Different Techniques for Sinus Floor Elevation: A Review Part I – Direct Techniques

2021 ◽  
Vol 9 (1) ◽  
pp. 32-35
Author(s):  
Vivek Jadhav ◽  
Nitin Kothari ◽  
Babita Yeshwante ◽  
Nazish Baig ◽  
Snigdha Patil

Insufficient bone volume is a common problem encountered in the rehabilitation of the edentulous posteriormaxilla with implant?supported prostheses. Although adequate bone height can be achieved using variousmaxillary sinus augmentation techniques, these procedures have been practiced successfully. However,significant complications occur such as perforations or tearing. To maintain the integrity of Schneiderianmembrane subsequently increasing the success rate a retrospective analysis is carried out on varioustechniques with complications which occur during and after treatment. This review will help the readers tounderstand the intricacies of sinus augmentation by using direct techniques.

Medicine ◽  
2020 ◽  
Vol 99 (46) ◽  
pp. e23180
Author(s):  
Chia-Fang Tsai ◽  
Whei-Lin Pan ◽  
Yi-Ping Pan ◽  
Chiu-Po Chan ◽  
Yuh-Ren Ju ◽  
...  

2019 ◽  
Vol 2019 ◽  
pp. 1-10
Author(s):  
Lu Yin ◽  
Zhi-xuan Zhou ◽  
Ming Shen ◽  
Ning Chen ◽  
Fei Jiang ◽  
...  

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.


2018 ◽  
Vol 2 (2) ◽  
pp. 495-498
Author(s):  
Jorge Gatica ◽  
Claudio Garayar

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.


2021 ◽  
Vol 9 (1) ◽  
pp. 1-4
Author(s):  
Nitin Kothari ◽  
Vivek Jadhav ◽  
Snigdha Patil

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.


2002 ◽  
Vol 06 (01) ◽  
pp. 43-54 ◽  
Author(s):  
S. A. Zijderveld ◽  
L. R. Giltaij ◽  
J. P. A. van den Bergh ◽  
C. M. ten Bruggenkate ◽  
D. B. Tuinzing

The autogenous bone graft, still the golden standard in oral and maxillofacial surgery, needs a second side surgery. As an alternative, bone morphogenetic proteins (BMP-2 and BMP-7) have been searched in pre-clinical and clinical studies, specifically in sinus augmentation. A comparison of the aforementioned studies revealed very different results, also due to variations in study model. The available data on use of rhBMP-2 and 7 are promising in showing an osteoinductive potential in sinus augmentation, but not conclusive in the predictability and consistency results to allow clinical use in this stage, other than in well designed clinical trials.


2019 ◽  
Vol 9 (6) ◽  
pp. 1119 ◽  
Author(s):  
Claudio Stacchi ◽  
Federico Berton ◽  
Luca Fiorillo ◽  
Vanessa Nicolin ◽  
Teresa Lombardi ◽  
...  

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.


2016 ◽  
Vol 42 (4) ◽  
pp. 343-348 ◽  
Author(s):  
Eitan Mijiritsky ◽  
Horia Barbu ◽  
Adi Lorean ◽  
Izhar Shohat ◽  
Matteo Danza ◽  
...  

The aim of this study is to evaluate the performance of implant-derived minimally invasive sinus floor elevation. A multicenter retrospective study was performed in 5 dental clinics. Patients requiring sinus augmentation for single implant placement were recorded and followed up. The dental implant used in this trial was a self-tapping endosseous dental implant that contains an internal channel to allow the introduction of liquids through the implant body into the maxillary sinus; those liquids include saline and a flowable bone grafting material. Overall, 37 implants were installed in 37 patients. The age range of the patients was 37–75 years (mean: 51.2 years). The average residual bone height prior to the procedure was 5.24 ± 1 mm. Of all cases, 25 implants replaced the maxillary first molar and 12 replaced the maxillary second premolar. All surgeries were uneventful with no apparent perforation of the sinus membrane. The mean follow-up time was 24.81 ± 13 months ranging from 12 to 65 months. All implants integrated and showed stable marginal bone level. No adverse events were recorded during the follow-up period. The presented method for transcrestal sinus floor elevation procedure can be accomplished using a specially designed dental implant. Further long-term studies are warranted to reaffirm the results of this study.


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