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Clinical and Radiographic Examination of Endoscopically Controlled Indirect Sinus Lift: An In vivo Study.

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    Endoscopically controlled osteotome sinus floor elevations (ECOSFE) with simultaneous implant placement achieved significant bone height gain. This safe technique for sinus augmentation resulted in zero sinus membrane perforations, enabling immediate dental implant placement.

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    Area of Science:

    • Dental Implantology
    • Oral Surgery
    • Regenerative Medicine

    Background:

    • Sinus floor elevation is crucial for dental implant success in the posterior maxilla.
    • Traditional sinus lift techniques carry risks of sinus membrane perforation.
    • Endoscopic visualization offers enhanced control during sinus augmentation procedures.

    Purpose of the Study:

    • To quantify bone height augmentation using endoscopically controlled osteotome sinus floor elevations (ECOSFE).
    • To assess the incidence of sinus membrane perforations during ECOSFE with simultaneous implant placement.
    • To evaluate the safety and efficacy of ECOSFE for immediate dental implant placement.

    Main Methods:

    • Indirect sinus lift performed on 10 patients using an endoscopic osteotome technique.
    • Average residual alveolar crest height was 5.625 mm.
    • Bone augmentation utilized platelet-rich fibrin and autogenous bone.

    Main Results:

    • A mean bone height gain of 5.205 mm was achieved.
    • Twenty dental implants (mean length 10.65 mm) were placed simultaneously.
    • Sinus membrane perforation was not observed during the endoscopic procedures.

    Conclusions:

    • ECOSFE is a safe and well-controlled method for sinus floor augmentation.
    • The technique facilitates immediate dental implant placement with predictable bone gain.
    • Endoscopic control enhances safety and patient acceptance in sinus lift procedures.