Sinus lift: updated classic and the latest author’s protocols
Sinus lift: updated classic and the latest author’s protocols
Course overview
Updated classical protocols of maxillary sinus lift and simplified author's techniques in one course!
What 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.
Course lessons
Lesson 1. Golden Rules and Clinical Principles to know for a safe approach to the Maxillary Sinus
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.
Lesson 2. Different approaches in sinus lift
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.
Lesson 3. Open sinus lift
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.
Lesson 4. Advanced surgery on sinus lift
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.
Lesson 5. Biological aspects of sinus lift
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).
Lesson 6. Sinus lift techniques: lateral and transcrestal approach, Intralift
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.
Lesson 7. Sinus Pack Technique: how to stabilize the graft in cases of sinus membrane perforations
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.
Lesson 8. Sinus lift: transalveolar technique (osteotome)
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.
Lesson 9. Lateral sinus lift: recommendations for work organization and complications management
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.
