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Minimally-Invasive Endoscopic-Assisted Sinus Augmentation.

Filippo Giovannetti1, Ingrid Raponi, Paolo Priore

  • 1Università degli Studi di Roma La Sapienza Dipartimento di Scienze Odontostomatologiche e Maxillo Facciali. Viale del Policlinico 155, IT 00185, Roma.

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Summary
This summary is machine-generated.

Endoscopic-assisted sinus augmentation using a lateral approach is a safe technique for maxillary atrophy. This method effectively reduces membrane perforation and ensures optimal bone grafting, proving beneficial for complex cases.

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Area of Science:

  • Oral and Maxillofacial Surgery
  • Dental Implantology
  • Regenerative Medicine

Background:

  • Severe maxillary atrophy presents challenges for dental implant placement.
  • Traditional sinus augmentation techniques carry risks such as Schneiderian membrane perforation.

Purpose of the Study:

  • To evaluate the efficacy and safety of an endoscopic-assisted lateral approach for sinus floor augmentation.
  • To minimize Schneiderian membrane perforation rates.
  • To ensure adequate new bone apposition in the posterior maxillary sinus.

Main Methods:

  • A cohort of 10 patients with severe maxillary atrophy underwent endoscopic-assisted sinus augmentation via a lateral approach.
  • Data collected from January 2017 to December 2017.

Main Results:

  • Only one patient experienced a minor intraoperative membrane perforation, which was successfully repaired.
  • No significant postoperative complications like bleeding, infection, oro-antral fistula, or V2 dysesthesia were reported.
  • Radiological assessment revealed no evidence of biomaterial displacement or sinusitis.

Conclusions:

  • Endoscopic-assisted sinus augmentation with a lateral approach provides a clear surgical view, enhancing safety.
  • Preliminary results indicate this technique is effective in preventing membrane perforation and ensuring optimal xenograft distribution.
  • This method shows promise for revision surgeries and complex maxillary augmentation cases.