Predictable Sinus Lift Course

Category: Surgery

Instructor(s): Dong-Seok Sohn, Michele Jacotti, Radoslaw Jadach, Pascal Valentini, Nicolas Aronna Mallia

Course structure: Lessons: 11 lessons | Duration: 16 h 51 min

Course overview

Big online course on sinus lift is:
– 5 expert approaches from world renowned surgeons: Radoslaw Jadach, Dong-Seok Sohn, Michele Jacotti, Nicolas Aronna Mallia, Pascal Valentini
– Detailed analysis of the protocols for working with the maxillary sinus:
- Sinus lifting classic protocols
- Elimination of perforations and removal of implants from the sinus
- Use of growth factor therapy for sinus lifting
- Minimally invasive sinus augmentation using Hydrodynamic Piezoelectric Internal Sinus Elevation
- Surgical revision of the maxillary sinus with simultaneous sinus-lifting.
Аlso you will learn:
– instruments
– biomaterials
– complications that can occur during and after a sinus lifting
– preoperative and postoperative recommendations.

Curriculum

Diagnostic principles. Flap formation and design

• Lesson program:
• – Anatomy and histology of the maxillary sinus
• – Variant anatomy of partitions
• – The use of CBCT. Choosing the right treatment method depending on the clinical case: approach, additional bone regeneration
• – Chronic invasive aspergillosis of the mucosa of the maxillary sinus
• – Shaping and flap design.
• Recommended for: Implantologist, Periodontist, General dentist.

Open and closed sinus lift: detailed protocols

• Lesson program:
• – Choosing the right treatment method: using CBCT
• – Treatment planning
• – Preparing the patient for surgical procedures
• – Indications for sinus lifting
• – Indications for only ridge regeneration
• – Indications for open and closed sinus lifting
• – Necessary tools for open sinus-lift procedure
• – Patient care after surgical procedures: medicine, advices for the patient, education of the patient.
• Recommended for: Implantologist, Periodontist, General dentist.

The use of membranes. Closing the perforations

• Lesson program:
• – Osteo-periosteal flap design in approach for lateral window in sinus-lift procedure
• – Hard palate approach for sinus-lift procedure
• – Simultaneous cleavage of the alveolar ridge and sinus lift surgery
• – Perforation closing
• – Transplant placement
• – The use of membranes during sinus lifting.
• Recommended for: Implantologist, Periodontist, General dentist.

Removal of cysts and foreign bodies from the maxillary sinus

• Lesson program:
• – Cyst Removal: detailed Protocol
• – Crocodile Eye Technique
• – The use of membranes when closing defects after removal of cysts
• – Removing a foreign body from an maxillary sinus
• – Indications for vestibular, vestibular and palatine, palatine osteotomy
• – Advantages and disadvantages of sinus lifting
• – Preparing the patient before surgery.
• Recommended for: Implantologist, Periodontist, General dentist.

New approaches to maxillary sinus augmentation

• Lesson program:
• – Maxillary sinus augmentation techniques
• – Ways to reduce the time of surgical treatment
• – Methods for stabilizing implants with immediate maxillary sinus grafting
• – Comparison of one-stage and two-stage maxillary sinus augmentation with implantation
• – The use of L-PRF as the sole grafting material
• – Intra-operative and post-operative complications of maxillary sinus augmentation: types, causes, methods of prevention and elimination, clinical cases:
• Infections (bacterial, fungal)
• Traumatizing of branches of the infraorbital nerve
• Bleeding
• Bad graft quality
• Hemosinus
• Schneider membrane perforations
• Chronic maxillary sinusitis
• Peri-implantitis.
• – Anatomy of the maxillary sinus
• – Relative and absolute contraindications for maxillary sinus augmentation
• – Patient selection for maxillary sinus augmentation.
• Recommended for: Implantologist, Periodontist, General dentist.

Paradigm shift on maxillary sinus augmentation

• Lesson program:
• – Various technique of sinus augmentation:
• Lateral Sinus Augmentation
• Crestal Sinus Augmentation
• Obsolete Sinus Augmentation.
• – Complications of sinus bone grafting:
• Fungal infection
• Bacterial infection
• Postoperative sinusitis
• Chronic oroantral fistula.
• – Sinus augmentation using Hydrodinamic Piezoelectric Internal Sinus Elevation (HPISE)
• – Protrusion of the implant over maxillary sinus mucosa
• – Sinus augmentation: sinusitis-free, bone graft free, infection-free approaches
• – New bone formation in the maxillary sinus:
• without bone grafts
• using only absorable gelatine sponge
• using peripheral venous blood
• with bone grafts.
• – Rate of postoperative sinusitis
• – Techniques of closing sinus membrane perforations
• – Simple 3-D augmentation using Sohn`s Augmentation-New Tenting Abutment (SANTA)
• – Management and preventions of postoperative complications.
• Recommended for: Implantologist, Periodontist, General dentist.

