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Video Details
Crestal Approach Sinus Augmentation with Osteotome Technique and Cartridge Delivery System

Description:
There are several ways to elevate the sinus membrane when accessed through the crest of the ridge and deliver graft into the sinus. Summers’ osteotome technique is one of the most widely used surgical procedures to achieve sinus elevation. One of the biggest challenges is instrumentation and grafting through the prepared osteotomy site. In this video, Dr. Kher will demonstrate the new cartridge delivery system from NovaBone that considerably reduces site preparation and facilitates elevation of the sinus membrane with the hydraulic pressure of Putty as it is delivered into the sinus.

Date Added:
5/18/2013

Author(s):

Udatta Kher, BDS, MDS Udatta Kher, BDS, MDS
Dr. Udatta Kher practices in Mumbai which is focused towards Implant dentistry. He graduated from Government Dental College and Hospital, Mumbai in 199...
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Questions & Comments
Maurice Salama - (9/16/2013 12:44 PM)

Udatta; Perhaps you can discuss how you detect and manage a perforation from a crestal approach. Not sure a collagen membrane will do much in these situations. Dr. Salama

UDATTA KHER - (9/15/2013 10:08 PM)

Timothy, with extreme care it is possible to elevate the membrane using this technique. The hydrostatic pressure from the putty aids in pushing the membrane atraumatically without causing perforations. I have managed to achieve 8-10 mm of lifts using transcrestal approach and this delivery system. However its not predictable is dependent on operator experience and skill. Dong, it is not necessary to place a membrane prior to graft if you haven't perforated.

Dong Nguyen - (9/15/2013 2:29 AM)

Dr.Kher, is it necessary to put in a reservable membrane prior to packing in the bone graft/putty?

Timothy Kaufmann - (8/26/2013 4:04 PM)

How much can you elevate the sinus membrane? Lets say you have a flat 3.5 mm of bone in the upper first molar site and you want to place a 8mm implant, is this predictably successful using the crestal approach?

kevin potocsky - (6/3/2013 1:39 PM)

how do you know if you perf? what will you see?

UDATTA KHER - (5/21/2013 5:36 AM)

@Juan, I was not drilling in a reverse. It just appears like that on the video. @Kevin, I would first place a piece of collaplug or PRF followed by a short implant. If the available bone height was too less for a short implant, I would abandon the surgery and re enter after 8 weeks. @ Raghunandana, I am not aware of any guidelines, but 1 cardtidge of 0.5cc seems to be adequate for a single tooth indirect lift (crestal approach). Good to see you on the forum.

Raghunandana karantha - (5/21/2013 12:32 AM)

very nice presentation Dr.Udatta kher, I would like to know how to make sure that the putty material is adequte endough to place implant in the osteotomy site. Regards
Dr.Raghunandana Karantha.D

kevin potocsky - (5/20/2013 10:31 AM)

so what do you do when you perforate? to fix it?

juan Lopez - (5/20/2013 3:17 AM)

Thank you Udatta fro your video, i do have a question when you were widening the osteotomy where you drilling in a reverse fashion or it was ust an impression on the video?

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