Implants in the Posterior Maxilla: Open Sinus Lift Versus Conventional Implant Placement. A Systematic Review

2019 ◽  
Vol 34 (4) ◽  
pp. e65-e76 ◽  
Author(s):  
Javier Romero-Millán ◽  
Javier Aizcorbe-Vicente ◽  
Maria Peñarrocha-Diago ◽  
Pablo Galindo-Moreno ◽  
Luigi Canullo ◽  
...  
Keyword(s):  
Systematic Review ◽  
Sinus Lift ◽  
Implant Placement ◽  
Posterior Maxilla

scholarly journals Styloid Process Elongation or Eagle’s Syndrome: Is There Any Role for Ectopic Calcification?

2008 ◽  
Vol 02 (03) ◽  
pp. 224-228 ◽  
Author(s):  
Cumali Gokce ◽  
Yildiray Sisman ◽  
Murat Sipahioglu
Keyword(s):  
Styloid Process ◽  
Ectopic Calcification ◽  
Sinus Lift ◽  
Eagle’S Syndrome ◽  
Maxillary Bone ◽  
Implant Placement ◽  
Metal Framework ◽  
Posterior Maxilla ◽  
Mandibular Teeth ◽  
Implant Treatment

ABSTRACTDue to the angulation of maxillary bone as the maxillary bone resorption occurs from a buccal to palatal direction, bucco-lingually tilted implant placement is more likely especially in the posterior maxilla. The aim of this paper was to present a case restored by using a maxillary hybrid denture using Cresco method. A 59-year-old woman with an edentulous maxilla and five missing mandibular teeth was referred for implant treatment. Six months after sinus lift operation, four mandibular implants and six maxillary implants were placed. Due to the bucco-lingual tilt of two implants, the Cresco method was chosen to fabricate the metal framework for the maxillary hybrid denture that was delivered four months after implant placement. The main advantages of the Cresco method are a perfectly passive framework fit and corrected screw access holes. All ten implants placed were considered successful at 1-year recall, and no screw access holes were seen in the buccal part of the maxillary acrylic teeth.It was concluded that such screw-retained maxillary hybrid denture using the Cresco method met the esthetic expectations of a highly demanding patient. (Eur J Dent 2008;2:220-223)

scholarly journals Maxillary sinus lifting using Osseodensification: Cynosure of the implant domain

2021 ◽  
Vol 9 (1) ◽  
pp. 29-31
Author(s):  
Sumit Munjal ◽  
Seema Munjal
Keyword(s):  
Minimally Invasive ◽  
Maxillary Sinus ◽  
The Novel ◽  
Sinus Lift ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Platelet Rich Fibrin ◽  
Implant Placement ◽  
Posterior Maxilla ◽  
Sinus Lifting

The posterior maxilla is indubitably the site reported with highest failures in implant literature so far as the bone availability beneath the sinus poses a major challenge for surgeons. Sinus lift both by direct and various indirect accesses were hitherto utilized to counter the compromising situation. But the risk of implant failure if the implant was simultaneously placed besides the parasthesia, perforation and morbidity were experienced more with more the cases documented. The osseodensification(OD), a relatively new technique provides a minimally invasive approach along with feasibility where the above-mentioned other modalities are contraindicated. The present article presents the novel case of indirect sinus lift with OD concept and simultaneous implant placement using an adjunct PRF (Platelet-rich fibrin).

scholarly journals Oral Rehabilitation of a Severely Resorbed Edentulous Maxilla with Screwed-retained Hybrid Denture Using Cresco System: A Case Report

2008 ◽  
Vol 02 (03) ◽  
pp. 220-223 ◽  
Author(s):  
Ilser Turkyilmaz ◽  
Neal S. Patel ◽  
Edwin A. McGlumphy
Keyword(s):  
Sinus Lift ◽  
Oral Rehabilitation ◽  
Maxillary Bone ◽  
System A ◽  
Implant Placement ◽  
Metal Framework ◽  
Posterior Maxilla ◽  
Mandibular Teeth ◽  
Implant Treatment ◽  
Tilted Implant

