A modified transalveolar sinus floor elevation approach with a bilaterally enlarged osteotomy

Author(s):  
Yuting Zhang ◽  
Xin Zhang ◽  
Jian Wang ◽  
Qianbing Wan ◽  
Lei Li

Sinus floor elevation is the most commonly used method for vertical bone augmentation in the maxillary posterior area. This clinical report describes a modified transalveolar approach to elevate the sinus floor when placing implants on a severely resorbed maxillary posterior ridge with a buccal-palatal distance of more than 8.0 mm. In this approach, the osteotomy prepared on the crestal is bilaterally enlarged to 8.0-10.0 mm. The enlarged osteotomies can provide better access for practitioners, so that instruments can touch directly to the sinus floor and the Schneiderian membrane can be elevated with a reduced risk of perforation.

Author(s):  
Xin Zhang ◽  
Yuting Zhang ◽  
Jian Wang ◽  
Qianbing Wan ◽  
Lei Li

This clinical report describes a combined lateral-crestal approach to elevate the sinus floor when placing implants on a wide maxillary posterior ridge. The buccally enlarged osteotomy broadens vision of practitioners and facilitates access of instruments in the sinus. Compared to the traditional lateral approach of sinus lift, the proposed technique may offer a more conservative treatment modality. And a clinical study with sufficient subjects and long term follow up is needed to validate the potential and limitations of the proposed technique.


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.


2019 ◽  
Vol 30 (7) ◽  
pp. 682-690
Author(s):  
Jordi Gargallo‐Albiol ◽  
Khaled H. Sinjab ◽  
Shayan Barootchi ◽  
Hsun‐Liang Chan ◽  
Hom‐Lay Wang

2008 ◽  
Vol 19 (12) ◽  
pp. 1285-1289 ◽  
Author(s):  
Stephan Thomas Becker ◽  
Hendrik Terheyden ◽  
Anja Steinriede ◽  
Eleonore Behrens ◽  
Ingo Springer ◽  
...  

2020 ◽  
Vol 9 (11) ◽  
pp. 3764
Author(s):  
Sangyup Kim ◽  
Jong-Hyuk Chung ◽  
Seung-Yun Shin ◽  
Seung-Il Shin ◽  
Ji-Youn Hong ◽  
...  

Schneiderian membrane perforation (SMP) is the most common complication during sinus floor elevation (SFE). Conventional methods to repair SMP, such as using a collagen barrier, may be clinically demanding. The aim of the present study was to compare the effects of collagenated bone substitute materials with and without a collagen barrier to repair SMP during SFE in terms of new bone formation and dimensional stability. In 12 rabbits, intentional SMP was made during bilateral SFE. The rabbits were randomly assigned under two groups: the control group, in which the sinus was repaired with a collagen barrier, and the test group, in which the sinus was repaired without a collagen barrier. Collagenated bone substitute material was grafted in both groups. Healing periods of 2 weeks and 4 weeks were provided in both groups. There were no adverse clinical events. Histology revealed that the Schneiderian membrane had atrophied with loss of cilia and serous glands in both groups at 4 weeks. Histomorphometry revealed that the newly formed bone (test: 0.42 ± 0.17 mm2, control: 0.36 ± 0.18 mm2 at 2 weeks; test: 1.21 ± 0.36 mm2, control: 1.23 ± 0.55 mm2 at 4 weeks) or total augmented area did not significantly differ between the two groups at either time points (p > 0.05). In conclusion, collagenated bone substitute material without a collagen barrier demonstrated similar new bone formation and dimensional stability as that with a collagen barrier in repairing SMP.


Author(s):  
Kawai Tadashi ◽  
Matsui Keiko ◽  
Ezoe Yushi ◽  
Tanuma Yuji ◽  
Tanaka Hidenori ◽  
...  

2018 ◽  
Vol 30 (1) ◽  
pp. 11-19 ◽  
Author(s):  
Jordi Gargallo-Albiol ◽  
Mustafa Tattan ◽  
Khaled H. Sinjab ◽  
Hsun-Liang Chan ◽  
Hom-Lay Wang

2015 ◽  
Vol 27 (2) ◽  
pp. 233-240 ◽  
Author(s):  
Vittorio Favero ◽  
Niklaus P. Lang ◽  
Luigi Canullo ◽  
Joaquin Urbizo Velez ◽  
Franco Bengazi ◽  
...  

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