Sinus floor elevation via hydraulic detachment and elevation of the Schneiderian membrane.

Abstract:

OBJECTIVES:Minor sinus floor elevation is a method with relatively high predictability but is technically demanding. Improvement of the technique and increase in the predictability are desirable. MATERIAL AND METHODS:A clinical protocol for minor sinus floor elevation with SLA-ITI (large grit acid-etched implants with diameter of 4.8 mm) is described. Using trephine instead of spiral burrs enables the harvesting of autogenous grafts from the implant socket and guarantees a perfect implant socket. The latter is necessary for optimal implant anchoring and for the hydraulic seal between socket and the osteotome. The whole allows a hydraulic detachment of the Schneiderian membrane, where the blood cushion gradually detaches and elevates the membrane, preventing its contact with the graft. RESULTS:Eight patients were successfully treated with the method described above. No membrane perforation occurred and an uneventful healing was observed in all patients. All implants were loaded prosthodontically 3 months after the implantation. CONCLUSIONS:The clinical protocol presented provides high predictability in clinical outcome, together with extremely low morbidity and shortened surgery.

journal_name

Clin Oral Implants Res

authors

Vitkov L,Gellrich NC,Hannig M

doi

10.1111/j.1600-0501.2005.01161.x

subject

Has Abstract

pub_date

2005-10-01 00:00:00

pages

615-21

issue

5

eissn

0905-7161

issn

1600-0501

pii

CLR1161

journal_volume

16

pub_type

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