Surgical Considerations for Sinus Augmentation - Part 2
Dr. Michael Pikos continues his demonstration of the step-by-step procedures necessary to perform lateral window sinus augmentation.

Lateral Window Sinus Bone Augmentation with a unique Cartridge Delivery System
The lateral-window approach for maxillary sinus augmentation was introduced to allow for the placement of implants in maxillary posterior edentulous sites with significant pneumatization of the sinus cavity. Implants placed simultaneously with the lateral window sinus augmentation technique enjoy high success rates that are reported to be similar to implants placed in pristine bone in the maxilla

Sinus Augmentation in Preparation for implant Therapy
Dr. Michael Sonick demonstrates the augmentation of a sinus in preparation for implant therapy. Flap design, accessing the sinus, utilizing growth factors are all described along with the choice of graft material.

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.

Prevention and Treatment of Post-Operative Infections After Sinus Elevation Surgery
Maxillary sinus surgery is a reliable and predictable treatment option for the prosthetic rehabilitation of the atrophic maxilla. Nevertheless, these interventions are not risk-less of postoperative complications with respect to implant positioning in pristine bone. The aim of this lecture is to report the results of a clinical consensus of experts (periodontists, implantologists, maxillofacial surgeons, ENT, and microbiology specialists) on several clinical questions and to give clinical recommendations on how to prevent, diagnose, and treat postoperative infections.

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.

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)

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.

Schneiderian Membrane Perforation Rate During Sinus Elevation Using Piezosurgery - Clinical Results of 100 Consecutive Cases
This article presents an alternative approach that uses a piezoelectric instrument for the sinus elevation procedure.