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Video Details
クレスタルアプローチにおけるシュナイダー膜の伸展率の評価と新しい手術法

Description:
クレスタルアプローチにおいて、挙上されたシュナイダー膜は伸展しているはずである。その伸展率はドーム状に挙上された表面積を底面積で割ったものとして表せることができる。 伸展率が高ければ高い程、シュナイダー膜は伸ばされていることになりシュナイダー膜のパーフォレーションの危険が高くなる。 伸展率を低く抑えるには、底面積を広くとることが重要であるが、圧力によってシュナイダー膜を上顎洞底から剥離するだけでなく、インスツルメントによって確実な剥離も同時に行うことは有利である。さらに小さなホールからアプローチするより長さのあるスリットの方が底面積を広くすることができる。このことより、スリットからのアプローチする「スリットリフト」という手術法を開発した。演者は「スリットリフト」により手術の成功率が大きく向上した。その手技を図および手術ビデオにて解説する。

Date Added:
8/22/2014

Author(s):

Toshiyuki Mizuguchi, DDS, PhD Toshiyuki Mizuguchi, DDS, PhD
Professional experience

Mizuguchi dental clinic ,private practice. Suginamiku, Tokyo, Japan, 1992-present
Mizuguchi implant center Shinjuku ,privat...
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Online Videos / Surgery / Sinus Lift / The "Slit Lift" Minimally Invasive Crestal Sinus Lift Approach




Questions & Comments
mizuguchi toshiyuki - (11/15/2014 3:26 AM)

Dr. Yuanding Huang Yes,I do. This technique doesn't need the special instrument .I recommend someφ3.0mm osteotome.

Yuanding Huang - (11/4/2014 10:35 AM)

Dr. Mizuguchi, I appriaciate your technique. But I don't have the specific pusher which has a stander to mantain the puser. Do you think the minor size osteotome can also work?

mizuguchi toshiyuki - (9/3/2014 1:06 AM)

Dr.Fells Koerniadi,I achieved the primary stability by two point. First, the slit width is about 3mm and the implant is 4mm in diameter. Second,I use a large size cap for the primary stability.

Felix Koerniadi - (8/31/2014 11:33 PM)

Great technique Dr Mizuguchi..but I wondering about the primary stability. How do you achived that, since the exsisting bone only 1mm and the sinus full of graft material

mizuguchi toshiyuki - (8/30/2014 4:07 AM)

Dr. Salama,Thank you for giving me this opportunity ! I really appreciate your kindness !

mizuguchi toshiyuki - (8/30/2014 3:58 AM)

Maharajah Muthusamy, I don't use membrane to cover the graft ,I suture very carefully .Thank you for your question !

NAGARAJAN MUTHUSAMY - (8/28/2014 5:01 AM)

Nice technique.Do you use membrane to cover the graft or not.

Maurice Salama - (8/27/2014 4:40 AM)

Toshiyuki Mizuguchi, Very clever technique. Thanks for all the detail and animations. Dr. Salama

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