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Sinus Lift Videos
Hydraulics and Densification in Sinus & Ridge Management Premium Member Content

Hydraulics and Densification in Sinus & Ridge Management
Majority of the cases in the maxilla require some form of sinus grafting or procedures to increase ridge width. Innovations in the field of site preparation using Osseodensification principles and use of Hydraulics for sinus elevations have simplified the procedure of gaining bone volume in such clinical situations. Newer tools and materials have enabled clinicians to offer a minimally invasive transalveolar approach to sinus grafting compared to the lateral window approach. Densification drills have provided the clinicians a solution to optimize and expand the site for implant placement. This presentation will analyze various clinical situations needing ridge and sinus augmentation and provide predictable solutions to achieve high success rates.

Presented By:: Udatta Kher, BDS, MDS
Presentation Style: Video
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Crestal Sinus Approach: A Hammerless Solution to the Indirect Sinus Lift Premium Member Content

Crestal Sinus Approach: A Hammerless Solution to the Indirect Sinus Lift
Posterior maxillary dental implant reconstruction for advanced alveorlar ridge atrophy has become possible through bone grafting procedures involving the maxillary sinus. This procedure involves augmentation of either the internal or external aspects of the sinus, or both. Bone grafting of the external aspect is performed with guided bone regeneration, using allogenic, autogenous, cortical, or corticocancellous grafts, as well as growth factors such as PRF as onlays with immediate or delayed implant placement. With the advent of new surgical techniques and equipment, sinus augmentation has become a predictable and efficient treatment. This presentation will focus on the internal, hammerless approach.

Presented By:: Isaac D Tawil, DDS
Presentation Style: Video
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Management of Extraction Sites With Sinus Perforation Premium Member Content

Management of Extraction Sites With Sinus Perforation
In this narrowcast, Dr. H. Ryan Kazemi presents diagnostics and treatment strategies for extraction sites in the posterior maxilla with sinus perforation.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Video
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Sinus Lift & Immediate Implant Placement: "The Easy Protocol" Premium Member Content

Sinus Lift & Immediate Implant Placement: "The Easy Protocol"
Sinus lift is still a common procedure in 2017. Many alternative techniques to sinus lift have been published to avoid invading this anatomical space, such as tilted implants with angled prosthetic abutments, extra short implants, distal pontic cantilever, zygomatic or tuberosity implant placements. However, many situations like highly pneumatized sinus for single missing tooth, extreme atrophic areas at posterior sites, etc. will necessary have to be solved performing sinus lift techniques to regenerate the missing alveolar bone and this alternative options cannot be taken.

Presented By:: Nicolas Aronna Mallia, DDS
Presentation Style: Video
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Sinus Lift Articles
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
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Alternative Applications of Guided Surgery: Precise Outlining of the Lateral Window in Antral Sinus Bone Grafting

Alternative Applications of Guided Surgery: Precise Outlining of the Lateral Window in Antral Sinus Bone Grafting
Computed tomography (CT) and the application of CT-based guided implant surgery allow clinicians to provide enhanced precision and accuracy in implant surgery. Because of the difficulty in transferring a patient’s often complex anatomic sinus configurations, as viewed on a preoperative CT scan, into precise osteotomy cuts at antral bone graft surgery, a prototype cutting guide was developed. The surgical guide was developed through the use of CT imaging and the stereolithographic process to precisely position the lateral window, facilitating schneiderian membrane elevation. This report demonstrates the step-by-step method to perform precise guided sinus window preparation using computer software and a stereolithographically generated surgical guide.

Author(s): George A. Mandelaris, DDS, MS;Alan L. Rosenfeld, DDS, FACD
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Indirect Sinus Lift with CPS Putty

Indirect Sinus Lift with CPS Putty
In situations where lack of bone volume is related to an enlarged maxillary sinus, elevation of the sinus floor has been advocated for implant placement.

Author(s): Lanka Mahesh, BDS, MBA;Dr. Manesh Lahori; Dr. Sagrika Shukla; Dr. Prerna Kaushik
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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
This article presents an alternative approach that uses a piezoelectric instrument for the sinus elevation procedure.

Author(s): Steven S. Wallace, DDS;Ziv Mazor, DMD;Dennis P. Tarnow, DDS;Stuart J. Froum, DDS; Sang-Choon Cho, DDS
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Sinus Lift Courses
Site Preparation & Osseodensification in Bone Management Premium Member Content

Site Preparation & Osseodensification in Bone Management
Today's implant arena involves not only the understanding of procedures but also the science behind wound healing. Often new technologies and instrumentation evolves that have a significant impact on what we are able to do clinically. Piezosurgical devices, periotomes, osteotomes, hydraulic sinus devices, neurosurgical drills, and the "PET" (Partial Extraction Therapies) system are just a short list of those that have made surgery more efficient and less traumatic for our patients. Osseodensification is another concept that can be added to this long list. This lecture will speak about new age bone management concepts and how these technologies may be able to assist us. Potential issues and focus on use will be touched upon as well.

Presented By:: Maurice Salama, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Credit)
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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: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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Prevention and Treatment of Post-Operative Infections After Sinus Elevation Surgery Premium Member Content

Prevention and Treatment of Post-Operative Infections After Sinus Elevation Surgery
Maxillary sinus surgery is a reliable and predictable treatment option for the prosthetic rehabilitation of the atrophic maxilla. Nevertheless, these interventions are not risk-less of postoperative complications with respect to implant positioning in pristine bone. The aim of this lecture is to report the results of a clinical consensus of experts (periodontists, implantologists, maxillofacial surgeons, ENT, and microbiology specialists) on several clinical questions and to give clinical recommendations on how to prevent, diagnose, and treat postoperative infections.

Presented By:: Tiziano Testori, MD, DDS, FICD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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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 Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
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