ABSTRACTDue to the angulation of maxillary bone as the maxillary bone resorption occurs from a buccal to palatal direction, bucco-lingually tilted implant placement is more likely especially in the posterior maxilla. The aim of this paper was to present a case restored by using a maxillary hybrid denture using Cresco method. A 59-year-old woman with an edentulous maxilla and five missing mandibular teeth was referred for implant treatment. Six months after sinus lift operation, four mandibular implants and six maxillary implants were placed. Due to the bucco-lingual tilt of two implants, the Cresco method was chosen to fabricate the metal framework for the maxillary hybrid denture that was delivered four months after implant placement. The main advantages of the Cresco method are a perfectly passive framework fit and corrected screw access holes. All ten implants placed were considered successful at 1-year recall, and no screw access holes were seen in the buccal part of the maxillary acrylic teeth.It was concluded that such screw-retained maxillary hybrid denture using the Cresco method met the esthetic expectations of a highly demanding patient. (Eur J Dent 2008;2:220-223)

scholarly journals Synthetic Putty and Simultaneous Short Implant Placement in Crestal Sinus Lifting Procedures: 13–36 Months Follow-Up: A Case Series

2021 ◽  
Author(s):  
Maarten J Boogaard
Keyword(s):  
Bone Graft ◽  
Bone Growth ◽  
Case Series ◽  
Good Alternative ◽  
Sinus Lift ◽  
Implant Placement ◽  
Posterior Maxilla ◽  
Sinus Lifting ◽  
Sinus Floor ◽  
Short Implant

Introduction: Aim of this investigation is to show that in sites with less than 4 mm of bone height of the sinus floor, synthetic putty bone graft and simultaneous short implant placement in crestal sinus lifting procedures result in sufficient bone gain, and is a valuable option to the more invasive lateral-window approach. Case presentation: Four patients missing a single tooth or more in the posterior maxilla with remaining alveolar ridge height of less than 4mm underwent crestal sinus lift procedures with bone grafting using a synthetic putty material simultaneously. Loading of the short implants was done with a minimum of 4 months after placement showing bone growth around the implant and lift of the Schneiderian membrane between 2.3mm-7.3mm. Conclusion: Crestal sinus lift, in combination with a short implant and a synthetic putty bone graft, is a good alternative for lateral more invasive sinus lift when the thickness of the sinus floor is less than 4mm.

scholarly journals Maxillary Sinus Floor Augmentation to Enable One-Stage Implant Placement by Using Bovine Bone Substitute and Platelet-Rich Fibrin

2018 ◽  
Vol 2018 ◽  
pp. 1-6 ◽  
Author(s):  
Horia Mihail Barbu ◽  
Claudia Florina Andreescu ◽  
Monica Raluca Comaneanu ◽  
Daniel Referendaru ◽  
Eitan Mijiritsky
Keyword(s):  
Bone Substitutes ◽  
Bovine Bone ◽  
Graft Material ◽  
Sinus Lift ◽  
Platelet Rich Fibrin ◽  
One Stage ◽  
Implant Placement ◽  
Posterior Maxilla ◽  
The Mean ◽  
Bone Height

Nowadays it is possible to perform an optimal implant placement and to achieve a good long-term prognosis for an implant-borne prosthesis in the grafted posterior maxilla. This study evaluates the efficiency of one-stage piezosurgery by using as graft material a combination of particulate bovine bone substitutes with platelet-rich fibrin to achieve sinus lift. We included in this study 14 cases of one-stage sinus lift surgeries during which we placed 30 standard implants. The mean vertical bone height gain was 10.12 mm six months after surgery, and the mean postoperative follow-up time was 43.79 months. There were no major complications during or after surgery, and all implants are in use. Therefore, it can be concluded that one-stage sinus piezosurgery using particulate bovine bone substitutes and platelet-rich fibrin can be applied as a predictable and effective technique in the treatment of the posterior edentulous maxilla ensuring 4-5 mm vertical bone height.

scholarly journals A New Transalveolar Sinus Lift Procedure for Single Implant Placement: The Ebanist Technique. A Technical Description and Case Series

2017 ◽  
Vol 11 (1) ◽  
pp. 187-199
Author(s):  
Rosario Rizzo ◽  
Vittorio Checchi ◽  
Federico Marsili ◽  
Antonio Zani ◽  
Serena Incerti-Parenti ◽  
...  
Keyword(s):  
Case Series ◽  
Bone Block ◽  
Sinus Lift ◽  
Recipient Site ◽  
Implant Placement ◽  
Posterior Maxilla ◽  
Implant Therapy ◽  
Single Implant ◽  
Sinus Membrane

