The manuscript intends to present long period results of such augmentation using direct dsat and indirect isat minimally invasive sinus augmentation. Intraoral periapical radiographs were taken to determine residual bone height, endosinus bone esb, and crestal bone level. The indirect technique is used if the bone height is at least 78 mm and the direct one is used if the height is less. Indirect sinus lift without bone graft journal section. A comparison us pal 1, nanda kishor sharma 1, rk singh 1, shadab mahammad 1, divya mehrotra 1, nimisha singh 1, devendra mandhyan 2 1 department of oral and maxillofacial surgery, csm medical university, lucknow, india 2 department of prosthodontics, chandra dental college, lucknow, india. Indirect osteotome maxillary sinus floor elevation. Steroid treatment at the time of the sinus graft procedure 29. Figure 2 diagnosis, periodontal phase i therapy, and restorative temporization were done before sinuslift procedures figure 3 a diagnostic waxup and surgical guide were made for proper osteotome location figure 4 extraction and grafting of maxillary left first molar figure 5 measurements were taken from the osseous crest to the floor of the sinus the osteotomes and countersink.
This technique is chosen because there is enough vertical height of bone to stabilize the implant. Sinus lift procedure and immediate implant placing. Indirect sinus lifts are performed in sites were there is more than 5mm between the crest of the bone and the floor of the maxillary sinus. Potential complications can be prevented through an appropriate patients selection, excluding those cases presenting contraindications to the sinus lift. Pdf indirect sinus lift without bone graft material. The indirect sinus lift procedure presents the advantage of being less invasive and less time. Preoperative antibiotic therapy amoxycillin and clavulanic acid 625 mg three times a day was started.
This case report presents the rehabilitation of the maxillary left premolar region with. Histologic analysis of the outcomes of splitmouth maxillary sinus augmentation with allograft and xenograft grafting mediums. Comparison of initial implant stability placed using bicortical fixation, indirect sinus lift and unicortical fixation a thesis submitted to the faculty of the graduate school of the university of minnesota by andrea raquel hsu, d. Summers 1994 proposed the osteotomy technique for indirect sinus lift. Isaac tawil, dds codirector of advanced implant educators. Bone graft fills space created by inwarddisplacement of osteotomy and sinus membrane. And only then it is possible to take the decision about the techniques of the sinus lift procedure. Sinus crestal approach kit version 2 scakitv2 sinus crestal drill 2. Three different methods for indirect sinus lifting, bone added osteotome sinus floor elevation baosfe, sinus floor elevation with an inflatable balloon, and crestal approach system cas kit from osstem, were assessed for their ability to lift the sinus without causing laceration of the schneiderian membrane. Complications may occur intraoperatively or in the postoperative period. Esposito m, grusovin mg, rees j, karasoulos d, felice p 2010 effectiveness of sinus lift procedures for dental implant rehabilitation. Mar 25, 2017 steroid treatment at the time of the sinus graft procedure 29. Sinus lateral approach kit version 3 slakitv3 sinus lateral drill 2 mm, 6. Case report an indirect sinus lift with ridge splitting.
However, no statistical significant difference was found among the three surgical techniques p 0. Reviews of complications from lateral and crestal sinus lifts. Indirect sinus lift in immediate placent of implant a case report. Severe complications associated with maxillary sinus augmentation are not frequent. But in the 1980 boyen and james started to place implants in the newly created bone. Hydraulic lift system osteotomy depth control and patient safety are precisely managed by the cas stopper system is designed as a dependable and simple safety feature, to prevent over drilling. A pubmed search was made from january 2005 to january 2012 with keywords. Visited 1,430 times, 3 visits today downloads pdf downloads. In partial fulfillment of the requirements for the degree of master of science wookjin seong, phd. Now, with sinus lift procedures, we can grow bone within the sinus to accommodate dental implants and restore function and esthetics in the posterior maxilla.
It is pyramidal, with the base lying vertically on the medial surface of the lateral nasal wall. After a thorough history was recorded and necessary investigations were done, the patient was scheduled for surgery. Indirect sinus lift of atrophic posterior introduction. Maxillary sinus floor augmentation also termed sinus lift, sinus graft, sinus augmentation or sinus procedure is a surgical procedure which aims to increase the amount of bone in the posterior maxilla upper jaw bone, in the area of the premolar and molar teeth, by lifting the lower schneiderian membrane sinus membrane and placing a bone.
Isaac tawil, dds codirector of advanced implant educators private practice, implant dentistry, brooklyn, new york. Omsfe for delayed implant placement using a ccrr procedure 1. The posterior maxilla often presents with problems of implant placement due to poor quality of bone in conjunction with poor volume of bone. The sinus floor was carefully fractured, separated from the schneiderian membrane avoiding damage to membrane using a surgical mallet with controlled force. Patient had infection under a bridge and the teeth were extracted. The dimensions are 15 cc to 20 cc for volume, 32 mm to 34 mm for length, 28 mm to 37 mm for height, and 23 mm to 25 mm for width. A thin tissue membrane lines the sinuses when the sinuses limit the amount of bone available for a dental implant, the sinus membrane can be pushed upward. Recent studies have shown that acute sinusitis develops in 4. With this technique, the maxillary sinus is accessed laterally from in the the mouth. The greatest primary implant stability was achieved via indirect sinus lift. The elevation of the maxillary sinus floor was first reported by the boyne in 1960, after fifteen years later boyne and jame reported elevation of the maxillary sinus floor in largely pnuematized sinus cavities in preparation of the placement of the bladed implants. A direct sinus lift and group b indirect sinus lift. In the beginning it was used for achieving an optimal intercrestal distance needed for denture making.
