Evaluation of the capability of a new water lift system to reduce the risk of Schneiderian membrane perforation during sinus elevation

Crestal Approach to Sinus Floor Elevation for Atrophic Maxilla Using Platelet-Rich Fibrin as the Only Grafting Material

“…In addition, the Schneiderian membrane was elevated by injecting saline, which exerts equal hydraulic pressure on the membrane. 21 These steps could dramatically reduce the likelihood of membrane perforation. The major disadvantage of transalveolar sinus floor elevation is the lack of direct visualization of the Schneiderian membrane during the procedure.…”

Evaluation of new bone formation after sinus augmentation with two different methods

“…The reduced risk of perforating the Schneiderian membrane with the sinus infiltration technique is most likely due to the sinus infiltration device providing a distributed hydraulic pressure on every part of the Schneiderian membrane surface during the sinus membrane elevation; this provides the space for simultaneous implant placement after bone grafting. 11 Previous studies have shown bone formation around the implant placed in the maxillary sinus cavity with careful lining of the sinus membrane through the remaining alveolar bone crest; nevertheless, this new bone formation has been limited to 3.5-4 mm. 18,19 The new bone formed was present over the residual teeth; this can be explained by the uniform elevation of the sinus membrane during the sinus infiltration technique procedure.…”

“…3,8 The use of the sinus infiltration technique for sinus floor elevation and simultaneous implant placement is an emerging technique that results in fewer complications compared with the conventional lateral sinus floor elevation. 11 However, radiological aspects of the newly formed bone with the sinus infiltration technique have not been studied before. The objective of this study was to evaluate, in a prospective manner, the volume and density of the new bone formed in the maxillary sinus following the sinus infiltration technique and lateral sinus lift and to determine any correlation with the volume of bone substitute used.…”

Microscope and micro‐camera assessment of Schneiderian membrane perforation via transcrestal sinus floor elevation: A randomized ex vivo study

“…These perforations are generally undetectable by the operator during the surgical procedure, thus eventually leading to further post‐surgical complications (Nolan, Freeman, & Kraut, ). Recently, other improved TSFE has been proposed; these include but are not limited to the balloon technique (Chan et al, ; Yassin Alsabbagh et al, ), the hydraulic elevation technique (Bensaha, ; Better et al, ; Tallarico, Better, De Riu, & Meloni, ), the piezotome technique and the reamer system (Yassin Alsabbagh et al, ). Among the TSFE techniques proposed, the reamer system (e.g., SCA‐Neobiotech, Seoul, South Korea) exhibits less trauma compared with other TSFE techniques (Gargallo‐Albiol, Tattan, Sinjab, Chan, & Wang, ; Kim, Lee, Park, Kim, & Oh, ; Yassin Alsabbagh et al, ).…”

“…These perforations are generally undetectable by the operator during the surgical procedure, thus eventually leading to further post-surgical complications (Nolan, Freeman, & Kraut, 2014). Recently, other improved TSFE has been proposed; these include but are not limited to the balloon technique (Chan et al, 2013;Yassin Alsabbagh et al, 2017), the hydraulic elevation technique (Bensaha, 2011;Better et al, 2018;Tallarico, Better, De Riu, & Meloni, 2016), the piezotome technique and the reamer system (Yassin Alsabbagh et al, 2017).…”