scholarly journals The Maxillary Sinus Membrane Elevation Procedure: Augmentation of Bone around Dental Implants without Grafts—A Review of a Surgical Technique

2012 ◽  
Vol 2012 ◽  
pp. 1-9 ◽  
Author(s):  
Christopher Riben ◽  
Andreas Thor
Keyword(s):  
Maxillary Sinus ◽  
Dental Implants ◽  
Blood Clot ◽  
Survival Rates ◽  
Autogenous Bone ◽  
Sinus Lift ◽  
Bone Harvesting ◽  
Sinus Membrane ◽  
Long Term Studies

Background. Long-term edentulism may in many cases result in resorption of the alveolar process. The sinus lift procedure aims to create increased bone volume in the maxillary sinus in order to enable installation of dental implants in the region. The method is over 30 years old, and initially autogenous bone grafts were used and later also different bone substitutes. Since 1997, a limited number of studies have explored the possibility of a graftless procedure where the void under the sinus membrane is filled with a blood clot that enables bone formation.Aim. To describe the evolution of the sinus-lift technique and to review the literature related to the technique with a focus on long-term studies related to the graft-less technique.Methods. The electronic database PubMed was searched, and a systematic review was conducted regarding relevant articles.Results. A relatively few long-term studies using the described technique were found. However, the technique was described as reliable considering the outcome of the existing studies.Conclusion. All investigated studies show high implant survival rates for the graftless technique. The technique is considered to be cost-effective, less time-consuming, and related to lower morbidity since no bone harvesting is needed.

Autogenous Bone with Collagen Material and Surgicel for Maxillary Sinus Membrane Elevation (Sinus Lift) in Human Subjects

2013 ◽  
Vol 6 (2) ◽  
pp. 249-252 ◽  
Author(s):  
Mohammad Ali Ghavimi ◽  
Koroush Taheri Talesh ◽  
AREZOU Ghoreishizadeh ◽  
Masoome Amani ◽  
Aylar Divband
Keyword(s):  
Maxillary Sinus ◽  
Human Subjects ◽  
Autogenous Bone ◽  
Sinus Lift ◽  
Sinus Membrane Elevation ◽  
Sinus Membrane

scholarly journals RECONSTRUÇÃO DE MAXILA ATRÓFICA UTILIZANDO ENXERTO ÓSSEO AUTÓGÊNO DE CRISTA ILÍACA – RELATO DE CASO CLÍNICO

DENS ◽  
2007 ◽  
Vol 15 (2) ◽  
Author(s):  
José Mário Domingos FRAIZ ◽  
Nelson Luis Barbosa REBELLATO ◽  
Delson João da COSTA ◽  
Paulo Roberto MÜLLER ◽  
Ricardo Pasquini FILHO
Keyword(s):  
Maxillary Sinus ◽  
Dental Implants ◽  
Maxillofacial Surgery ◽  
Bone Grafts ◽  
Sao Paulo ◽  
Autogenous Bone ◽  
São Paulo ◽  
Sinus Lift ◽  
Radiographic Appearance ◽  
Crista Iliaca

