Clinical Videos

Sinus and Socket Bone Augmentation with Simultaneous Placement of 3 Dental Implants

Catalog Number:CV-056

Authors: Dr. Sascha A. Jovanovic

CE Credits: N/A

Running Time: 18 min

Language:

Description:

The posterior maxillary partially edentulous patient is in need of a solution that stabilizes a crown or bridge, supports healthy gingival tissues, develops a functioning occlusion and prevents the need for removable appliances. Sinus lift protocols have been developed over the last 30 years but depend on existing bone volume, general and dental health, social and professional activities, patient wishes and budget of the patient. Success relies on the bone anatomy, soft tissue management, proper planning, surgical and restorative technique used, bone graft material of choice and factors related to patient's healing behavior.

The referred patient in this video is a healthy, 62-year old non-smoking asian male with 3 missing upper-right teeth. The teeth were previously removed due to endodontic and periodontal involvement. At the time of extractions, the premolars were grafted with a biomaterial. The case is shown from the surgical side and the final result after 2 years of loading. Cone beam 3-D planning is used to plan the bone graft method, the flap design and surgical steps of implant placements.

Incisions, horizontal and vertical, lateral open sinus window technique with a diamond rotary instrument, sinus lift procedure with hand instruments, autogenous and xenograft placement, resorbable GBR membrane adaptation, 3 optimal implant positions, flap release and suture placement are shown in detail through each step. The uncovering technique with a soft tissue papilla management procedure is shown with the 2 year follow-up with a functional and esthetic result in the patient.

Release Date: July 24, 2013

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