Since the radiographic ball marker showed only 4 mm bone below the sinus in #16 region, direct sinus lift procedure was done for placement of. Keywords: Dental implants, sinus augmentation, indirect sinus .. in cases with higher resorption, the direct sinus elevation technique is used. Introduction: Lack of sufficient bone height along maxillary sinus poses significant difficulty for placement of implants in edentulous maxillary.


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Using piezosurgical direct sinus lift, sinus lift procedure with sinus grafting proved to be less traumatic and more successful. Allograft, Bone augmentation, Endosseous implant, Sinus lift Case Report A year-old female patient came to the outpatient Department of A J Institute of Dental Sciences, Mangalore inwith a chief complaint of missing upper back teeth.

The HSC technique has shown to have much shorter recovery times [11] than the traditional direct sinus lift. A dental implant is placed at the same time as the sinus lift, also reducing the healing time.

The gum tissue is flapped to access the underlying bone.

An osteotomy bone removal is initiated along the ridge. Drilling ceases about 1mm short of the sinus floor.

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Direct sinus lift pressure is introduced to the surgical site at this stage, providing just enough force to begin atraumatically dissecting the membrane from the sinus floor. No manipulation of sinus is required. It has mm less than the ideal height of bone and may require surgical correction. It has just mm of bone below direct sinus lift.

It has less than 5 mm of bone below sinus.

Lateral Window Sinus Elevation Technique: Managing Challenges and Complications | jcda

direct sinus lift Different Techniques for Maxillary Sinus Augmentation The reduced vertical bone height in the posterior maxillary region is often a major obstacle to the placement of dental implants. Elevation of the maxillary sinus floor is an option to solve this problem.

Various surgical techniques have been presented to access the sinus cavity and elevate the sinus membrane. The two main techniques of SFE for dental implant placement are: A two-stage technique with a lateral window approach, followed by implant placement after a healing period; and a one-stage technique using either a lateral or a transalveolar direct sinus lift.

The decision direct sinus lift use one- or two-stage techniques is based on the amount of residual bone available and the possibility of achieving primary stability for the inserted implants.

Lateral direct sinus lift with grafting materials Tatum [5] and Boyne and James [4] were the first authors to publish studies on elevation of the maxillary sinus floor in patients with large, pneumatized sinus cavities.

Direct v/s Indirect sinus lift in maxillary dental implants Balaji S M - Ann Maxillofac Surg

They direct sinus lift a two-stage procedure, where the maxillary sinus was grafted using autogenous particulate iliac bone in the first stage of surgery. After approximately 3 months, a second stage of surgery was performed in which blade implants were placed and later used to support the prosthetic constructions.

Since then, numerous articles direct sinus lift been published regarding different grafting materials and modifications of this technique.

Surgical Technique Sinus elevation surgery can be accomplished under local anesthesia; however, direct sinus lift a patient is apprehensive or when a second surgical site is used for harvesting of an autogenous bone graft, oral sedation or intravenous sedation or even general anesthesia is sometimes employed.

After administration of the local anesthesia, the maxillary sinus is exposed direct sinus lift a full-thickness mucoperiosteal flap.

Direct Sinus Lift and Immediate Implant Placement Using Piezosurgical Approach- A Case Report

The first incision is usually crestal, and it direct sinus lift be longer than the future osteotomy in the anteroposterior dimension. Perforation of the Schneiderian Membrane Perforations of the Schneiderian membrane are relatively common.

Cone-beam CT scans should be obtained in advance to assess anatomical variations, such as a very thin membrane or challenging direct sinus lift anatomy i.


The membrane may be perforated during osteotomy preparation or membrane elevation. Perforation during preparation may be minimized by direct sinus lift care when using a high-speed bur or by using a piezoelectric unit.

If perforation does occur, it is important to attempt to elevate the membrane around the perforation.