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Video Details
Internal Hydraulic Sinus Lift Procedure utilizing the Crestal Approach

Description:
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.

Date Added:
9/18/2013

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
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Online Videos / Surgery / Sinus Lift / Internal Hydraulic Sinus Lift Procedure utilizing the Crestal Approach




Questions & Comments
James Vu - (9/18/2018 2:35 PM)

Beautiful work. Probably the cleanest way of doing this lift I have ever seen being done. The PRGF membranes are so easy to work with vs conventional resorbable membranes. Awesome, thank you for this.

Maurice Salama - (11/8/2016 4:15 PM)

2cc water for 10mm lift. Typically only 0.5gm bone for crestal lift of 3-5mm and 2.0-4.0gms for lateral approach. Dr. Salama

Neda Nasr - (11/8/2016 4:01 AM)

thank you dr salama the video was wonder ful.could i ask how much bone graft material is need for every milimeter membran elevation? and how much watter is need for every milimeter elevation.?

Stephanie Maletter - (10/22/2015 8:41 AM)

Can you please tell me what type of handpiece is used with the Neobiotech SLA kit. It has to be a surgical handpiece (1:2.7) but it also has to be latch type. Please advise

Dimitris Chatziemmanouil - (11/1/2014 3:41 PM)

Thank you dr Salama for the quick response.

Maurice Salama - (11/1/2014 12:43 PM)

Dimitris; Thank you. Yes, if you see the video, I mention how the fluid comes back out of the crestal access. That is another way but with Valsalva I place a mirror over the access and if it becomes "fogged" then there is air escaping. Hope this clarifies things. Dr. Salama

Dimitris Chatziemmanouil - (11/1/2014 11:34 AM)

Thank you for the wonderful presentation Dr Salama. Isn't the Valsava test contraindicated for Crestal approach sinus lift because if there is not a perforation the membrane expands again on the sinus floor?Dr Mazor recommended the saline irrigation test to check for perforation. Is there any other safe way to check it?

Michael Zidile - (10/29/2014 10:18 PM)

Wonderful technique. Do you have the pre-and post-op radiographs available to view?

Maurice Salama - (10/28/2014 3:27 PM)

Mohammad and Darawsha; Thank you for your kind words. Regarding test for sinus perforation you must perform the Valsalva test. The Valsalva maneuver is performed by moderately forceful attempted exhalation against a closed airway, usually done by closing one's mouth, pinching one's nose shut while pressing out as if blowing up a balloon. If there is a large perforation I would access the sinus again laterally and seal the perforation with a collagen membrane and Fibrin. Typically I utilize 1-2gms of bone per side but it depends on the number of teeth involved. regards Dr. Salama

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