Safe Sinus Lift: Use of Acrylic Stone Trimmer to Avoid Sinus Lining Perforation

2014 ◽  
Vol 40 (3) ◽  
pp. 281-284
Author(s):  
Prashanth Konatham Haribabu ◽  
Krishna Kumar Raja ◽  
Shankar Iyer
Keyword(s):  
Tungsten Carbide ◽  
Maxillary Sinus ◽  
Maxillary Antrum ◽  
Sinus Lift ◽  
Common Complication ◽  
Schneiderian Membrane ◽  
Common Cause ◽  
Risk Of Injury ◽  
Safe Technique ◽  
Sinus Membrane

Iatrogenic injury to the maxillary sinus membrane is a common complication during direct sinus lift procedures. The most common cause is perforation of the Schneiderian membrane using a tungsten-carbide round bur no.6. We propose a safe technique in which an acrylic stone trimmer is used to create a window in the maxillary antrum thereby minimizing the risk of injury to the delicate sinus membrane.

scholarly journals Lateral Sinus Membrane Elevation in Case of Lateral Intra-sinus Linear Calcification: Expanding the Indications

2021 ◽  
Vol 5 (4) ◽  
pp. 52-56
Keyword(s):  
Maxillary Sinus ◽  
Lateral Approach ◽  
Middle Level ◽  
Lateral Sinus ◽  
Sinus Lift ◽  
Schneiderian Membrane ◽  
Maxillary Sinus Pathology ◽  
Sinus Membrane Elevation ◽  
Sinus Membrane

Intra-sinus calcifications (ISCs) which are noted only in 2.4 percent of maxillary sinus pathology can be a challenging condition for the implantologists. A few studies describe only a recommendation for the centrally localized calcification spots in the maxillary sinus. Simultaneously, there is no publications focused on lateral sinus lift performance in cases of laterally, peripherally located linear ISCs. The purpose of our report is to present a surgical tactic for lateral approach of Schneiderian membrane elevation in a 58-year-old female with linear and fine punctate calcifications, inta-sinus hyperostosis, and mucosal swelling with height above the middle level of the sinus.

scholarly journals Lateral Sinus Membrane Elevation in Case of Lateral Intra-sinus Linear Calcification: Expanding the Indications

2021 ◽  
Vol 5 (4) ◽  
pp. 43-47
Keyword(s):  
Maxillary Sinus ◽  
Lateral Approach ◽  
Middle Level ◽  
Lateral Sinus ◽  
Sinus Lift ◽  
Schneiderian Membrane ◽  
Maxillary Sinus Pathology ◽  
Sinus Membrane Elevation ◽  
Sinus Membrane

Intra-sinus calcifications (ISCs) which are noted only in 2.4 percent of maxillary sinus pathology can be a challenging condition for the implantologists. A few studies describe only a recommendation for the centrally localized calcification spots in the maxillary sinus. Simultaneously, there is no publications focused on lateral sinus lift performance in cases of laterally, peripherally located linear ISCs. The purpose of our report is to present a surgical tactic for lateral approach of Schneiderian membrane elevation in a 58-year-old female with linear and fine punctate calcifications, inta-sinus hyperostosis, and mucosal swelling with height above the middle level of the sinus.

scholarly journals Floating septum technique: easy and safe method maxillary sinus septa in sinus lifting procedure

2019 ◽  
Vol 41 (1) ◽  
Author(s):  
Junho Jung ◽  
Bo-Yeon Hwang ◽  
Byung-Soo Kim ◽  
Jung-Woo Lee
Keyword(s):  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Sinus Lift ◽  
Sinus Floor Elevation ◽  
Schneiderian Membrane ◽  
Safe Method ◽  
Membrane Perforation ◽  
Sinus Lifting ◽  
Maxillary Sinus Septa ◽  
Sinus Floor

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.

Postoperative Perforation of the Schneiderian Membrane in Maxillary Sinus Augmentation: A Case Report

2014 ◽  
Vol 40 (S1) ◽  
pp. 375-379 ◽  
Author(s):  
Kyu-Hong Jo ◽  
Kyu-Ho Yoon ◽  
Jeong-Kwon Cheong ◽  
In-Seong Jeon
Keyword(s):  
Case Report ◽  
Maxillary Sinus ◽  
Graft Material ◽  
Sinus Augmentation ◽  
Intraoperative Complication ◽  
Schneiderian Membrane ◽  
Membrane Perforation ◽  
Maxillary Sinus Floor ◽  
Systemic Antibiotics ◽  
Sinus Membrane

Perforation of the Schneiderian membrane constitutes a major intraoperative complication of maxillary sinus floor elevation with graft materials, but postoperative perforation of the sinus membrane is very rare. This case report demonstrates that conservative treatment involving drainage and the administration of systemic antibiotics can be used to successfully treat postoperative sinus membrane perforation with infection of the graft material.

