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

Abstract

Numerous studies have shown that placement of implants in the maxillary region with resultant successful osseointegration can be achieved by the use of sinus lift procedures using piezosurgical technique. In this case report a middle aged patient had come to the outpatient department of A. J. Institute of Dental Sciences with a chief complaint of missing right posterior molar. 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 a dental implant. Piezosurgery was performed, as it reduces the risk of damaging vital soft tissues such as nerves, dura matter and blood vessels. To stabilize the implant in the maxillary sinus region and also to stimulate bone regeneration, gamma irradiated cancellous allograft was used. Periapical radiographs were taken 10 months after implant placement which showed good bone growth over the implant collar. Bone formation in the maxillary antrum was seen clearly in the panoramic radiograph. Using piezosurgical unit, sinus lift procedure with sinus grafting proved to be less traumatic and more successful.

Immediate implant placement after maxillary sinus lift using the side window technique: clinical case report

“…Since the patient had a missing right first molar for years, there was atrophy of the edentulous area. This could have caused continuous loss of bone height and density and an increase in antral pneumatization (10,11).…”

Direct Sinus Augmentation Procedure for Rehabilitation of Severely Atrophic Posterior Maxilla with Sticky Bone – A Case Report

“…Various bone augmentation procedures using bone graft materials, platelets and fibrinogen have been introduced in cases of severely resorbed ridges to create sufficient bone quantity. The use of growth factor enriched fibrin glue known as sticky bone, has shown promising results as it stabilizes bone graft preventing bone loss and accelerating tissue healing [3]. Thus, this case report elucidates the direct sinus lift procedure performed in the posterior maxilla along with the grafting procedure using sticky bone to increase the amount of available bone and preparing it for simultaneous implant placement using conventional lateral window preparation.…”

“…It is an autologous leukocyte-platelet-rich fibrin matrix comprising cytokines, platelets, and stem cells that works as a biodegradable scaffold and promotes micro-vascularization and epithelial cell migration to its surface [9]. According to study performed by Antonio Cortese et al, PRF has been a safe, reliable procedure,that has drastically improved the clinical outcome of the patient with horizontal bone defects [3].…”

Influence of Schneiderian Membrane Perforations on the Prognosis and Outcomes of Lateral Window Sinus Lift Operations: A Retrospective Case Series Study

“…This step leads to a very common complication of sinus lift procedure, the perforation of the Schneiderian membrane. Although various improving techniques like piezo surgery (Figure 1 A,B) were developed to assist the lateral access and to free the bone cover from the Schneiderian membrane, perforations are still an obvious and common problem [8].…”