Transcrestal Sinus Floor Elevation With a Minimally Invasive Technique

Trombelli, Leonardo; Minenna, Pasquale; Franceschetti, Giovanni; Minenna, Luigi; Farina, Roberto

doi:10.1902/jop.2009.090275

Cited by 38 publications

(63 citation statements)

References 17 publications

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“…Dental surgeons must be mindful of this point when performing maxillary sinus graft procedures for dental implants. Post-operative pain and discomfort can occur in the maxillary sinus floor following surgical treatment with sinus floor elevation (Trombelli et al, 2010). Post-operative pain along with posterior superior alveolar nerve damage is related to anatomical variations in the paranasal sinuses (Whittet, 1992;Solar et al, 1999).…”

Section: Discussionmentioning

confidence: 99%

Observing the bony canal structure of the human maxillary sinus in Japanese cadavers using cone beam CT

Sato¹,

Kawai

Yoshida³

et al. 2010

Okajimas Folia Anat. Jpn.

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Summary:We observed the location of the posterior superior alveolar artery (PSAA) and nerve at the macroscopic level between the maxillary sinus (MS) and surrounding bone of the anterior region of the maxilla. This study was completed using cone beam computed tomography (CBCT) imaging of 19 human cadavers with 38 sides of Japanese origin (ranging in age from 59-94 years, mean 77.7 ± 9.8 years) that were prepared for this study. The bony canal structure of the inner surface of the maxilla was clearly apparent in our results, and the bony canals were classified into three types according to the structure along the course of the PSAA: canal-like, ditch-shaped tunnel and fragmented, and the lest sides were undefined.Calcitonin gene-related peptide (CGRP)-positive fibers were identified along the PSAA in the bony canal of the maxilla by immunohistochemistry. The presence of the bony structure and CGRP-positive nerve fibers along the PSAA suggests that there is risk to the PSAA during surgery involving graft implant in the floor of the maxillary sinus.

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Section: Discussionmentioning

confidence: 99%

Observing the bony canal structure of the human maxillary sinus in Japanese cadavers using cone beam CT

Sato¹,

Kawai

Yoshida³

et al. 2010

Okajimas Folia Anat. Jpn.

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“…After displacing the Schneiderian membrane by transcrestal approach, a graft material can be condensed under the elevated sinus membrane to maintain its position apically. A minimally invasive procedure for tSFE, namely the Smart Lift technique (Fig.1B to Fig.1J), uses specially designed drills and osteotomes to make transcrestal access to the sinus cavity [20][21][22]. This procedure is a modification of the technique that was proposed by Fugazzotto [15].…”

Section: Transcrestal Approach (Tsfe)mentioning

confidence: 99%

“…Scientific evidence clearly indicates that using graft biomaterial in association with tSFE can effectively sustain bone regeneration. [19][20][21][22][23][24]. According to a systematic review, the incidence of membrane perforation following tSFE procedure ranges from 0 percent to 21.4 percent, and postoperative infection ranges from 0 percent to 2.5 percent.…”

Section: Transcrestal Approach (Tsfe)mentioning

confidence: 99%

Maxillary Sinus Floor Elevation Techniques with Recent Advances: A Literature Review

Pawar

Sapra

et al. 2017

APJHS

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Background: In the rehabilitation of atrophic posterior maxilla, factors such as age, extraction of teeth result in loss of alveolar bone height together with increased pneumatization of sinus contradicting the implant surgery. Although adequate bone height can be achieved using various maxillary sinus augmentation techniques, these procedures have been practiced successfully. However, significant complications occur such as perforations or tearing. To maintain the integrity of Schneiderian membrane subsequently increasing the success rate a retrospective analysis is carried out on various techniques with complications which occur during and after treatment.Methods: A systematic online and manual review of the literature identified articles dealing with SFE. Applying rigid inclusion criteria, screening and data abstraction were performed independently by two reviewers. The follow-up of was a minimum of 6 months. The articles selected were carefully read and data of interest were tabulated. The identified articles were analyzed regarding implant outcome, with or without graft using different surgical techniques with complication rates using random-effects Poisson regression models to obtain summary estimates/ year proportions. This article reviews various sinus lift techniques for intact elevation of Schneiderian membrane based on advanced PUBMED, Medline, Cochrane database system search of English-language literature from the year 2004 to present in order to compare and evaluate the success rate with minimal complications selecting the most suitable which can fulfill the criteria of being non-invasive, less time-consuming, more reliable and less traumatic.Result:After reviewing various sinus elevation techniques; nasal suction technique(NaSucT), balloon antral elevation technique(BAOSFE), and Hydraulic Sinus Lift technique(HySiLift) emerges as more favourable among all these and can efficiently lift the Schneiderian membrane with minimal trauma. We must emphasize that these are new techniques and cannot replace the conventional techniques as a whole.

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“…[4][5][6][7][8][9][10][11][12][13][14][15] The improved sinus lift tools for detaching the maxillary sinus mucosa could be classified into 2 types: rigid tools such as umbrella-shaped sinus lift curette YSL-04, and elastic tools such as balloons. Mazor et al 16 gently detach maxillary sinus mucosa using balloons via the uniform pressure generated by injecting water into the balloon, which significantly reduced the perforation possibility for maxillary sinus mucosa and increased the height of elevated sinus floor.…”

Section: Introductionmentioning

confidence: 99%

Ex vivo comparative study on three sinus lift tools for transcrestal detaching maxillary sinus mucosa

Han

et al. 2016

Bioengineered

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The objective of this study was to comparatively evaluate 3 different sinus lift tools, namely umbrella-shaped sinus lift curette YSL-04, our recently designed probe-improved sinus lift curettes, and our newly invented elevator 014, using our previous developed goat ex vivo models for direct visualizing the effectiveness of detaching sinus mucosa in real time. Goat ex vivo models for direct visualizing the effectiveness of detaching sinus mucosa in real time were generated according to our previously developed protocol. The effectiveness for each tool was evaluated through the length of sinus mucosa detached in mesial and distal directions or buccal and palatal directions, and the space volume created by detaching maxillary sinus mucosa in mesial, distal, buccal and palatal directions. The results showed that all 3 sinus lift tools could transcrestally detach the maxillary sinus mucosa and create extra space under the elevated sinus floor on the goat ex vivo sinus models. Moreover, our newly invented elevator 014 had advantages over the other 2 in term of the capability to detach the sinus mucosa. Our newly invented elevator 014 might be a promising tool for detaching maxillary sinus mucosa in transcrestal maxillary sinus floor elevation.

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Transcrestal Sinus Floor Elevation With a Minimally Invasive Technique

Abstract: The proposed technique represents a suitable option to elevate the sinus floor due to a predictable displacement of the sinus floor and a limited post-operative morbidity.

Cited by 38 publications

References 17 publications

Observing the bony canal structure of the human maxillary sinus in Japanese cadavers using cone beam CT

Observing the bony canal structure of the human maxillary sinus in Japanese cadavers using cone beam CT

Maxillary Sinus Floor Elevation Techniques with Recent Advances: A Literature Review

Ex vivo comparative study on three sinus lift tools for transcrestal detaching maxillary sinus mucosa

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