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
Surgical Considerations for Sinus Augmentation - Part 2

Description:
In this clinical surgical technique video, Dr. Michael Pikos continues his demonstration of the step-by-step procedures necessary to perform lateral window sinus augmentation. Flap management, membrane utilization and suturing are discussed.

Date Added:
4/19/2010

Author(s):

Michael A Pikos, DDS Michael A Pikos, DDS
Dr. Michael A. Pikos Dr. Pikos is originally from Campbell, Ohio. He attended The Ohio State University where he graduated Summa Cum Laude and Phi Beta Kappa....
[read more]






Online Videos / Surgery / Sinus Lift / Surgical Considerations for Sinus Augmentation - Part 2




Questions & Comments
Robert Caldwell - (8/27/2013 5:32 PM)

Great technique and step by step explanation. A favorite!

R. Caldwell-Rockville, MD.

Maurice Salama - (1/8/2013 2:16 PM)

Still an amazingly well done video series on the actual surgical flap and lateral window access in Sinus Augmentation.
Dr. Salama

WooHyuk Yun - (7/4/2010 6:21 AM)

Thanks for great presentation by great surgeon. and I have a question. I wonder why Dr.Pikow inserted collagen membrane beneath the elevated sinus membrane before bone graft, though there was no membrane perforation. Is there any advantage compared to "not inserting membrane"? and May I understand that's a part of Dr.pikos's routine protocol on lateral sinus augmentaion?
I have a big respect for Dr.pikos, so I want to know his protocol concretely. so I'm asking you about that. thank you.

Maurice Salama - (4/25/2010 8:53 AM)

Recent research on Sinus Augmentation with BMP-2 ACS

International Journal of Periodontics and Restorative Dentistry
March/April 2010
Volume 30 , Issue 2

Maxillary Sinus Augmentation Using Recombinant Bone Morphogenetic Protein-2/ Acellular Collagen Sponge in Combination with a Mineralized Bone Replacement Graft: A Report of Three Cases

Dennis P. Tarnow, DDS/Stephen S. Wallace, DDS/Stuart J. Froum, DDS/Alessandro Motroni, MS/Hari S. Prasad, BS, MDT/Tiziano Testori, MD, DDS, FICD

The objective of the following case reports was to assess whether mineralized bone replacement grafts (eg, xenografts and allografts) could be added to recombinant human bone morphogenetic protein-2/acellular collagen sponge (rhBMP-2/ACS) in an effective manner that would: (1) reduce the graft shrinkage observed when using rhBMP-2/ACS alone, (2) reduce the volume and dose of rhBMP-2 required, and (3) preserve the osteoinductivity that rhBMP-2/ACS has shown when used alone. The primary outcome measures were histomorphometric analysis of vital bone production and analysis of serial computed tomographic scans to determine changes in bone graft density and stability. Over the 6-month course of this investigation, bone graft densities tended to increase (moreso with the xenograft than the allograft). The increased density in allograft cases was likely the result of both compression of the mineralized bone replacement graft and vital bone formation, seen histologically. Loss of volume was greater with the four-sponge dose than the two-sponge dose because of compression and resorption of the sponges. Vital bone formation in the allograft cases ranged from 36% to 53% but, because of the small sample size, it was not possible to determine any significant difference between the 5.6 mL (four-sponge) dose and the 2.8 mL (two-sponge) dose. Histology revealed robust new woven bone formation with only minimal traces of residual allograft, which appeared to have undergone accelerated remodeling or rhBMP-2–mediated resorption. (Int J Periodontics Restorative Dent 2010;30:139–149.)

edward shapiro - (4/24/2010 9:18 PM)

once again your expertise makes this video a pleasure to watch. not only excellent skills but performed in a short time. thank you.

alessandro zussino - (4/23/2010 10:17 AM)

Very elegant surgery (as usual!). I would like to know the name of the "tac gun", and if you can use it also in the mandible where the bone quality is often harder: sometimes it happened to me to break a tac or two! Thank you

christian berdy - (4/23/2010 5:58 AM)

A great complement to part I, again excellent photography and commentary as Dr Pikos performs his surgery. He makes a complex procedure requiring, a delicate touch, look easy.

Related Videos
Surgical Considerations for Sinus Augmentation - Part 1 Premium Member Content

Surgical Considerations for Sinus Augmentation - Part 1
Dr. Michael Pikos demonstrates the step-by-step procedure to perform lateral window sinus augmentation.

Presented By:: Michael A Pikos, DDS
Presentation Style: Video
Community Rating:
 
Watch Now>>
Sinus Lift Procedures - A Critical Clinical Review - Part 1 Premium Member Content

Sinus Lift Procedures - A Critical Clinical Review - Part 1
In this presentation, we will give a critical review of different sinus grafting techniques (lateral approach, crestal approach) based on clinical long term results along with radiographic and histological aspects.

Presented By:: Christian Makary, DDS, PhD
Presentation Style: Lecture
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
Sinus Augmentation - Current and Future Trends Premium Member Content

Sinus Augmentation - Current and Future Trends
In this presentation, Dr. Ziv Mazor reviews present techniques as well as detailing the latest innovations in sinus augmentation. Specifically, Dr. Mazor pays special focus to new materials and techniques involving both the crestal as well as the lateral window approach.

Presented By:: Ziv Mazor, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
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)
Watch Now>>
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.

Presented By:: Joseph Choukroun, MD
Presentation Style: Online Self-Study Course
CE Hours: 1
Watch Now>>
Related Articles
Maxillary Sinus Membrane Repair: Update on Technique for Large and Complete Perforations

Maxillary Sinus Membrane Repair: Update on Technique for Large and Complete Perforations
Maxillary sinus membrane perforation is the most common complication that occurs with sinus elevation augmentation surgery. A technique using a slow resorbing type I collagen membrane for repair of large and complete sinus membrane perforations is described. The biocompatibility and semirigid structural integrity of this membrane, along with external tack fixation, allows for optimal membrane stabilization and maintenance. (Implant Dent 2008;17:24–31)

Author(s): Michael A Pikos, DDS
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>>
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
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login · Register