Download or read book Lateral Sinus Floor Elevation and Simultaneous Implants Placement in One Surgical Step written by and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background In posterior edentulous maxilla, in cases of residual bone height (RBH) less than 4mm the lateral sinus floor elevation with thedelayed implants placement is recommended. However, even in such situations, it is often possible to place implants. It is necessaryto appreciate the possibility of lateral sinus floor elevation with simultaneous implants placement using non-submerged approach. Aim/Hypothesis The evaluation of implants integration in cases of non-submerged approach simultaneously with lateral sinus floor elevation inresidual bone height less than 4 mm.Materials and Methods The study was axed on 7 partially edentulous patients (43.24 years, standard error of 3.9 years) who received 16 two-piece dentalimplants (extended platform, conical connection, 3.6 - 4 mm diameter and 10-12 mm length) inserted in posterior sides of the maxillawith lateral-sinus floor elevation (grafted with collagen and hydroxyapatite sponges). The residual bone height was 3.43 mm(Standard error of 0.08 mm). Due to the insertion torque higher than 15-20 Ncm, the healing abutments (3 to 5 mm height) wereconnected before suturing. The radiographic examinations were performed before, after the surgery and at the end of healing period.After 6 months, the prosthetic treatment has been initiated. According to the panoramic x-rays, implants sides were divided intoanterior and posterior ones. The secondary stability, endo- sinus bone gain as well as the marginal bone loss were appreciated.Statistical analysis was made by calculating mean values and standard errors (SE).ResultsAll implants successfully integrated and the healing period was uneventful. The length of implants protruded into sinus were 8.12(SE=0.23)mm and 8.15(SE=0.17)mm from mesial and distal aspects. After healing, the endo-sinus bone gain was 7.92(SE=0.23)mmand 7.89 (SE=0.19)mm respectively. The crestal bone loss consisted: 0,41 (SE=0.09)mm from mesial and 0.37 (SE=0.08)mm fromdistal aspects. The secondary stability (Periotest values) were -4.62 (SE=0.256). Peri-implant mucosa showed signs of bleeding onlyaround 2 implants (type 2 by Mombelli) due to plaque accumulation on the healing abutments. Radiographically, the new formed bonehad the same opacity and structure as the native bone.Conclusions and Clinical Implications In case of residual bone height less than 4 mm, itu2019s possible to perform the lateral sinus floor elevation and implants placement usingnon-submerged approach (one-step surgery) if the insertion torque is higher than 15-20 Ncm. This technique is advantageous due toreduced terms of healing, less number of surgeries and a mature biological width at the end of healing. According to progressiveloading theory, the presence of healing caps may lead to a better quality bone formation during healing.

Download or read book Sinus Grafting Techniques written by Ronald Younes and published by Springer. This book was released on 2015-01-21 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt: Placement of endosseous implants in the posterior maxilla is often difficult because of a lack of supporting bone. Sinus augmentation procedures have therefore been extensively used for the treatment of the edentulous atrophic posterior maxilla prior to implant placement. This book describes in detail the most widely used sinus grafting techniques as well as some innovative variations, with full coverage of both lateral and crestal approaches. A key aim is to assist the practitioner in selecting the appropriate sinus grafting technique based on the evaluation of a number of parameters that are described in detail and codified in a simple and practical way. Up-to-date information is also provided on grafting materials and on potential complications of sinus augmentation procedures and their treatment.

Download or read book Clinical Maxillary Sinus Elevation Surgery written by Daniel W. K. Kao and published by John Wiley & Sons. This book was released on 2014-05-27 with total page 200 pages. Available in PDF, EPUB and Kindle. Book excerpt: Maxillary sinus elevation, followed by placement of a wide variety of grafting materials, has been the generally accepted surgical protocol for the development of bone in the sinus cavity. Over the years, various techniques have been proposed for maxillary sinus elevation, which differ in surgical approach, bone graft materials, and advanced technology application for hard tissue and soft tissue management. Dr. Kao and a team of experts begin by discussing anatomy, radiographic image applications and limitations, and then provide step-by-step clinical procedures for the lateral window technique, including piezosurgery, and the trans-alveolar methods, including balloon and controlled hydostatic sinus elevation. Also included are chapters on post-operative care and complication management.

