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.

scholarly journals Osteotome-Induced Blood Clot and Subsequent Bone Formation with the Use of Collagen Sponge for Integration of Single Dental Implants into the Atrophied Posterior Maxilla: A Retrospective Follow-Up of 36 Implants after 5 to 13 years

2022 ◽  
Vol 2022 ◽  
pp. 1-8
Author(s):  
Stefano Volpe ◽  
Michele Di Girolamo ◽  
Paolo Pagliani ◽  
Sandro Zicari ◽  
Lars Sennerby
Keyword(s):  
Bone Formation ◽  
Maxillary Sinus ◽  
Bone Grafting ◽  
Collagen Sponge ◽  
Implant Placement ◽  
Posterior Maxilla ◽  
Second Surgery ◽  
Sinus Floor ◽  
Bone Height

Background. Atrophy of the posterior maxilla as a consequence of tooth loss and sinus pneumatization is a frequent condition encountered in the clinical practice. Prosthetic rehabilitation with implants in these patients often requires some kind of bone regeneration procedure to increase the bone volume. Aim. The aim of the present retrospective study is to analyze the survival and success rates of a series of implants placed in the atrophic posterior maxilla with a transcrestal osteotome procedure, without placing a bone grafting material. Materials and Methods. From 2006 to 2014, 36 dental implants (Neoss Ltd., Harrogate, UK) were inserted in 36 patients with at least 4 mm of bone below the maxillary sinus using transcrestal osteotome sinus floor elevation and placement of collagen sponge below the sinus membrane. ISQ measurements were made after implant placement and at abutment surgery after 4 to 6 months. The vertical bone height (VBH) was evaluated in intraoral radiographs taken prior to surgery and in radiographs from annual check-up appointments 5 to 13 years after implant placement. In addition, marginal bone loss (MBL) was evaluated. Results. One implant was lost after four years of prosthetic loading. The remaining 35 implants showed no complications and were loaded with single crowns after 4–6 months of healing. All 35 implants showed clinical success after 8.5 ± 2.8 years of prosthetic loading (from 5 to 13 years). The vertical bone height was 5.9 ± 1.4 mm at surgery, 9.7 ± 1.1 mm at second surgery after 4–6 months, and 8.3 ± 1.8 at the follow-up at 8.5 ± 2.8 years (from 5 to 13 years). The implant stability registered was 73.2 ± 6.2 ISQ at the surgery and 75.8 ± 3.9 at the second surgery after 4–6 months. Conclusions. The present long-term follow-up study showed that the crestal approach for sinus floor bone augmentation without additional bone grafting results in predicable bone formation and high implant survival. The osteotome technique is a valid alternative to the more invasive lateral window technique in single cases with a minimum of 4 mm of VBH below the maxillary sinus.

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 Comparison between Osseo densification burs and osteotome technique for closed sinus lift in partially edentulous maxilla (clinical and radiological study)

2021 ◽  
Vol 23 (05) ◽  
pp. 392-411
Author(s):  
Dr. Ali Nahi Hamdi ◽  
◽  
Dr. Shehab Ahmed Hemd ◽  
Keyword(s):  
Primary Stability ◽  
Controlled Clinical Trial ◽  
Height Loss ◽  
Implant Stability ◽  
Implant Placement ◽  
First Choice ◽  
Posterior Maxilla ◽  
Atrophic Maxilla ◽  
Sinus Floor ◽  
Bone Height

Dental implants are considered the first choice to replace lost or non-restorable teeth. However, the posterior maxilla remains a challenge in its management because of the quality of bone in the posterior maxilla. Osseo densification (OD) concept has been proposed in the literature to improve primary implant stability, which is an important aspect of osseointegration. Densah bur is novel drills specially designed to enhance a bone density by Osseo densification, which in turn increases primary stability. This present study was conducted to assess crestal sinus floor elevation by osteotome in comparison to Densah bur in the posterior atrophic maxilla. This was a randomized controlled clinical trial conducted on 20 patients to evaluate available crestal bone height loss, implant stability after implant placement in healed posterior maxillary alveolar ridge, whole bone height, Schneiderian membrane trauma, and post-operative complication.

