A Rational Approach to Sinus Augmentation: The Low Window Sinus Lift
Identifieur interne : 001B44 ( Pmc/Curation ); précédent : 001B43; suivant : 001B45A Rational Approach to Sinus Augmentation: The Low Window Sinus Lift
Auteurs : Terry Zaniol [Italie] ; Alex Zaniol [Italie]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2017.
Abstract
Sinus augmentation is a well-known approach to treating alveolar bone ridge atrophy in the posterior maxilla. The preparation of the lateral window is crucial. Its size, design, and position in the vestibular sinus wall may affect the intra- and postsurgical complication rates and affect the intrasurgical activity of both surgeons and assistants. The present paper describes a rational technique that also exploits the guided surgery approach for design and preparation of a lateral window for sinus augmentation, the Low Window Sinus Lift. To illustrate the use of this approach, a case is presented in which the 50-year-old patient had the left maxillary first molar extracted, followed two months later by sinus augmentation and placement of three implants. One year after delivery of the definitive prosthesis, all three implants were successful, and the prosthesis was fully functional. Controlled studies should be undertaken to assess whether this technique provides significant advantages compared to other sinus augmentation approaches.
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DOI: 10.1155/2017/7610607
PubMed: 28337349
PubMed Central: 5346398
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A Rational Approach to Sinus Augmentation: The Low Window Sinus Lift</title><author><name sortKey="Zaniol, Terry" sort="Zaniol, Terry" uniqKey="Zaniol T" first="Terry" last="Zaniol">Terry Zaniol</name><affiliation wicri:level="1"><nlm:aff id="I1">Studio Dentistico Zaniol, Crocetta del Montello, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Studio Dentistico Zaniol, Crocetta del Montello</wicri:regionArea></affiliation></author><author><name sortKey="Zaniol, Alex" sort="Zaniol, Alex" uniqKey="Zaniol A" first="Alex" last="Zaniol">Alex Zaniol</name><affiliation wicri:level="1"><nlm:aff id="I1">Studio Dentistico Zaniol, Crocetta del Montello, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Studio Dentistico Zaniol, Crocetta del Montello</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28337349</idno><idno type="pmc">5346398</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5346398</idno><idno type="RBID">PMC:5346398</idno><idno type="doi">10.1155/2017/7610607</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">001B44</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001B44</idno><idno type="wicri:Area/Pmc/Curation">001B44</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001B44</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">A Rational Approach to Sinus Augmentation: The Low Window Sinus Lift</title><author><name sortKey="Zaniol, Terry" sort="Zaniol, Terry" uniqKey="Zaniol T" first="Terry" last="Zaniol">Terry Zaniol</name><affiliation wicri:level="1"><nlm:aff id="I1">Studio Dentistico Zaniol, Crocetta del Montello, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Studio Dentistico Zaniol, Crocetta del Montello</wicri:regionArea></affiliation></author><author><name sortKey="Zaniol, Alex" sort="Zaniol, Alex" uniqKey="Zaniol A" first="Alex" last="Zaniol">Alex Zaniol</name><affiliation wicri:level="1"><nlm:aff id="I1">Studio Dentistico Zaniol, Crocetta del Montello, Italy</nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>Studio Dentistico Zaniol, Crocetta del Montello</wicri:regionArea></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Sinus augmentation is a well-known approach to treating alveolar bone ridge atrophy in the posterior maxilla. The preparation of the lateral window is crucial. Its size, design, and position in the vestibular sinus wall may affect the intra- and postsurgical complication rates and affect the intrasurgical activity of both surgeons and assistants. The present paper describes a rational technique that also exploits the guided surgery approach for design and preparation of a lateral window for sinus augmentation, the Low Window Sinus Lift. To illustrate the use of this approach, a case is presented in which the 50-year-old patient had the left maxillary first molar extracted, followed two months later by sinus augmentation and placement of three implants. One year after delivery of the definitive prosthesis, all three implants were successful, and the prosthesis was fully functional. Controlled studies should be undertaken to assess whether this technique provides significant advantages compared to other sinus augmentation approaches.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Danesh Sani, S A" uniqKey="Danesh Sani S">S. A. Danesh-Sani</name></author><author><name sortKey="Loomer, P M" uniqKey="Loomer P">P. M. Loomer</name></author><author><name sortKey="Wallace, S S" uniqKey="Wallace S">S. S. Wallace</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tatum Jr, H" uniqKey="Tatum Jr H">H. Tatum Jr</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tatum, O H" uniqKey="Tatum O">O. H. Tatum</name></author><author><name sortKey="Lebowitz, M S" uniqKey="Lebowitz M">M. S. Lebowitz</name></author><author><name sortKey="Tatum, C A" uniqKey="Tatum C">C. A. Tatum</name></author><author><name sortKey="Borgner, R A" uniqKey="Borgner R">R. A. 