Download or read book Sinus Floor Elevation Procedures written by Hideaki Katsuyama and published by Quintessenz Verlag. This book was released on 2019-12-16 with total page 381 pages. Available in PDF, EPUB and Kindle. Book excerpt: The fifth volume of the ITI Treatment Guide series presents the materials and techniques associated with sinus augmentation procedures. The volume opens with a review of the current literature and the relevant ITI Consensus Statements derived from the ITI Consensus Conference held in Stuttgart, Germany, in 2008. This is followed by a discussion of the preoperative assessment of the posterior maxilla, including a detailed description of the anatomy and radiologic examination. Different treatment options are then presented, along with guidelines for choosing the appropriate technique based on thorough risk evaluation and the relative complexity of each option. Various procedures are demonstrated with comprehensive patient case studies, and detailed illustrations serve to clarify potential ambiguities in protocol and technique. The text is completed with a section on intraoperative and postoperative complications to avert the most common pitfalls in clinical practice.

Download or read book Minimally Invasive Antral Membrane Balloon Elevation as an Alternative Approach to Sinus Augmentation with Simultaneous Implant Placement A Review and Case Series written by Iskas Achilleas and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Following tooth loss the residual ridge undergoes continuous modeling and remodeling. Specifically, for the posterior maxilla, the vertical resorption of the residual bone as well as the sinus pneumatization leads to a decreased bone height. When planning the placement of dental implants in the posterior maxilla bone height is of importance. The trans - alveolar osteotomy technique is used when the residual bone height is at least 7 mm. On the other hand, when a lesser bone height is present, the lateral window technique is preferred. This technique gives the opportunity to increase the bone volume by elevating the Schneiderian membrane and grafting, but is also connected with complications, the most common being the sinus membrane perforation. In addition, it is a highly sensitive technique and requires adequate surgical skills. Recently, another technique has been proposed, the Minimally Invasive Antral Membrane Balloon Elevation (MIAMBE).The aim of this study is to evaluate and present an alternative technique to perform sinus augmentation when planning single implant placement. Additionally some cases treated with this technique are being presented.An electronic search of the Pubmed and Medline databases for relevant studies published in English till January 2017 was performed. The key words used in the search where a combination of u00abdental implantsu00bb, u00absinus augmentationu00bb, u00absinus liftu00bb, u00abMinimallyInvasiveu00bb, u00abMIAMBEu00bb, u00absurvival rateu00bb. Additionally, a hand search of peer u2013 reviewed journals was performed. Clinical cases where either the MIAMBE technique was performed are bweing presented.MIAMBE is an alternative technique to perform sinus augmentation. It is performed through an osteotomy made on the alveolar crest and with the use of a unique balloon made of silicon. This technique has many advantages compared to the lateral window technique, the most important being less patient discomfort, less surgical time and fewercomplications and it is mostly recommended in single implant placement where the residual bone height is 2 u2013 6 mm or in the presence of antral septa. On the other hand, in cases of multiple implant placement, when the sinus membrane is very thick or in thepresence of maxillary sinus pathology this technique does not offer any advantages.MIAMBE is a technique to perform sinus floor elevation in conjunction with simultaneous implant placement that presents similar success and survival rates to other sinus lift techniques. It seems to be a promising approach for implant supported restoration in theposterior maxilla with insufficient bone volume.

Download or read book Short Implants written by Boyd J. Tomasetti and published by Springer Nature. This book was released on 2020-07-07 with total page 334 pages. Available in PDF, EPUB and Kindle. Book excerpt: This comprehensive guide to short implants will take the reader through their research and development, explain the clinical indications, evaluate the outcomes achieved with various implants, and explore restorative and laboratory considerations. Short implants have steadily gained greater market share in the last decade as practitioners sought alternatives to traditional length implants in order to avoid grafting procedures. Current manufacturers offer a variety of implant lengths and widths, allowing surgeons and restorative dentists the ability to select the best implant for each clinical circumstance. Cutting edge information is provided on the research and clinical results achieved utilizing a range of implants, specifically those developed by Nobel Biocare, Straumann, Jack Hahn, and Bicon. Readers will also find an extensive description of the role of ultra-short implants involving reconstruction in both cleft patients and cancer patients who have lost portions of their mandible and/or maxilla. This book is a must-have for those interested in learning how the use of short and ultra-short implants offers both surgeons and restorative dentists an opportunity to stand out from those that use only the traditional length implants.

