Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Dental Publication / Article Details

The Piezoelectric Bony Window Osteotomy and Sinus Membrane Elevation The Piezoelectric Bony Window Osteotomy and Sinus Membrane Elevation

Author(s):

Tomaso Vercellotti, MD, DDS;Myron Nevins, DDS;Sergio De Paoli, MD, DDS

Date Added:

3/20/2009


Summary:

All of the surgical techniques to elevate the maxillary sinus present the possibility of perforating the schneiderian membrane. This complication can occur during the osteotomy, which is performed with burs, or during the elevation of the membrane using manual elevators. The purpose of this article is to present a new surgical technique that radically simplifies maxillary sinus surgery, thus avoiding perforating the membrane. The piezoelectric bony window osteotomy easily cuts mineralized tissue without damaging the soft tissue, and the piezoelectric sinus membrane elevation separates the schneiderian membrane without causing perforations. The elevation of the membrane from the sinus floor is performed using both piezoelectric elevators and the force of a physiologic solution subjected to piezoelectric cavitation. Twenty-one piezoelectric bony window osteotomy and piezoelectric sinus membrane elevations were performed on 15 patients using the appropriate surgical device (Mectron Piezosurgery System). Only one perforation occurred during the osteotomy at the site of an underwood septa, resulting in a 95% success rate. The average length of the window was 14 mm; its height was 6 mm, and its thickness was 1.4 mm. The average time necessary for the piezoelectric bony window osteotomy was approximately 3 minutes, while the piezoelectric sinus membrane elevation required approximately 5 minutes. (Int J Periodontics Restorative Dent 2001;21:561–567.)

Related Articles
The Effect of Piezoelectric Use on Open Sinus Lift Perforation: A Retrospective Evaluation of 56 Consecutively Treated Cases From Private Practices

The Effect of Piezoelectric Use on Open Sinus Lift Perforation: A Retrospective Evaluation of 56 Consecutively Treated Cases From Private Practices
The lateral window approach to maxillary sinus augmentation is a well-accepted treatment option in implant dentistry. The most frequent complication reported with traditional techniques has been the perforation of the Schneiderian membrane, with erforation rates ranging from 11% to 56%. The purpose of this retrospective, consecutive case series from two private practices was to report on the rate of Schneiderian membrane perforations and arterial lacerations when a piezoelectric surgical unit was used in conjunction with hand instrumentation to perform lateral window sinus elevations.

Author(s): Nicholas Toscano, DDS, MS;Dan Holtzclaw, DDS, MS;Paul S. Rosen
View Article>>
Healing in Smokers Versus Nonsmokers: Survival Rates for Sinus Floor Augmentation with Simultaneous Implant Placement

Healing in Smokers Versus Nonsmokers: Survival Rates for Sinus Floor Augmentation with Simultaneous Implant Placement
Evidence suggests that smoking is detrimental to the survival of dental implants placed in grafted maxillary sinuses. Studies have shown that improving bone quantity and quality, using rough- surfaced implants, and practicing good oral hygiene may improve outcomes. In this prospective study, the long-term survival rates of implants placed simultaneously with sinus grafting in smokers and non- smokers were compared.

Author(s): Ziv Mazor, DMD;Michael Peleg, DMD;Arun K. Garg, DMD
View Article>>
Sinus Floor Elevation Via the Maxillary Premolar Extraction Socket With Immediate Implant Placement: A Case Series

Sinus Floor Elevation Via the Maxillary Premolar Extraction Socket With Immediate Implant Placement: A Case Series
When immediate implant placement is considered for teeth with close proximity to the sinus floor, apical extension of the osteotomy is significantly limited, and often a staged approach is used. Implant placement into fresh extraction sockets and sinus floor manipulation using bone-added osteotome sinus floor elevation with implant placement are techniques most often used independently or sequentially. In this care report, immediate implant placement with simultaneous osteotome sinus floor elevation is an advantageous combination of two successfully used techniques. This combined approach can significantly reduce the treatment time for implant therapy in teeth with close sinus proximity and provide the operator with the ability to place implants of desired length.

Author(s): Monish Bhola, DDS, MSD;Shilpa Kolhatkar; Tamika N. Thompson-Sloan
View Article>>
Related Videos
Advanced Simultaneous Bone Ridge Augmentation and Internal Sinus Elevation - Part 1 of 2 Premium Member Content

Advanced Simultaneous Bone Ridge Augmentation and Internal Sinus Elevation - Part 1 of 2
This video centric and surgically based presentation will highlight a few of these new tools in the augmentation of a severely resorbed posterior maxillary ridge in conjunction with a progressive crestal approach for sinus augmentation.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
The Management of a Septum and a Large Retention Cyst in the Sinus and Simultaneous Sinus Augmentation Premium Member Content

The Management of a Septum and a Large Retention Cyst in the Sinus and Simultaneous Sinus Augmentation
While sinus augmentation has become a more routine surgical procedure in today's practice, there are often unique challenges to overcome such as septums, lack of primary crestal bone and retention cysts. This presentation aims to demonstrate the management of a large retention cyst at the same time as simultaneous sinus augmentation. Surgical protocol, complications and management will be discussed.

Presented By:: Dong-Seok Sohn, DDS, PhD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Piezosurgery Technique in Sinus Lift Premium Member Content

Piezosurgery Technique in Sinus Lift
Dr. Vercellotti introduces the use of Piezosurgery in the sinus lift procedure.

Presented By:: Tomaso Vercellotti, MD, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Emerging Concepts in Sinus Augmentation; Atraumatic and Efficient Crestal and Lateral Access Techniques Premium Member Content

Emerging Concepts in Sinus Augmentation; Atraumatic and Efficient Crestal and Lateral Access Techniques
This presentation will highlight through in depth clinical case documentation, the new and evolving role of instrumentation for access to the Sinus for Bone Augmentation. Efficiency and minimally invasive approaches which increase success and minimize complications will be highlighted. Posterior Maxillary reconstruction often involves Sinus Augmentation and Implants then inserted into the grafted site. A knowledge of useful and clinically manageable techniques that provide access but minimize large surgical flaps and sinus membrane perforations are keys to success.

Presented By:: Samuel Lee, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
The Anatomical Foundation of Implant Surgery Premium Member Content

The Anatomical Foundation of Implant Surgery
Knowledge of Surgical Anatomy is a critical foundation for any clinician involved in implant dentistry. In order for dentists to perform safe and successful bone grafting, implant surgery as well as effectively manage complications, they must first be well versed in the fundamentals of Surgical Anatomy of the head region with emphasis on the Maxilla, Mandible, as well as the roof and floor of the mouth. This Dentalxp presentation, in part, describes the objectives of one component of a comprehensive hands-on surgical Anatomy course being offered live in partnership with Dentalxp. This section emphasizes the Surgical Anatomy of the Maxilla and Maxillary Sinus as an example of what is covered in one section of the course lectures.

Presented By:: Mohamed Sharawy, B.D.S., Ph.D.
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Increase Surgical Implant and Regenerative Success by Going 3D and Using Innovative Products Premium Member Content

Increase Surgical Implant and Regenerative Success by Going 3D and Using Innovative Products
Detailed videos using 3D planning software as well as innovative products by a speaker with an extensive background in implant and regenerative surgical procedures.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Download Now

Important!

To view this dental publication or article, you must be a registered user of Dental XP. If you are already a member, click here to login.

Registration is free and only takes several minutes. Dental XP will never spam you, or sell your information.

Join For Free







Contact Us | Privacy Policy | Terms of Use
©2020

Preferred Language: English Flag
Contact Us · Login · Register