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Related Experiment Video

Updated: Mar 6, 2026

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Sinus Membrane Elevation by the Crestal Approach Using a Novel Drilling System.

Young-Kyun Kim1, Ji-Young Lee, Jin-Woo Park

  • 1*Professor, Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Sungnam, Republic of Korea; Department of Dentistry, Dental Research Institute, School of Dentistry, Seoul National University, Seoul, Republic of Korea. †Resident, Department of Oral and Maxillofacial Surgery, Section of Dentistry, Seoul National University Bundang Hospital, Sungnam, Republic of Korea. ‡Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Republic of Korea. §Associate Professor, Department of Oral and Maxillofacial Surgery, School of Dentistry, Chosun University, Gwangju, Republic of Korea.

Implant Dentistry
|March 14, 2017
PubMed
Summary

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This study shows that a novel drilling system for sinus membrane elevation via a crestal approach achieved a 100% implant survival rate with minimal bone loss and reduced perforation risk.

Area of Science:

  • Oral surgery
  • Implant dentistry
  • Regenerative medicine

Background:

  • Maxillary sinus augmentation is crucial for dental implant placement in the posterior maxilla.
  • Minimally invasive techniques aim to reduce surgical morbidity and improve patient outcomes.
  • The crestal approach for sinus membrane elevation offers potential advantages over the lateral window technique.

Purpose of the Study:

  • To evaluate the clinical outcomes of maxillary sinus membrane elevation using a novel drilling system via a minimally invasive crestal approach.
  • To assess implant survival rates and bone stability following the procedure.

Main Methods:

  • A prospective study involving 19 patients (21 implants) from May 2008 to November 2009.
  • Maxillary sinus membrane elevation performed using a crestal approach with a specialized kit (Neobiotech).

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  • Implants placed in areas with insufficient residual bone height.

    • Main Results:

    • 100% implant survival rate with no sinus perforations or osseointegration failures.
    • Average augmented alveolar height of 5.81 mm.
    • Minimal average bone height reduction of 0.82 mm at final follow-up.

    Conclusions:

    • Crestal sinus membrane elevation with specialized reamers is a safe and effective technique.
    • This approach significantly reduces the risk of sinus membrane perforation.
    • The procedure is rapid and offers favorable clinical outcomes for dental implantology.