Download or read book Implant Site Development written by Michael Sonick and published by John Wiley & Sons. This book was released on 2011-12-14 with total page 862 pages. Available in PDF, EPUB and Kindle. Book excerpt: With the desire for dental implant therapy ever escalating, clinicians are faced with the challenge of augmenting deficient natural physiology to provide effective sites for implantation. Implant Site Development helps the clinician decide if, when, and how to create a ridge site amenable to implantation. This practical book offers solutions to many implant site preservation scenarios, discussing different treatment options, timing, a variety of materials and techniques, and their application to the clinical practice. With a unique integrated clinical approach, Implant Site Development covers a range of site development techniques. Highly illustrated, Implant Site Development presents diagrams and clinical photographs to aid with clinical judgment and will prove useful for any dental professional involved in implant therapy, from general practitioners to prosthodontists, but especially surgeons. This literature-based, yet user-friendly, reference will be indispensable to the novice or veteran clinician.

Download or read book Minimally Invasive Oral and Maxillofacial Surgery written by Oded Nahlieli and published by Springer. This book was released on 2017-12-12 with total page 208 pages. Available in PDF, EPUB and Kindle. Book excerpt: Minimally invasive techniques, designed to reduce morbidity and risk while simultaneously improving outcomes, are increasingly being used in oral and maxillofacial surgery. This book covers the most recent technological developments and the advanced techniques used when performing such minimally invasive surgery in patients with common and rare oral and maxillofacial pathologies. The relevant basic science is reviewed, but the principal focus is on the surgical techniques themselves. These are described step by step with the aid of numerous superb color illustrations that will help the clinician to gain a full understanding of the technology and the procedures. In addition, still emerging techniques of endoscopy, navigation, and minimally invasive surgery are well covered. This text will be a premier resource for physicians who diagnose and treat oral and maxillofacial pathologies and injuries.

Download or read book Bone Reformation written by Stefan Lundgren (D.D.S.) and published by Quintessence Publishing (IL). This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book includes didactic step-by-step presentations of different techniques for augmentation in all kinds of challenging bone deficiency situations and is intended for use prior to or in conjunction with endosseous implant placement. Reconstruction of severely atrophic edentulous jaws, posttrauma treatment in the anterior maxilla, and augmentation of the posterior maxilla and mandible are some of the topics covered. Clinical and experimental results of close follow-up of extensive patient groups are presented, as the book shows how careful monitoring with controlled incremental changes of the surgical protocol has led to development of new surgical methods. More than 20 scientific papers justify the methods presented in the book, representing more than 15 years of experience in reconstruction of the alveolar process.

Download or read book Surgery of the Paranasal Sinuses written by Andrew Blitzer and published by W.B. Saunders Company. This book was released on 1991 with total page 536 pages. Available in PDF, EPUB and Kindle. Book excerpt: An updated edition of a text focusing on paranasal sinus surgery, from anatomical to managerial issues. Topics discussed include endoscopic and laser surgery, and new to this edition is a chapter on the rhinologic manifestations of AIDS.

Download or read book Slot Versus Round shaped Lateral Windows for Maxillary Sinus Floor Augmentation a 2 year Clinical and Radiographic Study written by Lu Wei and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background (500 characters max.)Very few clinical studies have investigated the influence of lateral window dimensions and appearance on the maturation and consolidation of graft in respect of maxillary sinus floor augmentation (MSFA). From a biological aspect, the residual bone wall represents a source of osteoblast cells; Mechanically, it helps the stability of blood clotting and protects the graft from possible mechanical stress. Previous experimental histological studies in animal have justified that bone formation and osteogenic process start from the sinus walls and septa, and then sprout into the elevated space along the implant surface, determining the maturation of central part of graft itself. Hence, we deemed approximate window dimensions and appearance may have an important influence on the maturation and consolidation of graft in the maxillary sinus.Aim/Hypothesis (300 characters max.)There was an improvement of bone reconstruction and implant survival and reduction of bone resorption and surgical complications when adopting a smaller slot-shaped lateral window compared to a conventional oval-shaped lateral window in respect of MSFA.Materials and Methods (1000 characters max.)Of 106 patients enrolled in the study, each underwent MSFA using deproteinized bovine bone mineral (DBBM) based on two different lateral window access flaps to maxillary sinus (Test group: slot-shaped access window; Control group: oval-shaped access window). Bone dimension and graft remodeling were measured at pre-op, immediately after the procedure (baseline), 6-month (T1), 1-year (T2) and 2-year (T3) post-op Cone-beam computed tomograph (CBCT) and panoramic radiographic imaging (OPT). CBCT scan data were analyzed with image processing software to evaluate the volume of grafted material throughout follow-up period. A life-table analysis was used to assess the implant survival. Intra-op and post-op complications were recorded.Results (1000 characters max.)A prominent augmented bone height (ABH) was obtained in both groups (Test group: 10.53u00b12.83 mm, Control group: 9.23u00b13.24 mm) with significant intergroup difference (P=0.001), whereas no significant intergroup difference was found in augmented bone volume (ABV) (P=0.359). Neither any significant intergroup difference emerged in data concerning the cumulative survival rate (CSR) nor the sinus membrane perforation rate. The augmented height loss (u2206 ABH) of Test group was significantly lower than of Control group during the first 6 months (P=0.020) and the second year (P=0.037). Furthermore, both ABH and ABV resorption rate of Test group was significantly lower than of Control group during the first 6 months after surgery (P=0.022, P=0.017).Conclusions and Clinical implications (500 characters max.)The slot-shaped lateral technique is a simple and predictable surgical method for MSFA and simultaneous placement of dental implants. The technique facilitated to reduce apical augmented bone resorption during the first 6 months after surgery.

