Video Details
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Managing the Deficient Posterior Maxilla - Ridge Splitting and Balloon Mediated Sinus Elevation
Description:
In this extremely detailed surgical technique video, Dr. Ziv Mazor demonstrates the comprehensive management of a severely compromised and deficient posterior maxilla. Dr. Mazor utilizes piezo surgical cutting instruments, ridge expandersas well as the Minimally Invasive Antral Membrane Balloon Elevation (MIAMBE) to augment the region in conjunction with immediate implant placement.
Date Added:
6/22/2011
Author(s):
Ziv Mazor, DMD
Dr Ziv Mazor is a leading Israeli periodontist.
He graduated the periodontal department of Hadassah school for dental medicine-Jerusalem Israel where he served as cli...
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Online Videos / Surgery / Sinus Lift / Managing the Deficient Posterior Maxilla - Ridge Splitting and Balloon Mediated Sinus Elevation
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Questions & Comments
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mansour mirzaie - (9/4/2011 3:32 PM)
nice job and and excellent presentation.thank you
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Maurice Salama - (8/28/2011 9:38 PM)
Sinus Lift...it comes down to Crestal vs. Lateral Approach
Good and fair question. I too have had great success with the lateral approach. It gives great visibility to the surgeon and allows for a larger access for lift instrumentation, membrane evaluation and bone grafting.
So why a Crestal approach with either the Balloon or Dr. Lee's technique? Simply, it allows for a less invasive and more direct approach to the graft area often entering through the same access as where the future implants will be placed. Additionally, it does not as easily allow us to "over" graft the sinus with bone where it is not needed which often happens with the lateral approach inadvertently and no membrane is required to cover the window. Finally, there is much less post-op pain and edema for the patient.
What are the shortcomings of the Crestal approach?
It is technique sensitive. It gives less visibility to the surgeon. It requires new instrumentation and a remaining ridge width of at least 5mm. As for not grafting beyond the bottom of the fixture or "zero" bone beyond the apex as you state, I believe you are referring to the utilization of PRF as the sole graft medium. This does not occur with particulate bone grafting materials.
You won't know until you try it out?
good luck
Dr. S
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Sam Busich - (6/30/2011 1:52 PM)
Dr. Mazor; As you raised a full thickness flap to access the ridge in this case what are the benefits of the Balloon Lift over the Lateral Window?
thanks Sam
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