Autogenous Bone with Collagen Material and Surgicel for Maxillary Sinus Membrane Elevation (Sinus Lift) in Human Subjects

2013 ◽  
Vol 6 (2) ◽  
pp. 249-252 ◽  
Author(s):  
Mohammad Ali Ghavimi ◽  
Koroush Taheri Talesh ◽  
AREZOU Ghoreishizadeh ◽  
Masoome Amani ◽  
Aylar Divband
Keyword(s):  
Maxillary Sinus ◽  
Human Subjects ◽  
Autogenous Bone ◽  
Sinus Lift ◽  
Sinus Membrane Elevation ◽  
Sinus Membrane

Use of Plasma Rich in Growth Factor for Schneiderian Membrane Management During Maxillary Sinus Augmentation Procedure

2012 ◽  
Vol 38 (5) ◽  
pp. 621-627 ◽  
Author(s):  
Silvio Taschieri ◽  
Stefano Corbella ◽  
Massimo Del Fabbro
Keyword(s):  
Sample Size ◽  
Maxillary Sinus ◽  
Bovine Bone ◽  
Sinus Lift ◽  
Sinus Augmentation ◽  
Schneiderian Membrane ◽  
Experienced Pain ◽  
Postoperative Quality ◽  
Maxillary Sinuses

The aim of this pilot study was to present a novel technique for the management of the Schneiderian membrane during maxillary sinus lift surgery using plasma rich in growth factors (PRGF). Eight maxillary sinuses were augmented in 8 patients. Two small perforations of the Schneiderian membrane occurred during the lifting procedure, which were solved using the PRGF clot before grafting the site with PRGF and anorganic bovine bone. With the exception of 1 patient who experienced pain following an acute sinus infection after 3 days of uneventful healing, the patients' postoperative quality of life was generally good. The most common complication (50% of cases) was hematoma, which disappeared after 1 week. Despite the limitations of this study concerning the sample size and the study design, the use of PRGF may be helpful in reducing complications following sinus lift surgery. More well-designed studies, with larger sample size, are needed to validate this protocol.

scholarly journals New Concept of Maxillary Sinus Lift through a New Implant Dedicated: “2s Implant”

2021 ◽  
Vol 7 (1) ◽  
pp. 1-8
Author(s):  
Maurizio Serafini ◽  
Keyword(s):  
Maxillary Sinus ◽  
Daily Routine ◽  
Sinus Lift ◽  
Schneiderian Membrane ◽  
Mucoperiosteal Flap

The method which I created and use in my daily routine, it’s a Soft-Surgery approach. The access can be made through an operculum or a mucoperiosteal flap, followed by an invitation to the alveolar crestal bone with a drill using different size burs and to avoid the breaking of the floor of the sinus and tearing of the schneiderian membrane, is important to stop a few millimeters from it

scholarly journals Biological Principles and Physiology of Bone Regeneration under the Schneiderian Membrane after Sinus Lift Surgery: A Radiological Study in 14 Patients Treated with the Transcrestal Hydrodynamic Ultrasonic Cavitational Sinus Lift (Intralift)

2012 ◽  
Vol 2012 ◽  
pp. 1-12 ◽  
Author(s):  
A. Troedhan ◽  
A. Kurrek ◽  
M. Wainwright
Keyword(s):  
Experimental Studies ◽  
Minimal Invasive ◽  
Sinus Lift ◽  
Bone Augmentation ◽  
Schneiderian Membrane ◽  
Radiological Study ◽  
Calcification Process ◽  
Sinus Membrane

Introduction. Sinus lift procedures are a commonly accepted method of bone augmentation in the lateral maxilla with clinically good results. Nevertheless the role of the Schneiderian membrane in the bone-reformation process is discussed controversially. Aim of this study was to prove the key role of the sinus membrane in bone reformation in vivo.Material and Methods. 14 patients were treated with the minimal invasive tHUCSL-Intralift, and 2 ccm collagenous sponges were inserted subantrally and the calcification process followed up with CBCT scans 4 and 7 months after surgery.Results. An even and circular centripetal calcification under the sinus membrane and the antral floor was detected 4 months after surgery covering 30% of the entire augmentation width/height/depth at each wall. The calcification process was completed in the entire augmentation volume after 7 months. A loss of approximately 13% of absolute augmentation height was detected between the 4th and 7th month.Discussion. The results of this paper prove the key role of the sinus membrane as the main carrier of bone reformation after sinus lift procedures as multiple experimental studies suggested. Thus the importance of minimal invasive and rupture free sinuslift procedures is underlined and does not depend on the type of grafting material used.

Mechanical testing of maxillary sinus membrane simulating sinus lift for dental implant

2017 ◽  
Vol 2017.28 (0) ◽  
pp. 1C11
Author(s):  
Kazuya NISHIKAWA ◽  
Naoki TAKANO ◽  
Satoru MATSUNAGA ◽  
Shinya HONMA ◽  
Yasutomo YAJIMA
Keyword(s):  
Maxillary Sinus ◽  
Mechanical Testing ◽  
Dental Implant ◽  
Sinus Lift ◽  
Sinus Membrane

scholarly journals Histological and Radiological Analyses of a Maxillary Sinus Lift with Extensive Drilling of the Schneider Membrane Using Xenogeneic Bone

2014 ◽  
Vol 2014 ◽  
pp. 1-5
Author(s):  
Marcelo M. Romano ◽  
Júlia A. Smanio ◽  
Lorraine B. Ferreira ◽  
Victor E. Arana-Chavez ◽  
Mário S. Soares
Keyword(s):  
Maxillary Sinus ◽  
Clinical Case ◽  
Bone Cells ◽  
Osteogenic Potential ◽  
Sinus Lift ◽  
Large Perforation ◽  
Sinus Membrane

The objective of this study is to report a clinical case of maxillary sinus with lyophilized, xenogeneic graft, in which, despite a large perforation of the sinus membrane, the surgery was not aborted and the results of histological examinations indicate bone neoformation in the surgical area.Results. This case showed that the biomaterials evaluated in this study and the procedure used to place them proved to be biocompatible and presented high osteogenic potential, leading to a successful surgery and osseointegration implant.Conclusion. Positioning Schneider’s membrane and filling it with the graft biomaterial helped to achieve the desired osteoconduction and proliferation of bone cells even though the patient had a large perforation of the sinus membrane.

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