Sinus Grafting and Minimal Risk Techniques
Sinus floor elevation represents today a predictable solution allowing implant placement in atrophic posterior maxilla with high implant success rate. Several techniques and different grafting biomaterials have been used clinically, depending on residual bone, patient’s needs and implantation protocols.
During this presentation, we will present latest advances in both lateral and crestal sinus floor elevation techniques. The importance of new advances and technologies, such as radiographic planning and the use of piezosurgery, will be exposed. These clinical advances will play a major in reducing risks and complications related to sinus grafting procedures while preserving maximum clinical efficiency.
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.
Implant Site Development: Osseodensification & Internal Sinus Lift Techniques For Optimal Implant Stability in Posterior Maxilla
In this video, Dr. H. Ryan Kazemi, Oral and Maxillofacial Surgeon in Bethesda, MD, presents the osseodensification and internal sinus lift techniques for achieving optimal dental implant stability in the posterior maxilla.
Management of Maxillary Sinus Membrane Perforation
In this presentation Dr Moghaddas will discuss the etiologies for maxillary sinus membrane perforation and the ways to prevent it. Also during a LIVE surgical video he will demonstrate how to manage a large sinus perforation simultaneous with implant placement .
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.
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.
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.
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.
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.
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.
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.
Crowns and Bridges