scholarly journals Techniques and Graft Materials used in Maxillary Sinus Lift Procedure for Dental Implant Placement – A Review

2020 ◽  
Vol 11 (2) ◽  
pp. 1787-1792
Author(s):  
Suhas Manoharan ◽  
Revathi Duraisamy ◽  
Sindhuja Devi S ◽  
Santhosh Kumar M P
Keyword(s):  
Maxillary Sinus ◽  
Tooth Loss ◽  
Sinus Lift ◽  
Success Rates ◽  
Soft Tissue Trauma ◽  
Implant Placement ◽  
Piezoelectric Surgery ◽  
Materials Used ◽  
Window Approach ◽  
Tissue Trauma

Maxillary sinus is the first paranasal sinuses to develop, which is pyramidal in shape and it completes developing around 20 years of age with the eruption of the maxillary third molars. Pneumatization of the maxillary sinus occurs with time. Tooth loss may lead to loss of bone density, atrophy of bone and further pneumatization of the maxillary sinus leading to insufficient quality and quantity of bone for placing implants. Despite lots of literature and research being done, there is no clarity in obtaining consensus regarding the techniques and materials used in maxillary sinus lift procedures. This article reviews the various techniques and bone graft materials used in maxillary sinus lift procedures. The techniques include lateral window approach, hydraulic sinus lift technique, Piezoelectric Surgery technique, Transcrestal Approach, Osteotome Technique, and Balloon elevation technique. It can be concluded that the balloon antral elevation technique and Hydraulic Sinus Lift technique are more efficient techniques for maxillary sinus lift procedures. These techniques are known to result inless perforations, less chair-side time, comparatively easier, and the need for elaborate instrumentation is minimized. It can also markedly increase the success rates of implants in contrast to the conventional techniques which pose greater risks to the patient, more soft tissue trauma, more chair-side time and can expose patients to infections.

scholarly journals Alveolar Crestal Approach for Maxillary Sinus Membrane Elevation with <4 mm of Residual Bone Height: A Case Report

2018 ◽  
Vol 2018 ◽  
pp. 1-7
Author(s):  
Jae Won Jang ◽  
Hee-Yung Chang ◽  
Sung-Hee Pi ◽  
Yoon-Sang Kim ◽  
Hyung-Keun You
Keyword(s):  
Maxillary Sinus ◽  
Success Rates ◽  
Marginal Bone Loss ◽  
Reliable Technique ◽  
Implant Placement ◽  
The Mean ◽  
Window Approach ◽  
Bone Height ◽  
Sinus Membrane Elevation ◽  
Sinus Membrane

Introduction. For maxillary sinus membrane elevation (MSME), the lateral window approach and crestal approach are available, and high success rates have been achieved with low residual bone height as a development of technology. Objective. To evaluate MSME using the crestal approach with a rotary-grind bur (RGB (including reamer or sinus bur)) in patients with residual bone height of <4 mm. Materials and Methods. Ten implants were placed in 10 patients with residual bone height of <4 mm, by sinus elevation using an RGB. The implant stability quotient (ISQ) was measured immediately after implant placement (ISQ 1) and before taking impression for the final prosthesis (ISQ 2). The extent of marginal bone loss was measured on periapical radiographs. Results. The mean residual bone height before implant placement was 3.41 ± 0.53 mm; no complications, including membrane perforation, severe postoperative pain, or discomfort, occurred either during or after surgery. The mean ISQ 1 was 63.4 ± 12.1, whereas the mean ISQ 2 was 77.6 ± 5.8. The mean marginal bone resorption was 0.23 ± 0.18 mm on periapical radiographs. Conclusions. MSME using the crestal approach with an RGB is a reliable technique for implant placement in sites where available bone is insufficient.

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 Distal Displacement of Maxillary Sinus Anterior Wall Versus Conventional Sinus Lift with Lateral Access: A 3-Year Retrospective Computerized Tomography Study

2020 ◽  
Vol 17 (19) ◽  
pp. 7199
Author(s):  
Giovanni Battista Menchini-Fabris ◽  
Paolo Toti ◽  
Giovanni Crespi ◽  
Ugo Covani ◽  
Roberto Crespi
Keyword(s):  
Maxillary Sinus ◽  
Computerized Tomography ◽  
Anterior Wall ◽  
Bone Volume ◽  
P Value ◽  
Sinus Lift ◽  
Sinus Lifting ◽  
Displacement Group ◽  
Window Approach ◽  
Bone Gain

