Indirect Osteotome Maxillary Sinus Floor Elevation: An Update

2012 ◽  
Vol 38 (6) ◽  
pp. 799-804 ◽  
Author(s):  
Javier Romero-Millán ◽  
Luis Martorell-Calatayud ◽  
Maria Peñarrocha ◽  
Berta García-Mira
Keyword(s):  
Maxillary Sinus ◽  
Survival Rates ◽  
Graft Material ◽  
Sinus Floor Elevation ◽  
Posterior Maxilla ◽  
Membrane Perforation ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Bone Height ◽  
Maxillary Sinus Floor Elevation

The objective was to review publications on indirect osteotome maxillary sinus floor elevation (OMSFE) procedures. Studies published between 1999 and 2010 on patients with a minimum of 1 year of follow-up were analyzed. Fourteen studies were included. Indirect OMSFE is indicated for a bone height of 6–8 mm. More bone height was gained when graft material was used. Schneiderian membrane perforation was the most frequent complication. Survival rates varied between 93.5% and 100%. Osteotome sinus membrane elevation is a predictable and effective procedure for placing implants in areas of the posterior maxilla with low bone height.

scholarly journals Surgical Complications Associated to Maxillary Sinus Floor Elevation in Implantology

2019 ◽  
pp. 155-164
Author(s):  
Deisy E. Quispe Damián DDS, MSc ◽  
Carmen T. Castro-Ruiz DDS, MSc ◽  
Gerardo Mendoza Azpur DDS, MSc
Keyword(s):  
Literature Review ◽  
Maxillary Sinus ◽  
Surgical Complications ◽  
Sinus Floor Elevation ◽  
Posterior Maxilla ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Implant Therapy ◽  
Bone Height ◽  
Maxillary Sinus Floor Elevation

Maxillary sinus floor elevation has been extensively documented as a safe and predictable procedure for gaining vertical bone height in the atrophic posterior maxilla. Even though, complications have been reported, which can potentially jeopardize the outcome of the regeneration and implant therapy. Therefore, the purpose of this literature review is to present, debate and analyze the different complications that can occur during a sinus floor elevation.

scholarly journals The Human Amniotic Mesenchymal Stem Cells (hAMSCs) Improve the Implant Osseointegration and Bone Regeneration in Maxillary Sinus Floor Elevation in Rabbits

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Lu Yin ◽  
Zhi-xuan Zhou ◽  
Ming Shen ◽  
Ning Chen ◽  
Fei Jiang ◽  
...  
Keyword(s):  
Bone Regeneration ◽  
Maxillary Sinus ◽  
Bone Volume ◽  
Control Group ◽  
Sinus Floor Elevation ◽  
Dental Implantation ◽  
Posterior Maxilla ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Maxillary Sinus Floor Elevation

Insufficient bone height in the posterior maxilla is a challenging problem in dental implantation. Bio-Oss, though routinely used in maxillary sinus floor elevation (MSFE), is not osteoinductive. Human amniotic mesenchymal cells (hAMSCs) isolated from placental tissues have potential for multidifferentiation and immunomodulatory properties and can be easily obtained without the need for invasive procedures and without ethical concerns. This is the first study to use hAMSCs to improve implant osseointegration and bone regeneration after MSFE. Human AMSCs were loaded into a fibrin gel and injected into rabbit MSFE models. The rabbits were assigned to four groups (n=3 per group), i.e., the control group, the hAMSC group, the Bio-Oss group, and the hAMSC/Bio-Oss group. The animals were sacrificed at postsurgery for four and twelve weeks and evaluated by histology and immunohistochemistry. Bone volume, bone volume/tissue volume, bone-to-implant contact ratio, and vessel-like structures in the hAMSC/Bio-Oss group were significantly better than those in other groups in the peri-implant and augmented areas. Immunofluorescence staining showed that alkaline phosphatase (ALP) activities of two hAMSC groups were higher than those of the other two groups. Sequential fluorescent labeling was performed in all of the 12-week groups. Observations showed that hAMSCs accelerated mineralized deposition rates on implant surfaces and in bone-augmented areas. These data demonstrated that hAMSCs could enhance implant osseointegration and bone regeneration after MSFE and might be used to optimize dental implantation in the future.

scholarly journals Schneider Membrane Elevation in Presence of Sinus Septa: Anatomic Features and Surgical Management

2012 ◽  
Vol 2012 ◽  
pp. 1-6 ◽  
Author(s):  
Mario Beretta ◽  
Marco Cicciù ◽  
Ennio Bramanti ◽  
Carlo Maiorana
Keyword(s):  
Maxillary Sinus ◽  
Lateral Approach ◽  
Sinus Lift ◽  
Sinus Floor Elevation ◽  
Posterior Maxilla ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
The Right ◽  
Maxillary Sinus Floor Elevation ◽  
Gothic Arch

