Recent Trends in Sinus Lift Surgery and Their Clinical Implications

Al-Dajani, Mahmoud

doi:10.1111/cid.12275

Cited by 88 publications

(118 citation statements)

References 49 publications

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“…Les possibilités de traitements disponibles en fonction du volume osseux résiduel sont bien documentées pour la zone sous-sinusienne. Les techniques de surélévation par voie crestale utilisant des ostéotomes, le comblement de sinus par abord latéral ou même l'association de ces différentes techniques [14][15][16][17] Enfin, comme dans le cas présenté ici, les conséquences de l'inflammation liée à la présence du corps étranger intrasinusien associées à celles de l'intervention nécessaire pour le retirer, peuvent aggraver l'insuffisance de volume osseux résiduel et compromettre le projet prothétique initialement prévu. Il apparaît dès lors nécessaire d'informer clairement le patient en préalable à toute pose d'implant sous-sinusien des éventuelles complications peropératoires et postopératoires, afin d'éclairer sa décision quant aux différentes alternatives thérapeutiques.…”

Section: Discussionunclassified

Projection d’implant dans le sinus maxillaire : gestion d’un cas et revue de la littérature

Fauroux

Malthiéry

Torres

2015

Med Buccale Chir Buccale

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Résumé -Introduction :Les migrations d'implants dans le sinus maxillaire font partie des nombreuses complications implantaires rapportées dans la littérature. L'objet de cet article est de présenter un cas de projection d'un implant dans le sinus maxillaire et sa prise en charge par une réhabilitation chirurgicale, implantaire et prothétique au regard de la littérature internationale. Observation : Une patiente de 63 ans s'est présentée à la consultation d'implantologie du centre de soins et de recherche dentaire de Montpellier suite à la projection d'un implant dans le sinus maxillaire par un praticien. La prise en charge de cette patiente a consisté au retrait de cet implant par une voie d'abord latérale sinusienne puis à une réhabilitation chirurgicale, implantaire et prothétique. Discussion : Comme fréquemment rapporté dans la littérature, cette projection a fait suite à une technique opératoire mal maîtrisée ou à une analyse radiographique préopératoire insuffisante. Plusieurs attitudes thérapeutiques sont possibles face à ce genre de complication. Le choix du retrait de l'implant ou de l'abstention thérapeutique est déterminé entre autre en fonction de la symptomatologie.Abstract -Migration of a dental implant into the maxillary sinus: a case report and literature review. Introduction: Migration of implants into the maxillary sinus is an implant complication reported in reviews and case reports. The aim of this clinical report is to present a case of migration of an implant into the maxillary sinus and the following surgical and prosthetic management with regard to the international literature. Observation : A 63-year-old woman consulted at Montpellier's Oral Surgery Department with a migrated dental implant in the left maxillary sinus. Several procedures were carried out to remove the implant using a sinus lateral approach then to achieve surgical and prosthetic rehabilitation. Discussion: As often reported in the literature, this projection occurred in the case of an unsuitable surgical technique or insufficient preoperative radiographic analysis. Two surgical options are possible to manage this kind of complication. The choice of removing the implant or therapeutic abstention should be based in particular upon the clinical symptomatology.

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Section: Discussionunclassified

Projection d’implant dans le sinus maxillaire : gestion d’un cas et revue de la littérature

Fauroux

Malthiéry

Torres

2015

Med Buccale Chir Buccale

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“…1) lateral pencere/direkt teknik ve 2) osteotom transkrestal/indirekt tekniktir. 47 Bu tekniklerin seçiminde rezidüel kemik miktarı yüksekliği önem taşımaktadır. Genellikle rezidüel kemik miktarı >5 mm'den daha fazla ise transkrestal yaklaşım uygulanırken, kemik miktarının <5mm'den daha az olması durumunda lateral pencere yaklaşımı tercih edilmektedir.…”

