Sinus Lift 2023: Updated Classic & The Latest Author’s Protocols

Category: Surgery

Instructor(s): Mauro Gebran, Pier Carmine Passarelli, Laszlo Parkanyi, Angelo Troedhan, Francisco Correia

Course structure: Lessons: 9 lessons | Duration: 7 h 30 min

Course overview

Updated classical protocols of maxillary sinus lift and simplified author's techniques in one course!
You will learn:
– Open and closed sinus lift
– One-stage and two-stage sinus lift
– Piezosurgical sinus lift
– Transcrestal sinus lift
– Lateral sinus lift
– Transalveolar sinus lift
– Sinus lift in Intralift and Sinus Pack techniques.
You will understand what materials and tools to use in each technique, as well as learn the features of working with I-PRF, L-PRF and hyaluronic acid during sinus lift.

Curriculum

1. Golden Rules and Clinical Principles to know for a safe approach to the Maxillary Sinus

• Lesson program:
• – 3D Anatomy and CBCT study
• – Sinus presurgical evaluation
• – Schneiderian membrane pathology: elevate or wait?
• – Decision tree for management of the maxillary sinus
• – The ideal biomaterial
• – Design, position and management of the antrostomy
• – Perforations in relation to the membrane thickness
• – Clinical cases.
• Recommended for: Implantologists, Oral and maxillofacial surgeons.

2. Different approaches in sinus lift

• Lesson program:
• – Sinus lift: definition
• – Literature review
• – Decision making
• – Graft:
• Indications
• Types
• Newly formed bone
• Graft shrinkage.
• – Implant survival rate
• – Sinus grafting: materials
• – Sinus lift surgical techniques
• – Open vs. closed techniques
• – 1 stage vs. 2 stage approaches
• – Closed sinus lift:
• Instruments
• Surgical protocol
• Clinical cases.
• Recommended for: Implantologists, Oral and maxillofacial surgeons.

3. Open sinus lift

• Lesson program:
• – Open sinus lift:
• Instruments
• Perforation rate
• Surgical protocol
• Advantages of piezo
• Usage of lateral window
• Membrane vs. bony window
• Clinical cases.
• – Hyaluronic acid usage in sinus lift procedure.
• Recommended for: Implantologists, Oral and maxillofacial surgeons.

4. Advanced surgery on sinus lift

• Lesson program:
• – Bone loss
• – The graft integration
• – Types of graft: onlay and inlay
• – Donors sites
• – Usage of different burs and piezosurgical approach
• – Bone window: features and characteristics
• – Sinus lift: step-by-step protocol
• – Complications management during and after the surgery
• – Usage of biomaterials as bovine bone, synthetic bone and collagen membrane
• – Different ways of doing sinus lift with L-PRF and I-PRF
• – Pre-op and post-op medication
• – The use of L-PRF and I-PRF membranes
• – Sticky bone: step-by-step protocol
• – Clinical cases.
• Recommended for: Implantologists, Oral and maxillofacial surgeons.

5. Biological aspects of sinus lift

• Lesson program:
• – Sinus lift vs. short implants
• – Histology of peri/endosteum: sinus membrane
• – Grafting materials importance
• – Bone augmentation: biologic aspects
• – Autologous vs. xenogenic vs. synthetic bone graft materials
• – Physiology of bone regeneration
• – Atraumatic transcrestal hydrodynamic ultrasonic cavitational sinus lift (INTRALIFT).
• Recommended for: Implantologists, Oral and maxillofacial surgeons.

6. Sinus lift techniques: lateral and transcrestal approach, Intralift

• Lesson program:
• – Planning a sinus lift surgery
• – Sinus anatomy
• – Sinus membrane pathologies
• – Indications for sinus lift
• – Risks in sinus lift surgery
• – Soft tissue protection
• – Speed of bone healing
• – Sinus lift techniques:
• Lateral approach
• Transcrestal approach
• INTRALIFT.
• – Complications management: punctures or small ruptures
• – Clinical advances
• – Clinical cases.
• Recommended for: Implantologists, Oral and maxillofacial surgeons.

7. Sinus Pack Technique: how to stabilize the graft in cases of sinus membrane perforations

• Lesson program:
• – Pack preparation: fast and safe
• – Free graft technique
• – Membrane perforation
• – How to design and elevate the flap
• – Teeth preservation
• – Antrostomy and Schneiderian membrane elevation: instruments and surgical management
• – Piezosurgical sinus pack
• – Difficult antrostomy design
• – Low window technique
• – Big perforations management
• – Transient sinusitis
• – Schneiderian membrane pathology management
• – Clinical cases.
• Recommended for: Implantologists, Oral and maxillofacial surgeons.

8. Sinus lift: transalveolar technique (osteotome)

• Lesson program:
• – Survival rate of dental implants
• – Bone resorption
• – Sinus cavity pneumatization
• – Bone quality
• – Main problems to place implants
• – Rehabilitation with implants in the posterior maxilla
• – Sinus lift techniques: review
• – Transalveolar sinus lift technique:
• Indications
• Contraindications
• Principles
• Complications
• Step-by-step surgical protocol
• Clinical cases
• Advantages.
• Recommended for: Implantologists, Oral and maxillofacial surgeons.

9. Lateral sinus lift: recommendations for work organization and complications management

• Lesson program:
• – Lateral window vs. transcrestal technique
• – A decision tree for minimally invasive management of the atrophic posterior maxilla
• – Pre-operative care
• – Patient examination:
• Medical history
• Clinical examination
• X-Ray.
• – Prophylaxis of bacterial endocarditis
• – Clinical cases analysis:
• Osteonecrosis by bisphosphonates
• Cyst.
• – Biopsy: technique
• – Treatment planning
• – Esthetic risk assessment (ERA).
• – Previous care:
• Selection of instruments and organization
• Hand washing
• Assessment and patient care
• Working position.
• – Post-operative care:
• General recommendation
• Analgesia
• Antibiotic therapy
• Patient instructions.
• – Complications management:
• Membrane perforations
• Bleeding
• Displacement of implant
• Implant loss
• Sinusitis
• Graft infection.
• Recommended for: Implantologists, Oral and maxillofacial surgeons.