Complications with transcrestal sinus floor elevation: etiology, prevention, and treatment

Toffler, Michael; Rosen, Paul S.

doi:10.1002/9781119140474.ch20

Cited by 6 publications

(8 citation statements)

References 123 publications

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“…11 This technique also is not without its drawbacks, namely, explosive force to the maxilla with poor control, unintentional displacement or fracture, membrane perforation, and even benign paroxysmal positional vertigo. 12 The main prerequisite for osseointegration is a ridge with bone of sufficient volume for implant insertion. 13 Implant primary stability is also a key factor for achieving osseointegration.…”

mentioning

confidence: 99%

A Multicenter Retrospective Clinical Study with Up-to-5-Year Follow-up Utilizing a Method that Enhances Bone Density and Allows for Transcrestal Sinus Augmentation Through Compaction Grafting

Huwais¹,

Mazor²,

Ioannou³

et al. 2018

Int J Oral Maxillofac Implants

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To evaluate the effectiveness and predictability of a novel biomechanical, minimally invasive bone instrumentation technique that enhances bone density through compaction grafting, called osseous densification, and allows for transcrestal sinus membrane elevation and augmentation with simultaneous implant placement. Materials and Methods: Patients who were consecutively treated with the bone densification and transcrestal sinus augmentation technique and were followed up in three treatment centers between May 2012 and September 2017 were included in this retrospective study. The summary statistics are presented as means for continuous variables and percentages for categorical variables. Results: In total, 222 patients with 261 implants were included in the final clinical analysis. The included follow-up period ranged from 6 to 64 months with a mean of 35 months. The subsinus residual bone height at baseline was 5.4 mm (SD: 1.9). Following the sinus augmentation, a significant vertical increase of 7 mm (SD: 2.49) was observed. No sinus membrane perforations and no late implant failures were observed from 6 up to 64 months follow-up, yielding a cumulative implant survival rate of 97%. Conclusion: This osseous densification technique for maxillary implant site preparation with transcrestal sinus augmentation and simultaneous implant placement led to favorable clinical outcomes with up to 64 months of follow-up.

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mentioning

confidence: 99%

A Multicenter Retrospective Clinical Study with Up-to-5-Year Follow-up Utilizing a Method that Enhances Bone Density and Allows for Transcrestal Sinus Augmentation Through Compaction Grafting

Huwais¹,

Mazor²,

Ioannou³

et al. 2018

Int J Oral Maxillofac Implants

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“…Counter-clockwise motion at low speed without irrigation enabled compressed bone graft to lift the sinus membrane. This approach can be more favorable to patients when compared to traumatic hammer and mallet use [2]. In our study, about 4 mm of the sinus membrane was elevated which suggests that densah bur can be a predictable alternative to osteotomes.…”

Section: Discussionmentioning

confidence: 46%

“…However, the latter technique poses a 24% risk of sinus membrane perforation due to impaired visibility [2].…”

Section: Introductionmentioning

confidence: 99%

Osseodensification in Implant Dentistry for Ridge Expansion and Transcrestal Maxillary Sinus Augmentation: Case Report

Elsayyad

2020

BJSTR

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Osseodensification has been a subject of interest in the research arena. It employs densah bur, with negative rake angle and counterclockwise motion, to perform nonsubtractive drilling. In the presence of copious irrigation, it can push the bone trabeculae into the osteotomy instead of leaving it. This compaction can increase bone density, bone volume and subsequently enhance implant stability. The aim of this study is to report a case using densah bur successfully for osseous densification and crestal maxillary sinus augmentation. Further clinical trials are required to validate these findings and confirm whether it can be used for ridge expansion.

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“…For preventing sinus perforation, following points should be remembered: 13 (1) adequate screening of the sinus and predetermining the sinus health, (2) presence of sinus septae, oblique sinus floor, and widened sinus are anatomical concerns that increase the risk of sinus perforation, (3) in posterior maxilla with poor bone quality, undersized drilling technique should be considered to improve primary stability and (4) use of adjustable stops on osteotomes when infracturing the sinus floor to limit apical penetration. But in spite of the best precautions, perforations can happen and perforation repair is always an option.…”

Section: Discussionmentioning

confidence: 99%

Management of Post-implant Complications: A Case Series

Nigam¹,

Karemore²,

Phadnaik³

et al. 2018

International Journal of Oral Implantology &Amp; Clinical Research

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The increasing mean age of the population, and consequently edentulism, necessitates the demand for prosthesis. Owing to the drawbacks of the removable partial denture and fixed partial denture, the implant as a treatment option has become popular. But with the use of implants, complications are bound to occur. Management of these complications make implantology a success and thus, common complications are discussed in this case series.

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Complications with transcrestal sinus floor elevation: etiology, prevention, and treatment

Cited by 6 publications

References 123 publications

A Multicenter Retrospective Clinical Study with Up-to-5-Year Follow-up Utilizing a Method that Enhances Bone Density and Allows for Transcrestal Sinus Augmentation Through Compaction Grafting

A Multicenter Retrospective Clinical Study with Up-to-5-Year Follow-up Utilizing a Method that Enhances Bone Density and Allows for Transcrestal Sinus Augmentation Through Compaction Grafting

Osseodensification in Implant Dentistry for Ridge Expansion and Transcrestal Maxillary Sinus Augmentation: Case Report

Management of Post-implant Complications: A Case Series

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