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):
Recognized Institutes





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::
Presentation Style: Video
Community Rating:
 
Watch Now>>
The MIAMBE Balloon Crestal Sinus Elevation Technique Premium Member Content

The MIAMBE Balloon Crestal Sinus Elevation Technique
Dr. Mazor displays in detail the utilization of the MIAMBE (Minimally Invasive Antal Membrane Balloon Elevation) Balloon for grafting of the Maxillary Sinus utilizing a crestal approach.

Presented By:: Ziv Mazor, DMD
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>>
Tibial Harvest Technique for Bone Augmentation Premium Member Content

Tibial Harvest Technique for Bone Augmentation
Dr. Michael Pikos demonstrates the surgical aspects of harvesting bone from the tibia in preparation for bone augmentation.

Presented By::
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>>
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>>
Surgical Management of Posterior Maxilla Premium Member Content

Surgical Management of Posterior Maxilla
Replacement of missing teeth with dental Implants in the posterior maxilla presents unique challenges due to maxillary sinus, less quality of bone, and increased occlusal load. The surgical objectives to meet functional and aesthetic goals include enhancement of both quantity and quality of bone as well as ideal placement of dental implants for restorations that mimic nature. In this presentation, Dr. H. Ryan Kazemi discusses current surgical techniques in implant site development in the posterior maxilla including extraction site grafting, sinus lift, bi-directional bone graft, and osseodensification for bone management.

Presented By:: H. Ryan Kazemi, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 Continuing Education Unit (CEU)
Watch Now>>
Related Articles
Bone-to-Implant Apposition with Machined and MTX Microtextured Implant Surfaces in Human Sinus Grafts

Bone-to-Implant Apposition with Machined and MTX Microtextured Implant Surfaces in Human Sinus Grafts
The goal of this study was to histologically document the effect of two different implant surfaces on the percentage of bone-to-implant apposition achieved with implants placed in human sinus grafts.

Author(s): Paolo Trisi, DDS, PhD;Carlo Marcato, MD, DDS; Marzio Todisco, DDS
View Article>>
Controlling Systematic Perioperative Anaerobic Contamination During Sinus-Lift Procedures by Using Metronidazole: An Innovative Approach

Controlling Systematic Perioperative Anaerobic Contamination During Sinus-Lift Procedures by Using Metronidazole: An Innovative Approach
Analysis of tomodensitometric controls following sinus grafts clearly demonstrates a quite systematic lack of homogeneity. Sinus contamination by anaerobic bacteria seems almost unavoidable during bone graft surgery, and this problem may jeopardize the healing process.The aim of this study was to characterize in a systematic way the nonhomogeneities observed at 1,2,or 3 months post surgery within allogenous sinus grafts,and to assess the possible influence of a 0.5% sterile solution of metronidazole in corporated in the sinus bonegraft.

Author(s): Ziv Mazor, DMD;John Doerr, DDS;JosephChoukroun,MD, AlainSimonpieri,DDS, MarcoDelCorso,DDS, GilbertoSammartino,MD,PhD,David M.Dohan Ehrenfest, DDS,MS,PhD
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
©2021

Preferred Language: English Flag
Contact Us · Login · Register