Kao is the ceo of washington dental group and also a clinical assistant professor of periodontics at university of pennsylvania school of dental medicine. Surgical solutions to anatomical limitations onlay bone graft sinus lift 1. Modern dental implants in dentistry are available in a full range of different techniques. Unique angles and tip on the drill allow for faster and more stable drilling. The literature has indicated the maxillary sinus lift procedure as an excellent treatment option for posterior maxillary.
Do you need a sinus lift before dental implant treatment. Indirect sinus lift in immediate placent of implant a. However, only some of these evolve to chronic sinusitis, which can compromise the outcome of the intervention. This paper describes a case of indirect sinus lift with compaction autografting done in posterior maxilla along with simultaneous implant placement. His research interests include the clinical applications of growth factors bmp, pdgfs, the relationship of systemic disease and periodontal disease, and. Cas kit cas kit surgical procedure easytolearn sinus lift technique our crestal approach sinus kit cas kit makes a bone augmentation procedure easy and predictable, combining the advantage of high volume bone placement of the lateral window approach. Sinust sinus lift technique for dental implants using dio. Controlled technique for indirect sinus grafting with. A ct analysis will give information relating to the thickness of the crest and lateral walls, presence of discontinui. Reviews of complications from lateral and crestal sinus lifts. Zicardi and betts 15 suggested removal of the cyst before sinus lifting. Comparison of three different methods of internal sinus.
A certain amount of swelling, pain and bleeding is normal. Unique angles and tip on the drill allow for faster and more stable drilling compared to previous generation minimally invasive. The patient was asked to take prophylactic antibiotic coverage of amoxicillin 2g 1 hour prior to surgery. Dental implant rehabilitation of the posterior maxillary region has always been a. These studies reported high survival rates when the osteotome technique was used with simultaneous grafting. Success rate of dental implants placed in the atrophic. Indirect sinus floor elevation technique with simultaneous implant. Post operative instructions for sinus lift or augmentation surgery. Histologic analysis of the outcomes of splitmouth maxillary sinus augmentation with allograft and xenograft grafting mediums. If indirect sinus lift osteotome or trephine technique then which technique is more feasible to perform.
Recent studies have shown that acute sinusitis develops in 4. The sinus lift surgical procedure results in an inflammatory reaction in almost all cases. I have been informed of possible alternative forms of treatment if any, including. I raise sinus lift technique is friendly and an easytoperform surgery. Specially designed drills allow for small lateral window and minimal flap size. A less invasive alternative to the lateral window approach for sinus elevation was introduced by summers in 1994. Comparison of initial implant stability placed using bi. This procedure is considered when tenting the sinus membrane will not provide enough space for the placement of the implant. It not only allows for a conservative and esthetic alternative to treating partial edentulism, but it also. Indirect sinus lift, maitland periodontist joseph p. This procedure involves creating a small window into the bone next to the sinus and then accessing it directly, not just through the implant drill. With this technique, the maxillary sinus is accessed laterally from in the the mouth. Direct vs indirect sinus lift in maxillary dental implants.
Added advantage is superior manual control in determining the implant axis which prevents. Description of procedure or service chronic sinusitis is one of the most frequently diagnosed chronic medical conditions, even more so than hypertension and arthritis. Evaluation of increase in bone height following maxillary sinus. An external file that holds a picture, illustration, etc. After a thorough history was recorded and necessary investigations were done, the patient was scheduled for surgery. This technique has been shown to reduce the chance of sinus membrane perforation. Pdf there are different techniques for the sinus augmentation. Indirect techniques summers method hydropneumatic sinus lift bone dilatation technique during extraction sinus lift balloon sinus lift. Slotlike window technique for maxillary sinus floor elevation.
Reviews of complications from lateral and crestal sinus. The size of the sinus is insignificant until the eruption of permanent dentition. In partial fulfillment of the requirements for the degree of master of science wookjin seong, phd. This technique is chosen because there is enough vertical height of bone to stabilize the implant. Sinus lift technique using the sinus t ostetome surgical kit from dio dental implants. The zimmer sinus lift balloon was designed to lift the sinus membrane gently and evenly. The sinus lift techniques had a lot of modifications through the years. Indirect sinus lifts are performed in sites were there is more than 5mm between the crest of the bone and the floor of the maxillary sinus.
The dimensions are 15 cc to 20 cc for volume, 32 mm to 34 mm for length, 28 mm to 37 mm for height, and 23 mm to 25 mm for width. It is pyramidal, with the base lying vertically on the medial surface of the lateral nasal wall. A case report luca barbera, emrah mat and monica ahmed department of oral surgery, luca barbera oral surgery clinic, monza, monza and brianza, italy. Post operative instructions for sinus lift or augmentation.
Sinus crestal and lateral lift kits a minimally invasive approach to lateral sinus lift improved drill design. View and download powerpoint presentations on indirect maxillary sinus lift ppt. Indirect sinus lift in immediate placent of implant a case report. Slotlike window, sinus floor elevation, maxillary sinus, dental implant. A sinus lift is a procedure that moves the sinus membrane upward, allowing your oral surgeon to augment the amount of bone in the upper jaw. Indirect sinus floor elevation for osseointegrated.
