scholarly journals Tenting effect of dental implant on maxillary sinus lift without grafting

2020 ◽  
Vol 15 (3) ◽  
pp. 278-285
Author(s):  
Dong-Suk Song ◽  
Chul-Hoon Kim ◽  
Bok-Joo Kim ◽  
Jung-Han Kim
Author(s):  
Kazuya NISHIKAWA ◽  
Naoki TAKANO ◽  
Satoru MATSUNAGA ◽  
Shinya HONMA ◽  
Yasutomo YAJIMA

2017 ◽  
Vol 1 (2) ◽  

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 graft [2]. When a tooth is lost the alveolar process begins to remodel. The vacant tooth socket collapses as it heals leaving an edentulous (toothless) area, termed a ridge [3]. This collapse causes a loss in both height and width of the surrounding bone. In addition, when a maxillary molar or premolar is lost, the floor of the maxillary sinus expands, which further diminishes the thickness of the underlying bone. Overall, this leads to a loss in volume of bone that is available for implantation of dental implants, which rely on osseointegration (bone integration), to replace missing teeth [1]. The goal of the sinus lift is to graft extra bone into the maxillary sinus, so more bone is available to support a dental implant. A Special form of Reconstruction of bone, especially changing the vertical structure of the maxillary Sinus floor in the upper jaw and the establishment of the mucous membranes of Sinusitis purpose of dental implant called Sinuslift [4, 5, 6 & 8]. Distance-maxillary sinus is often so low that an implant can not be included in stable long enough. With the incorporation of bone material or bone grafting, maxillary sinus floor, ‘grow’ and that this level can be implanted implants safe. Sinuslift distinguish Extern and Intern [9,10].


2019 ◽  
Vol 129 (3) ◽  
pp. 209-215 ◽  
Author(s):  
Amit Ritter ◽  
Noa Rozendorn ◽  
Gal Avishai ◽  
Eli Rosenfeld ◽  
Ilan Koren ◽  
...  

Objectives: Preoperative maxillary sinus imaging findings have been suggested to be associated with complications and outcomes of sinus lift and dental implant procedures; nonetheless the evidence is controversial. The aim of this study was to examine the association between preoperative maxillary sinus imaging findings and outcomes of sinus lift and dental implant procedures in asymptomatic patients. Methods: We included all patients who underwent maxillary sinus lift and dental implant procedures between 2014 and 2017. Maxillary sinus imaging findings were extracted from pre-procedural dental computed tomography scans, and outcomes of the procedures were assessed. Results: A total of 145 procedures were included. No sinonasal symptoms were reported preoperatively. In 46% of cases maxillary sinus imaging was abnormal. The most common imaging finding was peripheral mucosal thickening (38%). Sinus floor cyst/polyp was identified in 13% of the cases, of which 47% occupied more than 50% of the sinus volume. Partial or complete opacification of the maxillary sinus was documented in 3% of cases. The sinus ostium and ostiomeatal complex were obstructed in 7% and 1%, respectively. Mucosal perforation was documented in 22% of cases and was inversely related to mucosal thickening ( P = 0.011). Other minor post-operative complications did not correlate with radiological findings. Post-surgical sinusitis was not observed in any of the patients regardless of pre-surgical imaging findings. Conclusions: Incidental maxillary sinus imaging findings such as mucosal swelling, cysts or polyps, regardless of their severity or size, and maxillary ostial obstruction may not need to be addressed prior to sinus augmentation and dental implant procedures in asymptomatic patients. Patients with complete sinus opacification should be referred to an otolaryngologist prior to surgery. Further controlled trials, in larger cohorts, are needed to corroborate our findings.


2020 ◽  
Vol 42 (9) ◽  
pp. 1025-1031
Author(s):  
Joe Iwanaga ◽  
Tsuyoshi Tanaka ◽  
Soichiro Ibaragi ◽  
Tatsuo Okui ◽  
Junya Hamaguchi ◽  
...  

2015 ◽  
Vol 44 (12) ◽  
pp. 1583-1584
Author(s):  
A.P.F. Bassi ◽  
R. Pioto ◽  
L.P. Faverani ◽  
D. Canestraro ◽  
F.G.K. Fontão

Author(s):  
Junho Jung ◽  
Bo-Yeon Hwang ◽  
Byung-Soo Kim ◽  
Jung-Woo Lee

Abstract Background The presence of septa increases the risk of Schneiderian membrane perforation during sinus lift procedure, and therefore, the chance of graft failure increases. We present a safe method of managing septa and, in particular, overcoming small and palatally located septa. Methods After the elevation of the flap and the creation of a small bony window positioned anterior to the septum, the Schneiderian membrane is lifted carefully. A thin and narrow osteotome is then placed at the indentation created at the base of the septum, and mobilization of the septum is achieved by gentle malleting. The membrane is again carefully lifted up behind the septum. Results There was one small membrane perforation case in all 16 cases, and none of these patients showed postoperative complications such as implant failure, infection, or maxillary sinusitis. Conclusions This technique is useful for overcoming the problem of maxillary sinus septa hindering the sinus floor elevation procedure, leading to fewer complications.


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