RECONSTRUÇÃO DE MAXILA ATRÓFICA UTILIZANDO ENXERTO ÓSSEO AUTÓGÊNO DE CRISTA ILÍACA – RELATO DE CASO CLÍNICO Autores: José Mário FRAIZ; Nelson Luis Barbosa REBELLATO; Delson João COSTA; Paulo Roberto MÜLLER; Ricardo PASQUINE. Universidade Federal do ParanáCurso de Pós Graduação em Cirurgia e Traumatologia Buco-Maxilo-Facias Área de Abrangência: Cirurgia e Implantodontia A reabilitação oral de pacientes com maxilas atróficas tem sido bastante discutida na literatura. Esse trabalho apresenta a técnica de reconstrução de maxila atrófica, através de enxertia óssea utilizando osso ilíaco. Uma quantidade mínima de tecido ósseo é necessária para a inserção e manutenção da estabilidade do implante, após a perda dos dentes o processo alveolar maxilar sofre progressiva e irreversível reabsorção, tanto vertical quanto horizontal, podendo atingir um estágio de pneumatização do seio maxilar. Isso contra-indica a instalação de implantes. A literatura sugere que quando há a pneumatização acentuada do seio maxilar e há reabsorção de rebordo alveolar, a técnica de sinus Lift, introduzida primeiramente por TANTUM em 1970, e revisada por MISCH na década de 80, é indicada. Dentre as áreas doadoras, que podem ser crista óssea do ilíaco, calota craniana, costela e tíbia, a crista óssea do ilíaco tem sido uma das opções de escolha por apresentar baixo índice de complicações pós-operatórias, baixa morbidade e menor reabsorção pós-cirúrgica. Esta técnica permite, após seis meses da cirurgia, a instalação de implantes osseointegrados para posterior reabilitação protética. O presente trabalho apresenta um caso clínico de enxertia ósseo de crista ilíaca em maxila atrófica para posterior reabilitação com implantes. Palavras-chave: enxerto ósseo; reabilitação bucal; cirurgia; implantes dentários.Referências Bibliográficas: 1-ABRAHAMS, J. J.; HAYT,M.W.; ROCK, R. Sinus lift procedure of the maxilla in patients with inadequate bone for dental implants: radiographic appearance. Audio journal review-General surgery, Nova York, v. 174, p.1289-1292, 2000.2-AJEN, S. A. Análise por tomografia computadorizada do enxerto autógeno na cirurgia de “sinus lift”. Revista brasileira de radiologia, São Paulo, v. 38, n.1, p.25-31. 2005.3-BEZERRA, F. J. B.; LENHARO, A. Terapia clínica avançada em implantodontia. São Paulo,  Artes Médicas, 2002.4- BREINE, U. & BRÅNEMARK, P.I. Reconstruction of alveolar jaw bone. An experimental and clinical study of immediate and preformed autologous bone grafts in combination with osseointegrated implants. Scandinavian journal of plastic and reconstructive surgery and hand surgery. Supplementum, Stockolmo, p. 14: 23-48, 1980.5- FUGAZZOTTO PA, VLASSIS J. LONG. Term success of sinus augmentation using various surgical approaches and grafting materials. International Journal of Oral and Maxillofacial Implants, Lombard/IL, p.13, 52 -58, 19986- HARBON, S.; CHARTOUNI, M. & RICBOURG, B. Morbidity of iliac bone grafts. A study a propos of 100 consecutive cases. Annales de chirurgie plastique et esthetique, Paris, p. 36, 45- 50, 1991.7-LIM, T. J.; CSILLAG, A.; IRINAKIS, T.; NOKIANI, A.; WIEBE, C.B. Intentional angulation of an implant to avoid a pneumatized maxillary sinus: a case report. Journal of the Canadian dental association, Toronto, v. 70, n.3, p.164-16, 2004.8- MISCH, C.M. RIGDE. Augmentation using mandibular ramus bone grafts for the placement of dental implants: presentation of a technique. Practical periodontics and aesthetic dentistry, Nova York, p. 127-135, 1996.9-NEVES. Jornal Brasileiro de Implantodontia oral. Otimização da estética: uma abordagem dos tecidos mole e duro. Belo Horizonte: Traccio arte e design, 2002.10- RAGHOEBAR GM, BROUWER TJ, REINTSEMA H, VAN OORT, RP. Augmentation of the maxillary sinus floor with autogenous bone for the placement of endosseous implants. Journal of Oral and Maxillofacial Surgery, Filadélfia, p. 51, 1198 -1203, 1993.11- WHEELER SL, HOLMO RE, CALHOUN CJ. Six-year clinical and histologic study of sinus-lift grafts. International Journal of Oral and Maxillofacial Implants, Lombard/IL ,p.-11,26 -34, 1996.  

scholarly journals Clinical long-term and patient-reported outcomes of dental implants in oral cancer patients

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Eik Schiegnitz ◽  
Lena Katharina Müller ◽  
Keyvan Sagheb ◽  
Lisa Theis ◽  
Vahide Cagiran ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Oral Cancer ◽  
Cancer Patients ◽  
Dental Implants ◽  
Survival Rates ◽  
Implant Survival ◽  
Implant Placement ◽  
Patient Reported ◽  
Oral Cancer Patients

