Maxillary sinus augmentation for dental implants intechopen. Sinus augmentation has become a routine surgical procedure to increase the height of the edentulous atrophied posterior maxilla. Dental implant rehabilitation of the posterior maxillary region has always been a challenging issue due to both alveolar ridge atrophy and sinus pneumatization. Direct sinus lift with simultaneous implant placement with use of autogenous bone graft a infracturing and lifting of lateral window of right maxillary sinus, b autogenous bone harvested from donor site being placed in newly created space, c bone. Nerve supply to the sinus is derived from the superior alveolar branch of the maxillary v2 division of the trigeminal nerve. Over the years, various techniques have been proposed for maxillary sinus elevation, which differ in surgical approach, bone graft materials, and advanced. Pneumatization of the maxillary sinus secondary to posterior maxillary tooth loss is an extremely common finding. Management of the complications of maxillary sinus. Development maxillary sinus is first of the pns to develop. The complications most frequently encountered during this type of surgery are. Previous studies showed that implants associated with sinus lift have a predictable longterm success and survival 5. Maxillary sinus floor augmentation also termed sinus lift, sinus graft, sinus augmentation or sinus procedure is a surgical procedure which aims to increase the amount of bone in the posterior maxilla upper jaw bone, in the area of the premolar and molar teeth, by lifting the lower schneiderian membrane sinus membrane and placing a bone graft. The type of maxillary sinus elevation and augmentation that a surgeon chooses to use on a given patient depends on the surgeons preference as well as patient anatomy.
Sinus lift procedure of the maxilla in patients with. Sinus lift also termed sinus floor augmentation, sinus graft or sinus procedure is a surgical procedure which aims to increase the amount of bone in the posterior maxilla upper jaw bone, in the area of premolar and molar teeth. Maxillary sinus elevation, followed by placement of a wide variety of grafting materials, has been the generally accepted surgical protocol for the development of bone in the sinus cavity. It is the largest bilateral air sinus located in the body of the maxilla and opens in the middle nasal meatus of the nasal cavity with single or multiple openings. The intervention was the maxillary sinus lift procedure and the comparison was that between sinus lift with the use of. After an abstract of embryology, surgical anatomy, and imaging, concise chapters info. Buy the rationale and techniques of maxillary sinus lift. Then you can start reading kindle books on your smartphone, tablet, or computer no kindle device required. S oral and maxillofacial surgery sinus lift procedure maxillary sinus floor augmentation also termed sinus lift, sinus graft, sinus augmentation or sinus procedure is a surgical procedure which aims to increase the amount of bone in the posterior maxilla upper jaw bone, in the area of the premolar and molarteeth, by lifting the lower. Severe bilateral maxillary sinusitis after sinus lift. Numerous techniques have been developed and perfected, allowing for a high survival rate of implants placed after sinus elevation. Complications may occur intraoperatively or in the postoperative period. Potential complications can be prevented through an appropriate patients selection, excluding those cases presenting contraindications to the sinus lift. Sinus lift dental articles, surgery publications dental xp.
The sinus lift procedure is a technique of bone reconstruction along the maxillary sinus floor. Biological sciences air pollution analysis medical research medicine, experimental. The tatum sinus kit is designed to access any anatomical configuration the surgeon may encounter when performing maxillary sinus augmentation. Enter your mobile number or email address below and well send you a link to download the free kindle app. Download clinical maxillary sinus elevation surgery pdf ebook. However, it can sometimes involved intra and postoperative complications, such as infection, that can affect surgical outcomes. This proofofconcept study suggests that the use of guided surgery to perform transcrestal maxillary sinus floor elevation for alveolar ridge height augmentation is a successful. The goal of this book is to help clinicians understand each surgical step of the illustrated maxillary sinus augmentation procedures and the evidencebased rationale behind the decisionmaking. As such, the authors have created an uptodate and accessible resource that every dentist performing sinus augmentation should have on hand for.
The latter condition is resolved with a lateral wall sinus augmentation sinus lift or a transcrestal sinus floor elevation. The pyramidshaped maxillary sinus or antrum of highmore is the largest of the paranasal sinuses, and drains into the middle meatus of the nose through the osteomeatal complex. In our case, the patient was taken to surgery and underwent a right maxillary antrostomy and polyp exterbation with curetting of mucosa in the maxillary sinus. Maxillary sinus floor augmentation using an equinederived. In twostage technique, following the sinus augmentation and a healing period of 6 months or more, implants are placed with a second surgical intervention. In so doing, the mucous membrane, known as schneiders membrane, is guided in the cranial direction using a round bit. T1 maxillary sinus vascular anatomy and its relation to sinus lift surgery. Participants were patients who underwent maxillary sinus lift surgery through the lateral window technique, concomitant with implant placement.
A two years longitudinal study the aim of the study was to evaluate the survival rate of two diverse implant systems with different implant surfaces with the same geometrical design. Maxillary sinus anatomy roofformed by maxillas alveolar process the roof forms the floor of the. The maxillary sinus or antrum of highmore is a paired pyramidshaped paranasal sinus within the maxillary bone which drains via the maxillary ostium into the infundibulum, then through hiatus semilunaris into the middle meatus. Increasingly patients demand fixed restorations expecting long term predictable implant solutions. Surgery done by dr ganesh ware indirect maxillary sinus lift by crestal approach with the help of cas kit osstem and implant placed in 26 region size of the implant 4 x 11.
