Sinus Membrane Elevation by the Crestal Approach Using a Novel Drilling System

Abstract

Sinus membrane elevation by the crestal approach using special reamers is advantageous because of the noticeable reduction in the risk of perforation and the ability to perform the surgery rapidly.

Schneiderian membrane perforation via transcrestal sinus floor elevation: A randomized ex vivo study with endoscopic validation

“…The positive results attributed to this kit demonstrated in this study are in concordance with the results observed in the ex vivo study of Yassin Alsabbagh et al, , where the SCA drill kit was shown to be superior to the osteotome technique in osteotomy preparation and breaking the sinus floor. These results were later corroborated in a clinical study by Kim et al, , who did not report any membrane perforations using the SCA drill kit, but reported an incident of acute maxillary sinusitis 5 months after surgery. This may have been related to a possible undetected perforation during the elevation surgery.…”

“…If this occurs, a number of consequences may entail: the presence of bone graft within the sinus antrum, acute or chronic sinus infection, the invasion of bacteria into the site or disrupted maxillary sinus physiologic function (Katranji et al, ; Li & Wang, ). With all the proposed methods of crestal SFE (Chan et al, ; Kim et al, ; Yassin Alsabbagh et al, ), MT (Wen, Lin, Yang, & Wang, ) RRH (Schwarz et al, ), the amount of bone graft inserted and VEH (Sonoda, Harada, Yamamichi, Monje, & Wang, ) are factors that influence the probability of membrane perforation. In this study sample, MT was not statistically significant between the two study groups, enabling a fair comparison of all other factors between test and control.…”

“…(Katranji et al, 2008;Li & Wang, 2008). With all the proposed methods of crestal SFE (Chan et al, 2013;Kim et al, 2017;Yassin Alsabbagh et al, 2017), MT (Wen, Lin, Yang, & Wang, 2015) RRH (Schwarz et al, 2015), the amount of bone graft inserted and VEH (Sonoda, Harada, Yamamichi, Monje, & Wang, 2017) are factors that influence the probability of membrane perforation. In this study sample, MT was not statistically significant between the two study groups, enabling a fair comparison of all other factors between test and control.…”

“…The original procedure consists of inwardly fracturing the sinus floor by preparing the implant bed with osteotomes of increasing diameters. Other techniques were later proposed, such as the balloon technique (Chan et al, ; Yassin Alsabbagh, Alsabbagh, Darjazini Nahas, & Rajih, ) and the piezotome technique, a procedure of standardized sequence of designed drills, trephine and osteotomes (Kim, Lee, Park, Kim, & Oh, ; Trombelli, Franceschetti, Trisi, & Farina, ).…”

Microscope and micro‐camera assessment of Schneiderian membrane perforation via transcrestal sinus floor elevation: A randomized ex vivo study

“…Recently, other improved TSFE has been proposed; these include but are not limited to the balloon technique (Chan et al, ; Yassin Alsabbagh et al, ), the hydraulic elevation technique (Bensaha, ; Better et al, ; Tallarico, Better, De Riu, & Meloni, ), the piezotome technique and the reamer system (Yassin Alsabbagh et al, ). Among the TSFE techniques proposed, the reamer system (e.g., SCA‐Neobiotech, Seoul, South Korea) exhibits less trauma compared with other TSFE techniques (Gargallo‐Albiol, Tattan, Sinjab, Chan, & Wang, ; Kim, Lee, Park, Kim, & Oh, ; Yassin Alsabbagh et al, ).…”