Background: Nowadays, there are many techniques to compensate bone atrophies of the posterior maxilla in order to obtain an implant-supported rehabilitation. Objective: This case series describes the Ebanist technique: a sinus lift procedure to be used in case of extremely resorbed bone crests (≤3 mm) allowing simultaneous implant placement. Methods: With a dedicated cylindrical trephine bur, it is possible to harvest a cylinder of bone from a fresh mineralized frozen homologous bone block graft and to simultaneously create a trapdoor on the recipient site. The trapdoor cortical bone is detached from the sinus membrane and removed. Dental implant is placed into the graft before the grafting procedure since the cylindrical block, once inserted in the recipient area, is not able to oppose sufficient resistance to the torque needed for implant placement. Results: Second-stage surgery and following prosthetic rehabilitation were performed after 5 months. In all cases, implant stability was manually checked and no pathological symptoms or signs were recovered at any follow-up visit. Conclusion: This technique can be considered a valid procedure for implant therapy on atrophic posterior upper maxillae, when the residual bone crest is extremely resorbed.

scholarly journals Antral Membrane Balloon Elevation

2005 ◽  
Vol 31 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Muna Soltan ◽  
Dennis G. Smiler
Keyword(s):  
Preliminary Report ◽  
Sinus Lift ◽  
Bone Augmentation ◽  
Sinus Floor Elevation ◽  
Crown Root ◽  
Implant Placement ◽  
Posterior Maxilla ◽  
Sinus Floor ◽  
Grafting Materials

Abstract Many edentulous posterior maxilla are found to be encumbered by alveolar resorption and increased pneumatization of the sinus. These factors limit the quantity and quality of bone necessary for successful implant placement in these areas. One solution is to use shorter implants, but this often results in an unfavorable crown-root ratio. To create an improved environment in such regions, the classic sinus floor elevation with bone augmentation is a well-accepted technique. However, when the edentulous area is limited to a zone between 1 and 2 teeth, lifting the membrane becomes difficult and may subject it to iatrogenic injury. The antral membrane balloon elevation technique, which is introduced in this preliminary report, is a modification of the currently used sinus lift. It elevates the membrane easily and makes the antral floor accessible for augmentation with grafting materials.

Dental Implant Placement in Patients with a History of Medications Related to Osteonecrosis of the Jaws: A Systematic Review

2020 ◽  
Author(s):  
Judd Sher ◽  
Kate Kirkham-Ali ◽  
Denny Luo ◽  
Catherine Miller ◽  
Dileep Sharma
Keyword(s):  
Systematic Review ◽  
At Risk ◽  
Drug Therapy ◽  
Dental Implant ◽  
Case Series ◽  
Cochrane Central Register ◽  
Bisphosphonate Treatment ◽  
Implant Placement ◽  
Increased Risk ◽  
History Of

The present systematic review evaluates the safety of placing dental implants in patients with a history of antiresorptive or antiangiogenic drug therapy. The Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) guidelines were followed. PubMed, Cochrane Central Register of Controlled Trials, Scopus, Web of Science, and OpenGrey databases were used to search for clinical studies (English only) to July 16, 2019. Study quality was assessed regarding randomization, allocation sequence concealment, blinding, incomplete outcome data, selective outcome reporting, and other biases using a modified Newcastle-Ottawa scale and the Joanna Briggs Institute critical appraisal checklist for case series. A broad search strategy resulted in the identification of 7542 studies. There were 28 studies reporting on bisphosphonates (5 cohort, 6 case control, and 17 case series) and one study reporting on denosumab (case series) that met the inclusion criteria and were included in the qualitative synthesis. The quality assessment revealed an overall moderate quality of evidence among the studies. Results demonstrated that patients with a history of bisphosphonate treatment for osteoporosis are not at increased risk of implant failure in terms of osseointegration. However, all patients with a history of bisphosphonate treatment, whether taken orally for osteoporosis or intravenously for malignancy, appear to be at risk of ‘implant surgery-triggered’ MRONJ. In contrast, the risk of MRONJ in patients treated with denosumab for osteoporosis was found to be negligible. In conclusion, general and specialist dentists should exercise caution when planning dental implant therapy in patients with a history of bisphosphonate and denosumab drug therapy. Importantly, all patients with a history of bisphosphonates are at risk of MRONJ, necessitating this to be included in the informed consent obtained prior to implant placement. The James Cook University College of Medicine and Dentistry Honours program and the Australian Dental Research Foundation Colin Cormie Grant were the primary sources of funding for this systematic review.

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