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
Radiological Findings of the Post-Sinus Lift Maxillary Sinus: A Computerized Tomography Follow-Up

Radiological Findings of the Post-Sinus Lift Maxillary Sinus: A Computerized Tomography Follow-Up
The purpose of this article is to present radiological findings of a short-term (8 to 10 months) computerized tomography (CT) follow-up study on 1-stage maxillary sinus lift cases.

Author(s): Ziv Mazor, DMD;Michael Peleg, DMD;Gavriel Chaushu, Leon Ardekian and Mati Bakoon
View Article>>
Sinus Augmentation for Single-Tooth Replacement in the Posterior Maxilla: A 3-Year Follow-up Clinical Report

Sinus Augmentation for Single-Tooth Replacement in the Posterior Maxilla: A 3-Year Follow-up Clinical Report
A technique for single-tooth sinus lift and simultaneous implant placement in the posterior maxilla is presented. Ten hydroxyapatite-coated cylindric implants, 13 to 15 mm in length, were placed together with a composite bone graft of demineralized freeze-dried bone allograft and autogenous bone in 10 adults. Surgical technique and anatomic considerations are discussed. Follow-up of 3 years showed successful function and no cervical bone loss in all patients.

Author(s): Ziv Mazor, DMD;Michael Peleg, DMD;Michael Peleg, DMD; Martin Gross, BDS, LDS, MSc
View Article>>
Bone-to-Implant Apposition with Machined and MTX Microtextured Implant Surfaces in Human Sinus Grafts

Bone-to-Implant Apposition with Machined and MTX Microtextured Implant Surfaces in Human Sinus Grafts
The goal of this study was to histologically document the effect of two different implant surfaces on the percentage of bone-to-implant apposition achieved with implants placed in human sinus grafts.

Author(s): Paolo Trisi, DDS, PhD;Carlo Marcato, MD, DDS; Marzio Todisco, DDS
View Article>>
Related Videos
Internal Hydraulic Sinus Lift Procedure utilizing the Crestal Approach Premium Member Content

Internal Hydraulic Sinus Lift Procedure utilizing the Crestal Approach
In this video case report, “conservative” internal management of posterior maxilla is highlighted featuring new tools, techniques and biologics. Evaluation and Management of the deficient posterior region is handled by via CBCT Diagnostics and the CAS-KIT Crestal Approach Sinus Kit from Hiossen. Flap Reflection, Drilling sequence, Hydraulic Sinus Lifting of the Schniderian Membrane as well as the utilization of PRGF, Fibrin and Synthetic Bone Putty is highlighted in a conservative crestal approach. This is followed by final suturing using a horizontal and running mattress method.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Atraumatic Sinus Grafting Techniques Premium Member Content

Atraumatic Sinus Grafting Techniques
Dr. Samuel Lee outlines his thorough decision making criteria for choosing either a lateral or a crestal approach to sinus elevation and augmentation.

Presented By:: Samuel Lee, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Transcrestal Sinus Floor Elevation: Most Frequently Asked Questions Premium Member Content

Transcrestal Sinus Floor Elevation: Most Frequently Asked Questions
Over 20 years of clinical application and research on transcrestal sinus floor elevation (TSFE) procedures using a variety of implants, graft materials and instrumentation has proven its reliability, and versatility. While improving upon the original osteotome technique they have not yet eliminated the need for a more invasive lateral approach, especially at sites with very limited (1-2 mm) sub-antral bone. Extensive analysis of the existing research and long-term clinical experience will provide the answers to the most pertinent questions surrounding the transcrestal approach including but not limited to: patient selection, clinical limitations, instrumentation, graft selection/necessity and management of membrane perforations.

Presented By:: Michael Toffler, DDS
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>>
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>>
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. An overview of the procedure with detail radiographic planning and follow up outcomes will be displayed and histoligical results highlighted to gain an appreciation of the timing of bone fill and when you can place and load implants in the augmented sinus. Complications and their management will be equally covered with an impetus on case and patient management and follow up care. Common medications and techniques for each procedure will be noted.

Presented By:: Christian Makary, DDS, PhD
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
©2017

Preferred Language: English Flag
Contact Us · Login · Register