scholarly journals Different Techniques For Sinus Floor Elevation: A Review Part II – Indirect Techniques

2021 ◽  
Vol 9 (1) ◽  
pp. 1-4
Author(s):  
Nitin Kothari ◽  
Vivek Jadhav ◽  
Snigdha Patil
Keyword(s):  
Minimally Invasive ◽  
Maxillary Sinus ◽  
Alveolar Bone ◽  
Effective Solution ◽  
Sinus Floor Elevation ◽  
Less Invasive ◽  
Implant Placement ◽  
Sinus Floor ◽  
Bone Height

The bone available for implant placement may be limited by the presence of the maxillary sinus togetherwith loss of alveolar bone height and it may be increased by augmentation. Minimally invasive sinusaugmentation is an effective solution for this problem. This review explains indirect sinus augmentationprocedures which are less invasive and highly successful if done using prescribed technique.

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.

scholarly journals Paradigm Shift in the Management of the Atrophic Posterior Maxilla

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Rabah Nedir ◽  
Nathalie Nurdin ◽  
Paul Khoury ◽  
Marc El Hage ◽  
Semaan Abi Najm ◽  
...  
Keyword(s):  
Lateral Sinus ◽  
Efficient Treatment ◽  
Sinus Floor Elevation ◽  
Implant Placement ◽  
Single Crown ◽  
Posterior Maxilla ◽  
Atrophic Maxilla ◽  
Sinus Floor ◽  
Osteotome Sinus Floor Elevation ◽  
Bone Height

When the posterior maxilla is atrophic, the reference standard of care would be to perform sinus augmentation with an autologous bone graft through the lateral approach and delayed implant placement. However, placement of short implants with the osteotome sinus floor elevation technique and without graft can be proposed for an efficient treatment of clinical cases with a maxillary residual bone height of 4 to 8 mm. The use of grafting material is recommended only when the residual bone height is ≤4 mm. Indications of the lateral sinus floor elevation are limited to cases with a residual bone height ≤ 2 mm and fused corticals, uncompleted healing of the edentulous site, and absence of flat cortical bone crest or when the patient wishes to wear a removable prosthesis during the healing period. The presented case report illustrates osteotome sinus floor elevation with and without grafting and simultaneous implant placement in extreme conditions: atrophic maxilla, short implant placement, reduced healing time, and single crown rehabilitation. After 6 years, all placed implants were functional with an endosinus bone gain.

scholarly journals Maxillary Sinus Augmentation Using a Titanium Mesh: A Randomized Clinical Trial

2017 ◽  
Vol 5 (3) ◽  
pp. 359-369 ◽  
Author(s):  
Khalid Bahaa-Eldin ◽  
Basma Mostafa ◽  
Sherine Nasry ◽  
Ahmed Reda ◽  
Mona Shoeib
Keyword(s):  
Maxillary Sinus ◽  
Titanium Mesh ◽  
Sinus Augmentation ◽  
Implant Placement ◽  
Maxillary Sinus Floor ◽  
Sinus Floor ◽  
Bone Height ◽  
Sinus Membrane Elevation ◽  
Sinus Membrane ◽  
Average Bone

BACKGROUND: Various attempts have been implemented using different materials and techniques to augment the maxillary sinus floor for prospect dental implant positioning.AIM: This contemplate was conducted to assess the osteogenic capability of the maxillary sinus in a two-step sinus membrane elevation using titanium mesh to keep the formed space to place dental implants in atrophic ridges.MATERIALS AND METHODS: Titanium micromesh was customized and positioned into the sinus on one side to preserve the elevated membrane in position. On the other side xenograft was applied. Instant and 6-months postoperative cone beam computed tomography (CBCT) was done to assess the gained bone height and density. Bone core biopsies were obtained during implant placement for histological and histomorphometric evaluation.RESULTS: The average bone height values increased in both groups. Meanwhile the average bone density value was higher at the graft group than the titanium mesh group. Histological and histomorphometric evaluation presented the average bone volume of the newly formed bone in the graft group which is superior to that of the titanium mesh group.CONCLUSION: The use of the titanium micromesh as a space-maintaining device after Schneiderian membrane elevation is a trustworthy technique to elevate the floor of the sinus without grafting.

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.

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