2Fstaging%2F2026-8-9%2F431520360-44100-2-643465c5e1905.mp3
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Duration seconds: 1718

## Resource

Key Concepts: 1. Less Traumatic Extraction for Future Implant Sites - Prioritizing preservation of interradicular bone and the buccal cortical plate while extracting broken-down, root canal–treated molars, since that bone is critical for long-term implant stability. 2. Lateral Window Sinus Lift Technique - Creating a controlled bony window on the lateral sinus wall, then carefully elevating the Schneiderian membrane without perforation to gain vertical bone height for future implant placement. 3. Socket Preservation & Bone Grafting - Grafting extraction sites (teeth #14–15) simultaneously with the sinus lift to preserve alveolar ridge volume and prepare an adequate implant site. 4. Flap Design and Primary Closure Technique - Using a full-thickness mucoperiosteal flap with a sulcular incision extended to a distal releasing incision, then achieving primary closure with a layered suturing approach over the grafted membrane. Key Instruments: - Straight Back-Action Elevator - Wedged into the PDL space between the alveolar bone and root (not into the root) to gain a purchase point and elevate posterior root fragments with a wiggling motion, minimizing surrounding bone removal. - Spade Elevator - Used as a secondary instrument when the straight elevator couldn't gain sufficient purchase, especially useful near interradicular bone to further minimize drilling. - Periosteal Elevator - Used to reflect a full-thickness mucoperiosteal flap by elevating tissue cleanly off the bone, exposing the surgical site for the sinus lift and grafting. - Sinus Curette (Sinus Augmentation Curette Kit) - Spoon-shaped instrument used to gently push and release the sinus floor/Schneiderian membrane after the bony window was created, without tearing the membrane. - Root Tip Picks (as needed) -…

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