Background: The present study is designed to compare the outcomes of two sinus augmentation procedures: distal displacement of the anterior wall versus standard sinus lifting and grafting with a lateral window approach. Methods: In the displacement group, a localized surgical fracture of the sinus floor achieved through an electromagnetic device results in the distal displacement of the anterior wall. In the filling group, sinus lifting (with lateral access) and grafting with particulate xenogeneic bone substitute was performed. Bone volume beneath the maxillary sinus was investigated with computerized tomography after baseline and postoperative data superimposition. Clinical and radiological outcomes over three years had been evaluated. Results: Forty-three dental implants were selected. The two sinus lift procedures significantly increased the bone volume (p-value ≤ 0.0017) in the displacement group from 1.17 ± 0.34 to 1.53 ± 0.39 cc, with a final bone gain of +0.36 ± 0.17 cc, and in the filling group from 1.24 ± 0.41 to 1.94 ± 0.68 cc, with a bone augmentation of +0.71 ± 0.31 cc. No events of dental implant bulging into the maxillary sinus occurred. Two implants failed early on in the filling group, attesting the 3-year survival rate of 92.6% (CI95%: 82.7–100%). Marginal bone loss at the distal aspect was 1.66 ± 0.72 and 1.25 ± 0.78 mm, respectively, for the displacement and filling groups, with a significant difference (p-value = 0.0497). Conclusion: Results showed a significant and effective bone gain around dental implants at a 3-year survey for both sinus augmented by backward displacement of the anterior wall (+34%) and sinus lifting and grafting with a lateral window approach (+57%).

Graftless Maxillary Sinus Lift Using Lateral Window Approach

2018 ◽  
Vol 27 (1) ◽  
pp. 111-118 ◽  
Author(s):  
Marcelo Parra ◽  
Claudia Atala-Acevedo ◽  
Rodrigo Fariña ◽  
Ziyad S. Haidar ◽  
Carlos Zaror ◽  
...  
Keyword(s):  
Maxillary Sinus ◽  
Sinus Lift ◽  
Window Approach

‘Butterfly’: a residual bone independent technique for one-stage sinus lift

2020 ◽  
Vol 13 (10) ◽  
pp. e236245
Author(s):  
Iulian Filipov ◽  
Federico Bolognesi ◽  
Lucian Chirila
Keyword(s):  
Maxillary Sinus ◽  
Surgical Approach ◽  
Sinus Lift ◽  
One Stage ◽  
Implant Placement ◽  
Independent Technique ◽  
Sinus Lifting

A 29-year-old woman with an extreme pneumatisation of the maxillary sinus and a missing molar was treated with one-stage sinus lifting and implant placement in a novel surgical approach.

scholarly journals Implant Placement Following Crestal Sinus Lift with Sequential Drills and Osteotomes: Five Years after Final Loading Results from a Retrospective Study

2021 ◽  
Vol 12 (1) ◽  
pp. 10
Author(s):  
Aurea Immacolata Lumbau ◽  
Silvio Mario Meloni ◽  
Marco Tallarico ◽  
Luca Melis ◽  
Giovanni Spano ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Bone Loss ◽  
Alveolar Bone ◽  
Sinus Lift ◽  
Combined Approach ◽  
Success Rates ◽  
Marginal Bone Loss ◽  
Implant Placement ◽  
Prosthetic Complications

The aim of this retrospective study was to clinically evaluate the five-year outcomes of implants placed following a combined approach to the sinus, consisting of sequential drills and osteotomes. Medical records of patients with implants placed in combination with crestal sinus lift using sequential drills and osteotomes, with a residual alveolar bone crest between 4 to 8 mm, and a follow-up of at least five years after final loading, were evaluated. Outcomes were implant and prosthetic survival and success rates, any complication, and marginal bone loss. Data from 96 patients (53 women and 43 men; mean age 54.7 years; range 23–79 years) were collected. A total of 105 single implants were analyzed. After five years of function, two implants were lost and two prostheses failed. No major biological or prosthetic complications occurred. At the five-year examination, the marginal bone loss was 1.24 ± 0.28 mm. Within the limitations of this retrospective study it can be concluded that implants placed following a combined approach to the sinus consisting of sequential drills and osteotomes seem to be a viable option for the treatment of posterior atrophic edentulous maxilla.

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 Different techniques in transalveolar maxillary sinus elevation: A literature review

2021 ◽  
Vol 13 (1) ◽  
pp. 35-42
Author(s):  
Ardeshir Lafzi ◽  
Fazele Atarbashi-Moghadam ◽  
Reza Amid ◽  
Soran Sijanivandi
Keyword(s):  
Maxillary Sinus ◽  
English Language ◽  
Hydraulic Pressure ◽  
New Techniques ◽  
Implant Placement ◽  
Posterior Maxilla ◽  
Piezoelectric Surgery ◽  
Sinus Floor ◽  
Bone Height ◽  
Implant Treatment

Dental implant treatment in the posterior maxilla encounters bone quality and quantity problems. Sinus elevation is a predictable technique to overcome height deficiency in this area. Transalveolar sinus elevation is a technique that is less invasive and less time-consuming, first introduced for ridges with at least 5 mm of bone height. Many modifications and innovative equipment have been introduced for this technique. This review aimed to explain the modifications of this technique with their indications and benefits. An exhaustive search in PubMed Central and Scopus electronic databases was performed until December 2020. Articles were selected that introduced new techniques for the transalveolar maxillary sinus approach that had clinical cases with full texts available in the English language. Finally, twenty-six articles were included. The data were categorized and discussed in five groups, including expansion-based techniques, drill-based techniques, hydraulic pressure techniques, piezoelectric surgery, and balloon techniques. The operator’s choice for transalveolar approach techniques for sinus floor elevation can be based on the clinician’s skill, bone volume, and access to equipment. If possible, a technique with simultaneous implant placement should be preferred.

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