Abstract Background and purpose The aim of this clinical study was to investigate the clinical long-term and patient-reported outcome of dental implants in patients with oral cancer. In addition, analysis of the influence of radiation therapy, timing of implant insertion, and augmentation procedures on implant survival was performed. Material and methods This retrospective study investigated the clinical outcome of 711 dental implants in 164 oral cancer patients, inserted by experienced surgeons of the Department of Oral and Maxillofacial Surgery, University Medical Center Mainz, Germany. Oral health-related quality of life (OHRQoL) was evaluated. Results Cumulative 5-year and 10-year implant survival rates for all included implants were 87.3% and 80.0%. Implants placed straight after ablative surgery (primary implant placement) and implants placed after completing the oncologic treatment (secondary implant placement) showed a comparable implant survival (92.5% vs. 89.5%; p = 0.635). Irradiation therapy had no significant influence on implant survival of secondary placed implants (p = 0.929). However, regarding implant site (native bone vs. augmented bone) and radiation therapy (non-irradiated bone vs. irradiated bone), implants inserted in irradiated bone that received augmentation procedures showed a statistically significant lower implant survival (p < 0.001). Patients reported a distinct improvement in OHRQoL. Conclusions Promising long-term survival rates of dental implants in patients after treatment of oral cancer were seen. In addition, patients benefit in form of an improved OHRQoL. However, bone augmentation procedures in irradiated bone may result in an impaired implants’ prognosis.

Dental Implants and Plasma Rich in Fibrine: A Wide Literary Review

2021 ◽  
pp. 34-41
Author(s):  
Carlos Fernando Almeida da Silva ◽  
Tayná Toder Santos ◽  
Idiberto José Zotarelli Filho ◽  
Elias Naim Kassis
Keyword(s):  
Bone Formation ◽  
Maxillary Sinus ◽  
Dental Implants ◽  
Case Reports ◽  
Bone Grafts ◽  
Sinus Surgery ◽  
Autogenous Bone ◽  
Platelet Concentrates ◽  
Surgical Access ◽  
Short Implants

Introduction: When a dental element is lost in the posterior region of the maxilla, there is natural reabsorption of the alveolar process and at the same time there will be pneumatization of the maxillary sinus. It will increase its volume towards the place where the roots existed and this will often make it difficult or impossible to restore implants in place. For this reason, the procedure for elevating the floor of the maxillary sinus or short implants should be performed when possible. In this context, allogeneic, xenogenous, and alloplastic bone grafts are an alternative for the treatment of bone defects in the jaws, since they avoid the need for a second surgical access. However, due to the need for processing to eliminate antigenic components, these grafts are only osteoconductive with a lower bone formation potential compared to autogenous bone grafts. Also, in this context, in the last 20 years, platelet concentrates have been proposed as regenerative materials in tissue regeneration procedures. Among the platelet concentrates proposed in the literature, PRP and FRP are found to act as autogenous platelet aggregates with osteoinductive properties. Objective: The present study aimed to conduct a wide literature review on maxillary sinus surgery using fibrin-rich plasma. Methods: Experimental and clinical studies (case reports, retrospective, prospective and randomized) with qualitative and/or quantitative analysis were included. Results: The total of 48 articles were found involving Maxillary sinus surgery, Fibrin-rich plasma, and Biomaterials, of which 22 were selected to compose the present study. Conclusion: Based on the literary findings, it was shown that the FRP is favorable for bone formation processes for dental implants, especially when combined with xenografts.

scholarly journals Risk Assessment in Long-term Survival Rates of Dental Implants: A Prospective Clinical Study

2018 ◽  
Vol 19 (5) ◽  
pp. 587-590 ◽  
Author(s):  
Rizwan Mokashi ◽  
Punkit S Sudan ◽  
Anand M Dharamsi ◽  
Rinkee Mohanty ◽  
Archana L Misurya ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Clinical Study ◽  
Dental Implants ◽  
Survival Rates ◽  
Prospective Clinical Study ◽  
Term Survival ◽  
Long Term Survival

scholarly journals Lateral Sinus Membrane Elevation in Case of Lateral Intra-sinus Linear Calcification: Expanding the Indications

2021 ◽  
Vol 5 (4) ◽  
pp. 52-56
Keyword(s):  
Maxillary Sinus ◽  
Lateral Approach ◽  
Middle Level ◽  
Lateral Sinus ◽  
Sinus Lift ◽  
Schneiderian Membrane ◽  
Maxillary Sinus Pathology ◽  
Sinus Membrane Elevation ◽  
Sinus Membrane

Intra-sinus calcifications (ISCs) which are noted only in 2.4 percent of maxillary sinus pathology can be a challenging condition for the implantologists. A few studies describe only a recommendation for the centrally localized calcification spots in the maxillary sinus. Simultaneously, there is no publications focused on lateral sinus lift performance in cases of laterally, peripherally located linear ISCs. The purpose of our report is to present a surgical tactic for lateral approach of Schneiderian membrane elevation in a 58-year-old female with linear and fine punctate calcifications, inta-sinus hyperostosis, and mucosal swelling with height above the middle level of the sinus.

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