A Minimally Invasive Sinus Augmentation Technique using a Novel Bone Graft Delivery System

Abstract

A variety of surgical techniques and materials have been developed to increase the vertical bone height in the posterior maxilla. Minimally invasive crestal approaches for the elevation of the floor of the sinus using a crestal approach have been recently reported to minimize adverse events associated with the use of the osteotome technique for indirect sinus lift. The aim of this study is to report a surgical improvisation that minimizes risks associated with sinus floor elevation using a crestal approach and simplifies the clinical procedure. The technique is based on the use of a viscoelastic calcium phosphosilicate alloplastic putty (CPS putty) bone substitute that can be delivered utilizing a unique cartridge delivery system. CPS putty not only acts as a 'protective cushion' thanks to its physical properties, but also provides hydraulic pressure to lift the Schneiderian membrane when used in conjunction with the cartridge system. This approach minimizes risks of benign paroxysmal positional vertigo or mechanical perforations of the Schneiderian membrane associated with the traditional osteotome technique.

Crestal approach maxillary sinus augmentation by osseodensification with simultaneous implant placement

“…The graft material used in this case report (Novabone putty) has a viscous putty-like consistency and a composition of calcium phospo-silicate, an additive phase consisting of polyethylene glycol, and a binder phase comprised of glycerin that is available in premixed cartridges and syringes. 10 Thus, the technique used in this case report allows for sinus lift and grafting along with simultaneous placement of implant with adequate implant stability, reducing the need for a second surgery for implant placement after sinus augmentation and therefore reducing the total rehabilitation time.…”

Effect of Addition of Platelet-rich Plasma to Calcium Phosphosilicate Putty on Healing at 9 Months in Periodontal Intrabony Defects

“…1,2 Calcium phosphosilicate putty (CPS putty) (NovaBone ORIGINAL RESEARCH 10.5005/jp-journals-10024-1832 JCDP Dental Putty; NovaBone Products, Alachua, FL), a commonly used alloplastic bone substitute, has been observed to have an osteostimulative effect in addition to osteoconductive properties and enhanced handling characteristics. 3,4 Several authors have proposed the addition of autologous growth factors such as plateletrich plasma (PRP) to be a safe measure to enhance the results of graft placement. 5,6 Platelet-rich plasma contains proinflammatory cytokines, growth factors, and other factors such as serotonin, histamine, dopamine, calcium, and adenosine, which have fundamental effects on the biologic aspects of wound healing.…”