He was presented with 6mms of vertical height loss, 7mms of ridge width and 7mms of residual ridge height below sinus. Records of patients who required minimally invasive sinus augmentation to increase residual bone height for implant placement fulfilling predetermined exclusion. Sinus lifts take place in the rear of the mouth near the molars, as the upper jaw typically doesnt have as much bone as the lower jaw, and tooth loss is likely to increase the loss of bone in these areas. Nerve supply to the sinus is derived from the superior alveolar branch of the maxillary v2 division of the trigeminal nerve. Direct sinus lift, precautions and potential complications. I have been considering changing my treatment approach to the maxillary posterior area and using shorter implants instead of referring the patient for sinus lift. Comparison of initial implant stability placed using bicortical fixation, indirect sinus lift and unicortical fixation hsu, andrea raquel, d. A total of 26 implants were placed in 21 patients using indirect sinus lift with simultaneous. The following instructions are provided to make your postoperative recovery period as short and pleasant as possible. The posterior edentulous maxilla presents special challenges to the implantologist. Three different methods for indirect sinus lifting, bone added osteotome sinus floor elevation baosfe, sinus floor elevation with an inflatable balloon, and crestal approach system cas kit from osstem, were assessed for their ability to lift the sinus without causing laceration of the schneiderian membrane. A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. Video illustrates 2 protocols for achieving a simple, noninvasive sinus lift. Comparison of initial implant stability placed using bicortical fixation, indirect sinus lift and unicortical fixation a thesis submitted to the faculty of the graduate school of the university of minnesota by andrea raquel hsu, d.
Sinus lift procedure and immediate implant placing. Case report an indirect sinus lift with ridge splitting. Corporate medical policy page 1 of 11 an independent licensee of the blue cross and blue shield association surgical treatment of sinus disease file name. Placement of implants with sinus lift without bone graft material, is a valid surgical technique to gain residual crestal height and. Direct vs indirect sinus lift in maxillary dental implants ncbi. Le, dds, md implant dentistry has become an excellent treatment modality since its inception into the modern era of dentistry. Placement of long implants can be predictable tat chiang, dmd. Maxillary sinus floor augmentation also termed sinus lift, sinus graft, sinus augmentation or sinus procedure is a surgical procedure which aims to increase the amount of bone in the posterior maxilla upper jaw bone, in the area of the premolar and molar teeth, by lifting the lower schneiderian membrane sinus membrane and placing a bone.
It is a preimplant surgery with the necessary indications. Alveolar bone height indirect sinus lift procedure 4. The indirect sinus lift procedure presents the advantage of being less invasive and less time consuming compared to direct sinus lift. Clinical maxillary sinus elevation surgery wiley online. Kao is also a diplomate of the american board of periodontology. Are these shorter implants viable alternatives to sinus lift. Pdf indirect sinus lift without bone graft material. This case report presents the rehabilitation of the maxillary left premolar region with reduced bone height and width using indirect sinus lift. Find powerpoint presentations and slides using the power of, find free presentations research about indirect maxillary sinus lift ppt. Pdf direct vs indirect sinus lift in maxillary dental implants. Direct sinus lift technique, implant, indirect sinus lift.
Indirect sinus augmentation with and without the addition. In group b indirect sinus lift procedures through crestal approach at 1 st day of followup, 8 patients had mild pain, none had moderate or severe pain. The aim of this surgical practice is to present a case report to describe a technique for sinus floor augmentation of an atrophic posterior maxilla by plateletrich fibrin prf has been used as a graft material with a onestep crestal. Consent for twostage osseousintegrated implant with sinus lift bone grafting procedure page 2 of 4 6. The maxillary sinus is the largest paranasal sinus. This procedure is always performed with simultaneous placement of a dental implant. Sinus augmentation using osseodensification youtube.
I understand that other forms of treatment or no treatment at all are choices that i have and the risks of those choices have been presented to me. Anatomy of the maxillary sinus the maxillary sinus is a pyramidshaped cavity with its base adjacent to the nasal wall and apex pointing to the zygoma fig. Steroid treatment at the time of the sinus graft procedure 29. These complications can be caused by one or more of the following mechanisms. For example, if a 10 mm long implant is planned and 7 mm 9 mm of bone is available, then an indirect sinus lift is performed. Direct sinus lifts are utilized when there is less than 5mm of bone between the floor of your maxillary sinus and the crest of the bone in the area where the implant is to be placed. Management of the complications of maxillary sinus augmentation. An implant osteotomy is made short of the maxillary sinus floor by about 2 mm and osteotomes are used to fracture up the sinus. The purpose of this case report is to demonstrate indirect maxillary sinus lift procedure through alveolar crest using osteotomes to prevent perforation. Indirect sinus lift of atrophic posterior introduction. Two separate surgeries are fused to one short surgery to create a minimally invasive procedure, which is well tolerated by the patient, and allows a quick return to normal life, as opposed to other sinus lift surgery approaches. There are different techniques for the sinus augmentation.
393 790 834 7 1458 425 175 298 947 322 129 145 926 732 1279 366 454 1503 944 947 945 135 1534 910 1356 1256 129 1416 582 1133 1124 817 108 125 1459