Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Maxillary Molar Extraction and Immediate Implant Placement with Crestal Sinus Lift

Description:
Atraumatic maxillary molar extraction via root sectioning followed by hydraulic crestal sinus lift and immediate implant placement. Sinus lift performed at interradicular area with sinus membrane elevated approximately 3 mm with specialized kit using saline injected through osteotomy. Hydraulic pressure gently raises the sinus membrane without risk of perforation.

Date Added:
5/22/2014

Author(s):

John DiPonziano, CDT, DDS, MAGD, DICOI John DiPonziano, CDT, DDS, MAGD, DICOI
Dr. John DiPonziano has been performing the surgical placement and prosthetic restoration of dental implants since the mid-eighties.

A 1983 graduate of Templ...
[read more]


Featured Products


Online Videos / Surgery / Sinus Lift / Maxillary Molar Extraction and Immediate Implant Placement with Crestal Sinus Lift




Questions & Comments
Joon Kim554 - (9/12/2017 11:04 AM)

Is it not necessary to have primary closure for implants?

amr al-khairi - (4/4/2017 3:23 PM)

thanks, good case presentation.

Eric Pena - (4/6/2015 12:40 PM)

Thanks

Adalberto Villa - (1/12/2015 5:48 PM)

what is going to hapend with the exposed membrane

Dr. Ilukhin - (9/30/2014 4:33 PM)

Good work! I'd like to know why didn't you use FGG into the removed tooth area or another soft-tissue manegement? I think it is risky to hold the membrane open still!?It's one thing if the sutures are not stable and therefore the membrane is stripped.The other lead is initially wound with an open membrane(though non-resorbable PTFE) Thanks.

yaarob sara - (5/30/2014 1:50 PM)

I hope you could explain why you used this membrane? Thank you

Maurice Salama - (5/30/2014 8:30 AM)

John; How do you test for sinus perforation? If you have one how do you manage it with an internal approach? Thanks for sharing Dr. Salama

byron scott - (5/30/2014 7:55 AM)

Brief & thorough review. Thanks

John DiPonziano - (5/27/2014 1:24 AM)

Dr. Imran... the membrane is non-resorbable PTFE, and does not need to be covered. As long as it is not contaminated when placed, it usually does not become infected. It is removed in one month.
Dr. Potocsky...I showed this case because the large intraradicular area allowed simultaneous sinus lift, and it became an all-in-one video. That large of an area of bone is not seen routinely.
Typically in a maxillary molar, the tooth would be extracted and just socket grafting performed. Then in four to five months, a crestal lift is done and implant placed.
I don't like placing implants into the palatal socket, since the angulation of the abutment relative to the implant becomes severe.
Dr. Zidile...this was a referred case to me so I don't have follow-up restorative photos yet. I will try to get them and post them.
John DiPonziano

Related Videos
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
Prevention and Treatment of Post-Operative Infections After Sinus Elevation Surgery

Presented By:: Tiziano Testori, MD, DDS, FICD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Minimally Invasive Transcrestal Sinus Elevation Procedure Premium Member Content

Minimally Invasive Transcrestal Sinus Elevation Procedure
The ossteotome mediated transcrestal sinus lift procedure has been used over the years for achieving lifts in situations where a minimum of 6-7mm of height of alveolar bone is present. An increase in alveolar bone height of approximately 2-3mm is expected using the traditional methods. The main challenges in the procedure are to achieve larger lifts without perforation of the sinus lining and deposit graft material in the desired location. Calcium phosphosilicate putty has been used effectively as a graft material for lateral window sinus elevation procedures. The following presentation deals with a modified ossteotome mediated technique of using CPS putty in a cartridge delivery form to achieve predictable sinus elevations of 8-10mm even in cases of extreme resorption of the alveolar ridge. It reduces the morbidity and makes the procedure more acceptable to patients compared to the lateral window approach.

Presented By:: Udatta Kher, BDS, MDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Sinus Lift Procedures and Implants Premium Member Content

Sinus Lift Procedures and Implants
Animation of implant placement after sinus lift

Presented By:: Maurice Salama, DMD;Consult Pro & Dr. Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Related Courses
Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy Premium Member Content

Tissue Engineering and Platelet Derived Growth Factors: Evidence Based Therapy
Platelet derived growth factors are now routinely utilized in reconstructive therapy. This presentation describes very detailed and evidence based guidelines for clinicians interested in enhancing their abilities in tissue engineering, especially as it relates to bone augmentation. Specifically, while successful bone augmentation requires the standard surgical parameters of space maintenance, low pressure on the grafts and tension-free flap closure, optimization of this goal requires management and enhancement of the local biological conditions with growth factors. Towards that end, platelet concentrates through the constant release of growth factors are able to promote and enhance new vascularization, provide plasma protein, normal lipidemia, as well as increased collagen and fibrin activity.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study 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 Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
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 Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
The Effect of Piezoelectric Use on Open Sinus Lift Perforation: A Retrospective Evaluation of 56 Consecutively Treated Cases From Private Practices

The Effect of Piezoelectric Use on Open Sinus Lift Perforation: A Retrospective Evaluation of 56 Consecutively Treated Cases From Private Practices
The lateral window approach to maxillary sinus augmentation is a well-accepted treatment option in implant dentistry. The most frequent complication reported with traditional techniques has been the perforation of the Schneiderian membrane, with erforation rates ranging from 11% to 56%. The purpose of this retrospective, consecutive case series from two private practices was to report on the rate of Schneiderian membrane perforations and arterial lacerations when a piezoelectric surgical unit was used in conjunction with hand instrumentation to perform lateral window sinus elevations.

Author(s): Nicholas Toscano, DDS, MS;Dan Holtzclaw, DDS, MS;Paul S. Rosen
View Article>>
Sinus Floor Augmentation With Simultaneous Implant Placement Using Choukroun’s Platelet-Rich Fibrin as the Sole Grafting Material: A Radiologic and Histologic Study at 6 Months

Sinus Floor Augmentation With Simultaneous Implant Placement Using Choukroun’s Platelet-Rich Fibrin as the Sole Grafting Material: A Radiologic and Histologic Study at 6 Months
Sinus augmentation with simultaneous implant placement without bone graft material is a hotly debated technique. This technique could be improved and secured by the use of an autologous leukocyte-and platelet-rich fibrin (PRF) (Choukroun’s technique) concentrate. The objectives of this study were to assess the relevance of PRF clots and membranes as the sole filling material during a lateral sinus lift with immediate implantation using radiologic and histologic analyses in a case series.

Author(s): Ziv Mazor, DMD;Robert A. Horowitz, DDS;Marco Del Corso, Hari S. Prasad, Michael D. Rohrer and David M. Dohan Ehrenfest
View Article>>
Sinus Floor Augmentation With Simultaneous Implant Placement In Severely Atrophic Maxilla

Sinus Floor Augmentation With Simultaneous Implant Placement In Severely Atrophic Maxilla
DENTAL IMPLANT PLACEMENT ASSOCIATED augmentation of the sinus floor in the severely atrophic maxilla can be performed in 1- or 2 surgical stages depending on the height of the residual alveolar bone.

Author(s): Ziv Mazor, DMD;Michael Peleg, DMD;Gravriel Chaushu, Arun K. Garg
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2018

Preferred Language: English Flag
Contact Us · Login · Register