Download or read book Horizontal Alveolar Ridge Augmentation in Implant Dentistry written by Len Tolstunov and published by John Wiley & Sons. This book was released on 2015-12-15 with total page 357 pages. Available in PDF, EPUB and Kindle. Book excerpt: Horizontal Augmentation of the Alveolar Ridge in Implant Dentistry: A Surgical Manual presents the four main methods of horizontal ridge augmentation in a clinically focused surgical manual. After an introductory section and requirements for dental implants, sections are devoted to each procedure: ridge-split, intraoral onlay block bone grafting, guided bone regeneration, and horizontal distraction osteogenesis. Chapters written by international experts in each augmentation procedure Step-by-step instruction for each technique More than 1,100 clinical photographs and illustrations

Download or read book Basal Implantology written by Gérard M. Scortecci and published by Springer. This book was released on 2019-06-25 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: This manual will help oral implantologists to understand the principles that underlie the use of basal implants as a means to provide simple solutions to complex and highly demanding clinical situations without the need for prior bone grafting. It will also serve as a richly illustrated practical guide to application of the technique. The book is in three parts, the first of which discusses basic principles and related themes, including osteogenesis, osseointegration, cortical anchorage stability, biomechanics, surgical techniques, and basal implant prosthodontics. Step-by-step guidance is then offered on the application of these principles, focusing on operating techniques, 3D treatment planning, transitional and final screw-secured prostheses, and postoperative follow-up. The third part of the book addresses a wide range of clinical situations that can be treated by basal implantology, with particular attention to the treatment of high, thin alveolar ridges and the atrophic maxilla and mandible and to the correction of previous implant failures, as well as complications and postimplantation neuropathies.

Download or read book The Sinus Bone Graft written by Ole T. Jensen and published by . This book was released on 2006 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt: This completely revised and greatly expanded edition offers authoritative recommendations concerning all aspects of sinus bone grafting procedures for rehabilitation of the atrophic maxilla. Written for the uninitiated as well as the experienced clinician, this comprehensive clinical monograph also guides readers through the maze of new materials and techniques that have been introduced to improve upon or even supplant this procedure. It answers questions such as whether autogenous bone is necessary and where best to harvest it; which bone substitutes are most effective in regenerating bone and how safe they are to use; what contraindications exist, and what complications might be expected; what characteristics of size/shape/surface morphology are most important in choosing an implant; and many others. The last section of the book explores the future prospects for genetic engineering and other gene-based therapies that may one day eliminate the need for bone grafting.