Indirect sinus floor elevation technique with simultaneous. Indirect sinus lift by cas kit and immediate implant placement duration. However, because the blood supplies to the maxillary sinus are from terminal branches of peripheral vessels, significant hemorrhage during the sinus lift procedure is rare. The use of a stopper drill and selfthreading implants contribute to tight engagement with the sinus floor for superior initial implant stability compared to an indirect sinus lift which induces a green stick fracture of the sinus floor. Maxillary sinus floor augmentation also termed sinus lift, sinus graft, sinus augmentation or sinus procedure is a surgical procedure which aims to increase the amount of bone in the posterior maxilla upper jaw bone, in the area of the premolar and molar teeth, by lifting the lower schneiderian membrane sinus membrane and placing a bone graft when a tooth is lost the alveolar process. The sinus floor was carefully fractured, separated from the schneiderian membrane avoiding damage to membrane using a surgical. Controlled technique for indirect sinus grafting with. Zicardi and betts 15 suggested removal of the cyst before sinus lifting. Sinus lift procedures are the treatment of choice when such anatomic defects occur.
Placement of implants with sinus lift without bone graft material, is a valid surgical technique to gain residual crestal height and. General aspects of sinus augmentation and terminology. Balaji sm 20 direct vs indirect sinus lift in maxillary dental implants. The indirect sinus lift was done by insertion of correct caliber osteotome and working up through successively greater instrument diameters, until the sinus floor was fractured and elevated up. Spontaneous new bone formation seemed to be expected with implants placed using indirect sinus lift. Mar 16, 2015 indirect sinus lifting with bone graft and immediate implantation. Direct vs indirect sinus lift in maxillary dental implants ncbi. Two different techniques of sinus augmentation are described in the literature. Indirect techniques summers method hydropneumatic sinus lift bone dilatation technique during extraction sinus lift balloon sinus lift 30. The present study was therefore undertaken to evaluate the results of direct and indirect sinus lift procedures with an organic bovine bone graft biooss and implant placement. Jun 09, 2014 indirect sinus lift by cas kit and immediate implant placement duration. Delivering the precision you need to perform crestal sinus augmentation with confidence and predictability. One stage direct maxillary sinus lift in conjunction with two stage implant placement was carried out in 12 patients at sites.
Indirect sinus floor elevation for osseointegrated. Comparison of three different methods of internal sinus. Indirect sinus lift, maitland periodontist joseph p. The most widely used approaches for sinus lifting are. The sinus lift techniques had a lot of modifications through the years. Indirect sinus lift in immediate placent of implant a. Pdf direct vs indirect sinus lift in maxillary dental implants. These complications can be caused by one or more of the following mechanisms. Surgical solutions to anatomical limitations onlay bone graft sinus lift 1. Direct sinus lifts are utilized when there is less than 5mm of bone between the floor of your maxillary sinus and the crest of the bone in the area where the implant is to be placed. The mean gain in residual crestal bone height after maxillary sinus lift without bone graft material was 3,43 mm 0,09 2,5 mm 4,4 mm. Indirect sinus lift indirect sinus lifts are performed in sites were there is more than 5mm between the crest of the bone and the floor of the maxillary sinus. Nerve supply to the sinus is derived from the superior alveolar branch of the maxillary v2 division of the trigeminal nerve.
Direct vs indirect sinus lift in maxillary dental implants. In 1960 boyene published sinuslift with lateral access. This procedure is always performed with simultaneous placement of a dental implant. This case report presents the rehabilitation of the maxillary left premolar region with reduced bone height and width using indirect sinus lift. The aim of this surgical practice is to present a case report to describe a technique for sinus floor augmentation of an atrophic posterior maxilla by plateletrich fibrin prf has been used as a graft material with a onestep crestal. Sinus lift and bone graft prior to implant placement. The maxillary sinus is the largest paranasal sinus. Direct vs indirect sinus lift in maxillary implants number of steps did not appear to critically in. Pdf there are different techniques for the sinus augmentation. The aim of this surgical practice is to present a case report to describe a technique for sinus floor augmentation of an atrophic posterior maxilla by plateletrich fibrin prf has been used as a graft material with a onestep crestal approach indirect sinus lift where the residual bone is less than 7 mm in the atrophic posterior maxilla.
The indirect sinus lift procedure presents the advantage of being less invasive and less time consuming compared to direct sinus lift. A less invasive alternative to the lateral window approach for sinus elevation was introduced by summers in 1994. Comparison of initial implant stability placed using bi. The sinus lift surgical procedure results in an inflammatory reaction in almost all cases. Indirect sinus lift in immediate placent of implant a case. Indirect sinus lift of atrophic posterior maxilla using osseodensification. A total of 26 implants were placed in 21 patients using indirect sinus lift with simultaneous implant placement without using bone grafts. Indirect sinus floor elevation technique with simultaneous implant.
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