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

Schneiderian Membrane Perforation Rate During Sinus Elevation Using Piezosurgery - Clinical Results of 100 Consecutive Cases Schneiderian Membrane Perforation Rate During Sinus Elevation Using Piezosurgery - Clinical Results of 100 Consecutive Cases

Author(s):

Steven S. Wallace, DDS;Ziv Mazor, DMD;Dennis P. Tarnow, DDS;Stuart J. Froum, DDS; Sang-Choon Cho, DDS

Date Added:

12/9/2010


Summary:

The lateral window sinus elevation procedure has become a routine and highly successful preprosthetic procedure that is used to increase bone volume in the posterior maxilla for the placement of dental implants. Many surgical techniques have been proposed that provide access to the maxillary sinus through the lateral wall to allow for elevation of the sinus membrane. Among these are the multiple variations of the hinge and complete osteotomy techniques, which make use of rotary cutting instruments for the antrostomy. The most common intraoperative complication with these surgical approaches is perforation of the schneiderian membrane, with perforation rates of 14% to 56% reported in the literature. In most instances, perforation occurs either while using rotary instruments to make the window or when using hand instruments to gain initial access to begin the elevation of the membrane from the sinus walls. This article presents an alternative approach that uses a piezoelectric instrument for the sinus elevation procedure. Although new to the United States, this approach has been used successfully in Europe for many years. The membrane perforation rate in this series of 100 consecutive cases using the piezoelectric technique has been reduced from the average reported rate of 20% with rotary instrumentation to 7%. Furthermore, all perforations with the piezoelectric technique occurred during the hand instrumentation phase and not with the piezoelectric inserts.

Related Articles
The Piezoelectric Bony Window Osteotomy and Sinus Membrane Elevation

The Piezoelectric Bony Window Osteotomy and Sinus Membrane Elevation
Introduction of a New Technique for Simplification of the Sinus Augmentation Procedure

Author(s): Tomaso Vercellotti, MD, DDS;Myron Nevins, DDS;Sergio De Paoli, MD, DDS
View Article>>
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>>
Sinus Floor Augmentation With Simultaneous Implant Placement Using Choukroun’s Platelet-Rich Fibrin as the Sole Grafting Material: A Radiologic and Histologic Study at 6 Months

Sinus Floor Augmentation With Simultaneous Implant Placement Using Choukroun’s Platelet-Rich Fibrin as the Sole Grafting Material: A Radiologic and Histologic Study at 6 Months
Sinus augmentation with simultaneous implant placement without bone graft material is a hotly debated technique. This technique could be improved and secured by the use of an autologous leukocyte-and platelet-rich fibrin (PRF) (Choukroun’s technique) concentrate. The objectives of this study were to assess the relevance of PRF clots and membranes as the sole filling material during a lateral sinus lift with immediate implantation using radiologic and histologic analyses in a case series.

Author(s): Ziv Mazor, DMD;Robert A. Horowitz, DDS;Marco Del Corso, Hari S. Prasad, Michael D. Rohrer and David M. Dohan Ehrenfest
View Article>>
Related Videos
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>>
Managing the Deficient Posterior Maxilla - Ridge Splitting and Balloon Mediated Sinus Elevation Premium Member Content

Managing the Deficient Posterior Maxilla - Ridge Splitting and Balloon Mediated Sinus Elevation
Dr. Ziv Mazor demonstrates the comprehensive management of a severely compromised and deficient posterior maxilla.

Presented By:: Ziv Mazor, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Sinus Floor Elevation: A Clinical, Radiographic and Histologic Overview Premium Member Content

Sinus Floor Elevation: A Clinical, Radiographic and Histologic Overview
This presentation and imbedded HD videos will highlight the important aspects of the Sinus Lift procedure and how to increase the success rate while minimizing complications.

Presented By:: Christian Makary, DDS, PhD
Presentation Style: Video
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.

Presented By:: Samuel Lee, DDS
Presentation Style: Online 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 Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Sinus Augmentation - Current and Future Trends Premium Member Content

Sinus Augmentation - Current and Future Trends
In this presentation, Dr. Ziv Mazor reviews present techniques as well as detailing the latest innovations in sinus augmentation. Specifically, Dr. Mazor pays special focus to new materials and techniques involving both the crestal as well as the lateral window approach.

Presented By:: Ziv Mazor, DMD
Presentation Style: Online 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
©2014

Preferred Language: English Flag
Contact Us · Login · Register