Graft material is introduced into the space created inferior to the sinus. I did a bilateral maxillary sinus lift using a lateral window approach with an elevation of an intact sinus membrane followed by a biooss graft. Maxillary sinus elevation has been shown to be a safe and effective means of creating adequate vital bone formation for implant placement in pneumatized sinuses. It is designed to increase the vertical posterior maxillary alveolar dimension for placement of dental implants. She has received followup care from ent specialists who have noted no evidence of recurrence of the antrochoanal polyp. Sometimes they are so close to the upper teeth that the membrane lining of the sinus and the teeth are touching and draping over the tooth roots. Medicaloccupational exposure thorotrast, nickel, chromium,hydrocarbons, nitrogen mustard woodworkers have 500 times greater risk than general population. Anatomy of the maxillary sinus was 1st described by highmore in 1651. Maxillary sinus article about maxillary sinus by the. The progressive bone atrophy after tooth loss and tooth extraction with continuing pneumatization of the maxillary sinus is a common finding in patients. Survival of implants after indirect maxillary sinus elevation procedure. All of the instruments included in the tatum sinus kit are tempered to permit them to be bent and shaped so that the tip is always touching bone while the curved back of the instrument can always be.
Grafting the floor of the maxillary sinus has emerged as the most common surgical modality for correcting this inadequacy. The base of the maxillary sinus forms the inferior part of the lateral wall of the nasal cavity. A one or twostage implant placement approach has been suggested in conjunction with lateral window maxillary sinus lift procedures. The roof of the maxillary sinus is formed by the floor of the orbit, which contains the infraorbital canal, and the floor is composed of the alveolar process. Historic background maxillary sinus floor elevation was initially described by tatum at an alabama implant conference in 1976 and subsequently published.
In this clinical surgical technique video, dr kuljeet mehtaperiodontist, demonstrates the lateral window sinus technique and augmentation with xenograft biooss, prgf plasma rich in growth. The apex extends toward, and frequently into, the zygomatic bone. The maxillary sinus is an air cavity behind your cheeks. Over the years, various techniques have been proposed for maxillary sinus elevation, which differ in surgical approach. There are two main approaches for maxillary sinus floor elevation. Sinus lift procedure of the maxilla in patients with inadequate bone for dental implants. The procedure seeks to grow bone in the floor of the maxillary sinus above the bony ridge of the gum line that anchors the teeth in the upper jaw.
A sinus lift is one of the most common bone grafting procedures for patients with bone loss in the upper jaw. The literature has indicated the maxillary sinus lift procedure as an excellent treatment option for posterior maxillary. Found in the body of the maxilla, this sinus has three recesses. To treat these patients, the sinus lift procedure, which augments bone, was developed. In a sinus lift, the implantologist opens the maxillary sinus from the ventral or lateral side. Patient anatomical factors include the residual bone height and amount of lift desired. Hammerless intracrestal approach last updated january 4, 2019 comments oral implantology is an everevolving science seeking solutions to clinical challenges. Mapping the maxillary sinus decisions in dentistry. In the present study, we achieved clinical success with both kinds of.
Medical and surgical management fills the current gap in maxillary sinus literature with clear, accessible coverage that makes this book the ideal choice for fellows, residents, and practicing physicians in rhinology and otolaryngologyhead and neck surgery. A common challenge is treating an atrophic maxillary ridge with deficiency in vertical height. Definition of maxillary sinus maxillary sinus is the pneumatic space that is lodged inside the body of maxilla and that communicates with the environment by way of the middle meatus and nasal vestibule. Severe complications associated with maxillary sinus augmentation are not frequent. Direct vs indirect sinus lift in maxillary dental implants. The sinus lift is a bonegrafting procedure thats required when the volume of bone found in a patients upper jaw in the region originally occupied by their bicuspid or molar teeth is inadequate to accommodate the physical dimensions of a planned dental implant length is. Maxillary sinus antrum of higmore the maxillary sinus is a pneumatic space. Maxillary sinus augmentation is a wellknown and predictable procedure in vertical deficiencies of the posterior maxilla. If youre looking for a free download links of clinical maxillary sinus elevation surgery pdf, epub, docx and torrent then this site is not for you. In particular, maxillary sinus floor elevation using a lateral approach is the most frequently used surgical technique to increase bone volume in the posterior area.
Maxillary sinus definition of maxillary sinus by medical. The literature has indicated the maxillary sinus lift procedure as an excellent treatment option for posterior maxillary edentulism and, when perfor med w ell, sinus graft pr ocedures produce a. Buy the rationale and techniques of maxillary sinus lift book online at best prices in india on. Hence, the subject sinus lift and bone augmentation plays an important role. It is pyramidal, with the base projecting medially on the nasal cavity and laterally to the apex of the zygoma. Maxillary sinus vascular anatomy and its relation to sinus. Testori 23 03 otorhinolaryngological contraindications in augmentation of the maxillary sinus m. Bone formation in maxillary sinus lift using autogenous. Maxillary sinus augmentation or sinus lift is a very effective surgical procedure used to increase bone in the posterior maxilla and therefore allow placement of dental implants. Clinical maxillary sinus elevation surgery wiley online. This shoppernice reference and accompanying dvds, authored by a group of internationally acknowledged specialists, present the most recent treatment decisions for the maxillary sinus, along with an in depth analysis of the effectiveness of varied surgical strategies and how biggest to effectively apply them. Significant atrophy of the maxilla prevents dental implant placement in this region.