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<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi Publishing Corporation</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28337349</article-id><article-id pub-id-type="pmc">5346398</article-id><article-id pub-id-type="doi">10.1155/2017/7610607</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>A Rational Approach to Sinus Augmentation: The Low Window Sinus Lift</article-title></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-2591-6731</contrib-id><name><surname>Zaniol</surname><given-names>Terry</given-names></name><xref ref-type="aff" rid="I1"></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib><contrib contrib-type="author"><name><surname>Zaniol</surname><given-names>Alex</given-names></name><xref ref-type="aff" rid="I1"></xref></contrib></contrib-group><aff id="I1">Studio Dentistico Zaniol, Crocetta del Montello, Italy</aff><author-notes><corresp id="cor1">*Terry Zaniol: <email>drterry@studiozaniol.it</email></corresp><fn fn-type="other"><p>Academic Editor: Gilberto Sammartino</p></fn></author-notes><pub-date pub-type="ppub"><year>2017</year></pub-date><pub-date pub-type="epub"><day>26</day><month>2</month><year>2017</year></pub-date><volume>2017</volume><elocation-id>7610607</elocation-id><history><date date-type="received"><day>23</day><month>11</month><year>2016</year></date><date date-type="accepted"><day>6</day><month>2</month><year>2017</year></date></history><permissions><copyright-statement>Copyright © 2017 Terry Zaniol and Alex Zaniol.</copyright-statement><copyright-year>2017</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Sinus augmentation is a well-known approach to treating alveolar bone ridge atrophy in the posterior maxilla. The preparation of the lateral window is crucial. Its size, design, and position in the vestibular sinus wall may affect the intra- and postsurgical complication rates and affect the intrasurgical activity of both surgeons and assistants. The present paper describes a rational technique that also exploits the guided surgery approach for design and preparation of a lateral window for sinus augmentation, the Low Window Sinus Lift. To illustrate the use of this approach, a case is presented in which the 50-year-old patient had the left maxillary first molar extracted, followed two months later by sinus augmentation and placement of three implants. One year after delivery of the definitive prosthesis, all three implants were successful, and the prosthesis was fully functional. Controlled studies should be undertaken to assess whether this technique provides significant advantages compared to other sinus augmentation approaches.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>The Low Window Sinus Lift antrostomy. The lower osteotomy line (blue) is positioned flush with the sinus floor. The upper one (green) is 6 mm higher; that is, it is placed at a distance from the ridge equal to the residual bone height plus 6 mm. The mesial line (brown) is flush to the sinus anterior wall. The distal one (red) should be placed in correspondence with the position of the most distal implant.</p></caption><graphic xlink:href="CRID2017-7610607.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>Intraoral radiograph at the patient presentation. Tooth 26 is affected by an endoperiodontal lesion and is lost.</p></caption><graphic xlink:href="CRID2017-7610607.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>OPT recorded after sectioning the prosthesis and extracting the compromised element. The residual ridge presents a significant defect.</p></caption><graphic xlink:href="CRID2017-7610607.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Intraoral radiograph collected two months later showing the limited thickness of the residual posterior ridge.</p></caption><graphic xlink:href="CRID2017-7610607.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>CBCT of the sinuses. The maxillary intraosseous anastomosis at the left sinus is 16.8 mm above the ridge coronal bone level.</p></caption><graphic xlink:href="CRID2017-7610607.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>The position of the implants is preplanned on the CBCT scan. A surgical guide is designed that includes also the frame of the sinus antrostomy designed according to the low window principles.</p></caption><graphic xlink:href="CRID2017-7610607.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>The clinical appearance of the edentulous posterior maxilla (a) and the flap design (b) at no more than 10 mm from the ridge.</p></caption><graphic xlink:href="CRID2017-7610607.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>A single incision is performed on the medial, occlusal line of the ridge, preserving the papilla of the most distal residual element (a). No release incisions are carried out, and a full-thickness mucoperiosteal flap is elevated (b).</p></caption><graphic xlink:href="CRID2017-7610607.008"></graphic></fig><fig id="fig9" orientation="portrait" position="float"><label>Figure 9</label><caption><p>The preparation of the antrostomy and the elevation of the sinus membrane. First, the window is drawn on the vestibular bone wall with the aid of the surgical guide (a). The window is no more than 6 mm high (b). After performing the osteotomy (c), the sinus membrane is fully elevated (d).</p></caption><graphic xlink:href="CRID2017-7610607.009"></graphic></fig><fig id="fig10" orientation="portrait" position="float"><label>Figure 10</label><caption><p>After partially filling the grafting site, implants are being placed with the aid of the surgical guide (a) and filling is complete (b). Implants are left submerged (c), and an intraoral control radiograph is collected (d).</p></caption><graphic xlink:href="CRID2017-7610607.010"></graphic></fig><fig id="fig11" orientation="portrait" position="float"><label>Figure 11</label><caption><p>The final prosthetic rehabilitation.</p></caption><graphic xlink:href="CRID2017-7610607.011"></graphic></fig><fig id="fig12" orientation="portrait" position="float"><label>Figure 12</label><caption><p>At the one-year control after definitive prosthetic rehabilitation, implants are successful and the prosthesis is fully functional.</p></caption><graphic xlink:href="CRID2017-7610607.012"></graphic></fig></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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