Minimally Invasive Sinus Augmentation using Hydrodynamic Piezoelectric Internal Sinus Elevation (HPISE)

• Lesson program:
• – Crestal sinus augmentation: advantages/disadvantages, indications/contraintications:
• Osteotome technique
• Piezoelectric Internal Sinus Elevation (PISE)
• Hydrodynamic Piezoelectric Internal Sinus Elevation (HPISE)
• Simple sinus augmentation with 3D ridge augmentation
• Flapless sinus augmentation
• Sohn`s Poncho technique.
• – Step-by step protocols of PISE and HPISE
• – Management of complications associated with conventional crestal sinus augmentation
• – Sticky bone in implant dentistry.
• Recommended for: Implantologist, Periodontist, General dentist.

Predictable protocol in sinus lift

• Lesson program:
• – Sinus lift assessment:
• Clinical analysis
• Periodontal status
• Systemic condition
• Habits
• 3D X-Ray analysis
• Bone anatomy
• Sinus pathology
• Check list.
• – Biologically oriented implantology concept
• – Anatomy:
• Maxillary sinus
• Maxilla
• Intrasinus and extrasinus artery.
• – Types of membrane elevating
• – Biomaterials characteristic
• – Step-by-step techniques of sinus lift
• – Classification of different approaches:
• Lateral Window
• Crestal Window
• Osteotome technique.
• – Grow factors therapy
• – Blood fractioning
• – Clinical cases.
• Recommended for: Implantologist, Periodontist, General dentist.

Sinus lifting classic protocols

• Lesson program:
• – Fundamentals of sinus lift:
• Anatomy of maxillary sinus
• Sinus vascularization
• Age changes in maxillary sinus
• Underwood`s septa
• Colour of Schneider membrane.
• – Pathological alterations of the maxillary sinus
• – Functional endoscopic sinus surgery (FESS)
• – Standart maxillary sinus surgery protocol
• – Clinical indications of choosing graft material
• – Surgical instrunentations for sinus lift
• – The use of Metronidazole in combination with biomaterial
• – Surgical templates for sinus lift
• – Step-by-step protocols:
• Sinus lift with delayed implant placement
• Sinus lift with simultaneous implant placement
• Bilateral sinus lift and nose floor lift with simultaneous implant placement
• Sinus lift in the presence of high Underwood`s septa
• Simultaneous maxillary sinus lift and block grafting
• Elevation of nose floor.
• – Immediate and delayed complications.
• Recommended for: Implantologist, Periodontist, General dentist.

Management of maxillary sinus pathologies for successful sinus-lifting

• Lesson program:
• – Ways of elimination of maxillary sinus memdrane perforations
• – Implants/teeth in the maxillary sinus cavity:
• Causes
• Diagnosis
• Piezosurgical treatment with simultaneous sinus-lift
• Clinical cases and long-term results.
• – Maxillary sinusitis: classification, aetiology, clinical picture, diagnosis, treatment:
• Acute sinusitis
• Chronic sinusitis (mucositis, pseudo-cyst, mycetome, mucocele,polyps, residual cyst).
• – Step-by step videocases of piezosurgical treatment of maxillary sinus pathologies with simultaneous sinus-lift.
• Recommended for: Implantologist, Periodontist, General dentist.

Non-standard cases in sinus lifting

• Lesson program:
• – Clinical cases of surgical revision of the maxillary sinus with simultaneous sinus-lifting:
• Mycetoma
• Residual cyst
• Implant in maxillary sinus cavity.
• – Osteoma: characteristic, clinical cases
• – Oro-antral communications and fistulas: clinical cases, treatment, simultaneous sinus-lift
• – Management of infected biomaterial in maxillary sinus
• – Pre-surgical cinsiderations
• – Alternative methods:
• No interventions
• Short implants
• Tilted implants
• Zygoma implants
• Surgical kit for sinus-lift and exercises for manual training.
• Recommended for: Implantologist, Periodontist, General dentist.