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Internal sinus manipulation (ISM) procedure: a technical report.

Jason M Yamada1, Hyoung-Jin Park

  • 1Department of Periodontics, Loma Linda University, Loma Linda, CA, USA. Gums123@aol.com

Clinical Implant Dentistry and Related Research
|August 25, 2007
PubMed
Summary
This summary is machine-generated.

A new Internal Sinus Manipulation (ISM) procedure offers a minimally invasive alternative for sinus augmentation. This technique reduces patient morbidity compared to traditional lateral window approaches for posterior maxillary implants.

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Implantology

Background:

  • Sinus augmentation is crucial for posterior maxillary dental implants.
  • Traditional lateral window techniques can cause significant postoperative swelling.
  • Osteotome techniques offer less invasiveness but have limitations in bone augmentation predictability.

Observation:

  • The Internal Sinus Manipulation (ISM) procedure provides direct tactile access to the sinus membrane.
  • It utilizes conventional osteotomy and specialized instrumentation for membrane elevation.
  • Bone grafting is performed laterally and vertically through the osteotomy site.

Findings:

  • The ISM procedure allows for sinus membrane manipulation without perforation.
  • It facilitates sinus floor augmentation with reduced surgical trauma.
  • A planned implant can be placed subsequently.

Implications:

  • ISM is a viable alternative to the lateral window technique for sinus augmentation.
  • This minimally invasive approach reduces patient morbidity.
  • It expands treatment options for posterior maxillary implant placement.