Download or read book Patient reported Outcomes and Complication Rates After Lateral Sinus Floor Elevation written by Paolo Calamai and published by . This book was released on 2017 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Background Maxillary sinus floor elevation with a lateral approach (LSFE) represents the most predictable surgical procedure to vertically enhance the available bone in the edentulous posterior maxilla. Intra-operative complications and post-operative patient morbidity are the main issues of concern for patients and clinicians. Aim/HypothesisThe aim of this study is to evaluate the patient-reported outcomes and complication rates in 50 patients after augmentation of maxillary sinus.Material and Methods50 consecutive patients with residual bone height less than 5 mm were treated between 2018 and 2019 in 3 different private centers. All patient underwent to LSFE procedure (T0) before implant placement (T1) and restoration (T2) using a bovine bone graft (Bio-Ossu00ae; Geistlich Pharma, AG, Wolhusen, Switzerland).Patient-reported outcomes were assessed using a 100-mm visual analog scale (VAS) to evaluate the post-operative pain experienced in the first week following surgery and visual rating scales (VRS) to evaluate discomfort level, swelling level, and willingness to undergo the same surgery. Analgesics intake, onset and duration of swelling and ecchymosis were also evaluated. Finally, all complications were recorded and divided into: surgical complications (venous or arterial bleeding, sinusal membrane perforation, or buccal flap laceration) and healing complications (wound dehiscence, infection / fistula, or sinusitis).ResultsAll 50 patients were completely evaluated according to the study protocol. Pain level showed moderate values in the first (median: 50; IR: 60-46.2) and second day (median: 50; IR: 60-40) with a tendency to decrease over the third (median: 30; IR: 50-20) and fourth day (median: 14; IR: 28.25u20137.75), showing median values of 0 from the fifth day. Average analgesics intake during the week following the surgery was 4.1u00b12.8. Discomfort level was low (median: 1; IR: 1-0), while willingness to undergo the same surgery was very high (98% of patients; median: 0; IR: 0-0). Swelling and ecchymosis were experienced by 100% and 56% of patients respectively with a mean duration of 4u00b10.9 and 4.2u00b10.9 days respectively. Surgical complications included only 3 membrane perforations (6%), while no healing complications were observed (0%). Conclusion and Clinical implicationsThis study confirmed that LSFE is a safe and predictable procedure because of moderate patient morbidity and very low complication rates. High level of willingness to undergo the same surgery should encourage clinicians to choose LSFE for bone augmentation in posterior maxilla.

Download or read book Oral and Maxillofacial Surgery for the Clinician written by Krishnamurthy Bonanthaya and published by Springer Nature. This book was released on 2021 with total page 1965 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is an open access book with CC BY 4.0 license. This comprehensive open access textbook provides a comprehensive coverage of principles and practice of oral and maxillofacial surgery. With a range of topics starting from routine dentoalveolar surgery to advanced and complex surgical procedures, this volume is a meaningful combination of text and illustrations including clinical photos, radiographs, and videos. It provides guidance on evidence-based practices in context to existing protocols, guidelines and recommendations to help readers deal with most clinical scenarios in their daily surgical work. This multidisciplinary textbook is meant for postgraduate trainees, young practicing oral surgeons and experienced clinicians, as well as those preparing for university and board certification exams. It also aids in decision-making, the implementation of treatment plans and the management of complications that may arise. This book is an initiative of Association of Oral and Maxillofacial Surgeons of India (AOMSI) to its commitment to academic medicine. As part of this commitment, this textbook is in open access to help ensure widest possible dissemination to readers across the world. ; Open access Unique presentation with contents divided into color-coded core competency gradations Covers all aspects of oral and maxillofacial surgery Supplemented with videos of all commonly carried out procedures as operative video Every chapter or topic concludes with "future perspective" and addresses cutting edge advances in each area Every topic has a pull out box that provides the most relevant systematic reviews/ key articles to every topic.

Download or read book Bone and Soft Tissue Augmentation in Implantology written by Fouad Khoury and published by Quintessenz Verlag. This book was released on 2021-11-11 with total page 1395 pages. Available in PDF, EPUB and Kindle. Book excerpt: With contributions from: R. Gruber, Th. Hanser, Ph. Keeve, Ch. Khoury, J. Neugebauer, J. E. Zöller Bone and Soft Tissue Augmentation in Implantology addresses useful methods of bone grafting procedures in implant treatment based on current biologic principles and constitutes a unique reference in this field. The book describes, in over 760 pages and 2837 mostly color illustrations, the different possibilities available to augment the bone volume in width and height. The information presented includes not only the underlying scientific concepts of the different augmentation techniques with autogenous bone, but also the associated soft tissue management, from safe approaches to different possibilities for soft tissue augmentation and papilla reconstruction techniques. The book provides surgeons with a basic understanding of the biologic response to bone grafting procedures. Experienced implantologists will benefit from the in-depth background information, details of high-level surgical techniques, and scientific results, which will enable them to optimize their surgical procedures. Each chapter offers a wealth of information on the specific topic covered, with much attention given to the scientific concepts behind each one. Extensive case reports with step-by-step documentation allow readers to gain an impression of what is possible today in the 3D reconstruction procedures of the alveolar crest. Important criteria for success are presented as well as possible complications and their treatment. Bone and Soft Tissue Augmentation in Implantology is a must-read for every implantologist, oral and maxillofacial surgeon, and any dentist interested in surgery.