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Abstract:
Crestal bone resorption coupled with pneumatization of the maxillary sinus are often evident after the loss of posterior maxillary teeth. This often leads to insufficient quantity of bone for dental implant placement. Lateral and crestal sinus floor elevations are widely used today in order to reconstruct the atrophied posterior maxillae.
Radiographic technology is a major tool for planning sinus elevations. Anatomical variations such as height of residual crest, thickness of vestibular wall and depth of the sinus should often be evaluated and guide the practitioner in choosing the appropriate sinus floor elevation technique. The presence of septa and the position of the alveolo-antral artery should also be detected radiographically in order to prevent potential perforations of the sinus mucosa and hemorrhagic complications.
Although rotary instruments were usually used during sinus floor elevations, piezoelectric surgery currently represents the technique of choice for lateral window preparation, crestal sinus access and sinus membrane elevation. Due to their selective action, ultrasonic instruments have proven to be very precise and efficient during osteotomy while being very conservative towards soft tissues thus reducing mucosal perforations and hemorrhagic complications.
During this presentation, we will present the latest tips and advances in both lateral and crestal sinus floor elevation techniques. The importance of new advances and technologies, such as radiographic planning, the use of piezosurgery and the proper choice of implant, will be exposed. These clinical advances will play a major in reducing risks and complications related to sinus grafting procedures while preserving maximum clinical efficiency.
28 Comments
Thank you Prof God bless you and stay safe
thank you.
Thank you so much!
How much above we should make the window above alverloar crest
Do you use Fibrin Glue?
Do we need prophylactic antibiotics
Good morning, thank you very much for the great lecture ! I am interest to know more about the intern sinus lift procedere: can you recommend a link or a book were the procedere is shown more deeply ?
Good morning, this is Stefan from mectron Germany. Thank for your great lecture. can you already say when the new instrument for cutting the window will be available in germany?
congratulations, thank you so much wonderful unsurpassed presentation Mr Giovanni Ballarani
Thank you so much!
In case of large perforation When can repeat surgery be done ?
Tank you for your lecture
Do we need prophylactic antibiotics
Can we use xenograft material
Is it contraindicated to do sinus lifting in chronic inflamed sinus? (Chronic sinusitis)
congratulations, thank you so much wonderful unsurpassed presentation
Compliment for the presentation.
Bye.
Thank you prof =)
where can I order the Piezo Kit that you use ?
Which osteotom you recommend concave ?
if the artery is injured- how do you stop the bleeding without damaging the sinus membrane?
What are you thoughts regarding using bioss collagen to graft the sinus
which method of bone scraping you recommend- using the piezo or using a manual bone scraper?
sometimes the blood vessel is inside the bone and still adherent to the sinus membrane- i find it difficult to reflect the vessel completely because it is embedded in the bone- how do you deal with this situation?
Does post covid recovery patient pose any added risk for surgery
Which graft is better ?? In alloplastic which grafts are better
Good morning
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