Section: Görüntü Kalitesiunclassified

“…Genellikle rezidüel kemik miktarı >5 mm'den daha fazla ise transkrestal yaklaşım uygulanırken, kemik miktarının <5mm'den daha az olması durumunda lateral pencere yaklaşımı tercih edilmektedir. 47,48 Lateral yaklaşım; maksiller sinüsün elevasyonunu içeren konvansiyonel teknik olup, maksillanın lateral tarafından, zigomatik yüzünden sinüs membranının elevasyonu ve graft materyalinin yerleştirilmesi işlemidir. 45 Bu işlem ardışık şekilde, ilk olarak flapin kaldırılması, sırasıyla sinüs lateral duvarına pencere açılması, sinüs membranının elevasyonu ve boşluk oluşturulması, ardından periosteum ile çevrili greft materyalinin yerleştirilmesi ve son olarak flapin kapatılmasından oluşmaktadır.…”

Section: Görüntü Kalitesiunclassified

“…Böylece geniş kemik defektlerinde ihtiyaç duyulan kemik miktarı elde edilir. 46,47 Bu teknikte greft materyalinin yerleştirilmesi sırasında ve sonrasında komplikasyon görülme olasılığı düşüktür, ancak son derece hassas çalışılması gerekmektedir. 45 Bu teknikte en sık görülen komplikasyon, sinüs membran perforasyonudur.…”

Section: Görüntü Kalitesiunclassified

“…45 Transkrestal teknik ise krestal yaklaşımla osteotomlarla dental implant yerinin lateral pencere açılmaksızın osteotomi ile hazırlanmasıdır. 45,47 Transkrestal teknik daha kısa zamanda gerçekleştirilen, daha az riskli bir teknik olup, postoperatif başarı daha yüksektir. Genellikle rezidüel kemik miktarı 5mm den fazla ise uygulanabilir.…”

Section: Görüntü Kalitesiunclassified

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Maksi̇ller Si̇nüsün Radyoloji̇k Tani Yöntemleri̇ni̇n Ve Anatomi̇k Li̇mi̇tasyonlarinin Tedavi̇ Planlamasinda Rolü

Koçak¹

2018

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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Maxillary sinus augmentation via the bone lid technique: A prospective, radiographic case series

Rossana,

Chiara,

Marco

et al. 2024

Clin Adv Periodontics

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BackgroundMaxillary sinus augmentation is one of the most performed procedures to increase the bone quantity of the atrophic maxilla to allow implant placement. The aim of the present case series was to describe a surgical protocol to perform maxillary sinus augmentation with the “bone lid technique,” and its outcomes in a cohort of patients eligible for the procedure.MethodsAfter the initial clinical evaluation, a cone‐beam computed tomography (CBCT) examination was performed for preoperative assessment. Patients were then scheduled for surgical intervention. At 6–9 months follow‐up, patients underwent a second CBCT scan to evaluate bone height following bone graft and to schedule implant placement.ResultsA total of 11 patients were enrolled in the study with a total of 13 sinus lift procedures. Membrane perforation was registered in 4 cases (30.76%). Mean surgical time was 67.69 min (SD 6.51). Postoperative period was uneventful in all patients, in the absence of complications. The mean graft volume increase was 2.46 cm3 (SD 0.85), and the mean height increase was 14.27 mm (SD 3.18). Mean membrane thickness was 1.40 mm (SD 0.75). In all the 4 cases with sinus membrane perforation, the membrane had a thickness lower than 1 mm.ConclusionsThe present study highlights that the maxillary sinus augmentation with bone lid repositioning could provide repeatable results in terms of bone height increase. The technique appears reliable both in terms of bone gain and absence of complications.Key points The bone lid technique for maxillary sinus augmentation provides repeatable results in terms of bone height increase. The favorable clinical outcomes can be related to an enhancement of bone formation due to the unique osteoconductive and osteoinductive properties of autogenous bone, along with a reduction of soft tissue ingrowth. Complications were not observed in any of the patients following the surgical procedures. The risk of Schneiderian membrane perforation is inversely proportional to membrane thickness; the thinner the membrane is, the higher the risk to perforate it.

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Recent Trends in Sinus Lift Surgery and Their Clinical Implications

Cited by 88 publications

References 49 publications

Projection d’implant dans le sinus maxillaire : gestion d’un cas et revue de la littérature

Projection d’implant dans le sinus maxillaire : gestion d’un cas et revue de la littérature

Maksi̇ller Si̇nüsün Radyoloji̇k Tani Yöntemleri̇ni̇n Ve Anatomi̇k Li̇mi̇tasyonlarinin Tedavi̇ Planlamasinda Rolü

Maxillary sinus augmentation via the bone lid technique: A prospective, radiographic case series

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