Maxillary sinus floor elevation via a lateral approach is a predictable technique to increase bone volume of the edentulous posterior maxilla and consequently for dental implants placement. The sinus floor is elevated and it can be augmented with either autologous or xenogeneic bone grafts following an opening bone window created on the facial buccal wall. Maxillary septa are walls of cortical bone within the maxillary sinus. The septa shape has been described as an inverted gothic arch arising from the inferior or lateral walls of the sinus and may even divide the sinus into two or more cavities. Some authors have reported a higher prevalence of septa in atrophic edentulous areas than in nonatrophic ones. Radiographic identification of these structures is important in order to perform the right design of the lateral window during sinus lift. Aim of this investigation is to highlight the correct steps for doing sinus lift surgery in presence of those anatomic variations. Clinicians should always perform clinical and radiographic diagnosis in order to avoid complications related to the sinus lift surgery.

scholarly journals Maxillary Sinus Floor Elevation

2018 ◽  
Vol 2 (2) ◽  
pp. 495-498
Author(s):  
Jorge Gatica ◽  
Claudio Garayar
Keyword(s):  
Maxillary Sinus ◽  
Oral Surgery ◽  
Sinus Lift ◽  
Sinus Floor Elevation ◽  
Rehabilitative Treatment ◽  
Implant Placement ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Bone Height ◽  
Maxillary Sinus Floor Elevation

The sinus lift is a procedure that is used frequently in oral surgery, different techniques exist to perform this procedure approaches, which allow the surgeon to give a sufficient bone height for planning a rehabilitative treatment with implant at the required site. In this case the unilateral lifting of the maxillary sinus floor by buccal bone window, with subsequent implant placement and lyophilized human bone in a single surgical procedure.

scholarly journals Fresh Frozen Allogeneic Bone Block in Maxillary Sinus Floor Elevation: Histomorphometric Analysis of a Bone Specimen Retrieved 15 Years after Grafting Procedure

2019 ◽  
Vol 9 (6) ◽  
pp. 1119 ◽  
Author(s):  
Claudio Stacchi ◽  
Federico Berton ◽  
Luca Fiorillo ◽  
Vanessa Nicolin ◽  
Teresa Lombardi ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Alveolar Bone ◽  
Bone Block ◽  
Allogeneic Bone ◽  
Sinus Floor Elevation ◽  
Fresh Frozen ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Bone Height ◽  
Maxillary Sinus Floor Elevation

Nowadays implant-prosthetic rehabilitations are one of the best solutions for rehabilitating our patients. These allow obtaining rehabilitations with optimal functional and aesthetic performances. Often patients, who undergo implant-prosthetic therapy, have the conditions of edentulias, single or multiple, that have been going on for some time. This, according to the literature, produces resorption of the alveolar bone, a process that is complicated in the posterior area of the upper arch by a pneumatization of the maxillary sinuses. The loss of vertical height, so that the implant fixtures can be inserted, requires a maneuver called maxillary sinus floor elevation. This procedure, now safely performed with piezoelectric instruments, allows increasing bone height through bone grafting. In this study, the tissue obtained from a patient, after 15 years from the intervention, was evaluated by histological and SEM analyses. The bone healing in the patient has led to a perfect integration between the patient’s bone and the fresh frozen allograft used, however still present and detectable after 15 years.

scholarly journals Displacement of the full body of a dental implant into the sinus space without membrane perforation and subsequent osseointegration: a case report

2021 ◽  
Vol 49 (12) ◽  
pp. 030006052110606
Author(s):  
Xun Xia ◽  
Zhen-Yu Wei ◽  
Hong-Wu Wei
Keyword(s):  
Maxillary Sinus ◽  
Clinical Results ◽  
Sinus Floor Elevation ◽  
Implant Placement ◽  
Membrane Perforation ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Osteotome Sinus Floor Elevation ◽  
Bone Height ◽  
Implant Displacement

An increasing number of studies have investigated the use of osteotome sinus floor elevation (OSFE) with simultaneous implant placement for maxillary sinus floor residual bone height (RBH) <4 mm. Many studies have reported good clinical results, but very few have reported complications related to this procedure. Here, the case of a 50-year-old female patient with an RBH in the left upper posterior region of 1–4 mm, who underwent OSFE with simultaneous placement of three Bicon short® implants, is described. One of the implants was found to be displaced during the second-stage surgery. The displaced implant was removed using piezosurgery, OSFE with simultaneous implant placement was repeated, and the missing tooth was reconstructed 6 months later. This case suggests that OSFE with simultaneous implant placement is feasible for severely atrophic maxillary sinus floor, but carries a risk of implant displacement.

Sign in / Sign up

Export Citation Format

Share Document