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Sinus floor elevation with crestal approach and immediately loaded post-extraction implants.

Federico Mandelli1, Paolo Ghensi, Raffaele Vinci

  • 1University of Milano, Milano, Italy.

Journal (Indiana Dental Association)
|October 29, 2013
PubMed
Summary

This study presents a challenging case of immediate dental implant placement in the posterior maxilla. It demonstrates a successful protocol for replacing compromised teeth with immediately loaded implants during a sinus floor elevation procedure, shortening treatment time.

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Implantology

Background:

  • Posterior maxillary alveolar ridges frequently have insufficient bone volume, complicating dental implant placement.
  • Limited vertical bone height often necessitates sinus augmentation, typically via a lateral window approach or delayed implant placement.

Observation:

  • Osteotome techniques offer a less invasive method for sinus floor elevation when at least 5 mm of residual bone is present.
  • Standard protocol involves implant placement 4-6 months after osteotome-mediated sinus floor elevation.

Findings:

  • This report details a challenging case successfully utilizing osteotome-mediated sinus floor elevation.
  • Two compromised maxillary teeth were replaced with immediately loaded post-extraction implants within the same surgical session.
  • A thorough surgical protocol enabled immediate implant loading, significantly shortening the overall treatment duration.

Implications:

  • This case highlights the potential for immediate implant loading in conjunction with osteotome-mediated sinus floor elevation.
  • Such a protocol can reduce treatment time for patients with compromised posterior maxillary bone.
  • Careful surgical planning and execution are crucial for achieving successful outcomes in complex cases.