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Crestal Window Sinus Lift and Its Long-Term Clinical Outcomes.

Carlo M Soardi, Barbara Soardi, Hom-Lay Wang

    The International Journal of Periodontics & Restorative Dentistry
    |March 20, 2020
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    Summary

    This study introduces a crestal window sinus lift technique for severely atrophic maxillae (≤ 2 mm bone height). The procedure effectively elevates the sinus floor, enabling predictable dental implant placement after healing.

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    Area of Science:

    • Dentistry
    • Oral Surgery
    • Regenerative Medicine

    Background:

    • Maxillary sinus deficiencies often require augmentation for dental implant success.
    • Traditional sinus lift techniques include lateral window and crestal osteotome approaches.
    • Treating extremely atrophic maxillae (≤ 2 mm bone height) presents unique challenges.

    Purpose of the Study:

    • To propose and evaluate a novel sinus floor elevation technique using a crestal window approach.
    • To assess the efficacy of this technique in severely atrophic maxillae.
    • To determine the long-term clinical outcomes and predictability of the procedure.

    Main Methods:

    • A sinus floor elevation technique involving a crestal window access was utilized.
    • The sinus membrane was carefully detached and elevated through the crestal window.
    • Human particulated allografts were used to augment the sinus floor.
    • Primary closure was achieved, followed by a 6-9 month healing period before implant placement.

    Main Results:

    • The crestal window sinus lift procedure demonstrated predictable outcomes for severely atrophic maxillae.
    • An average sinus floor elevation height of 11.73 mm was achieved.
    • Successful dental implant placement was performed after the healing period.

    Conclusions:

    • The crestal window sinus lift is a predictable and effective procedure for augmenting maxillary sinus floors with minimal bone height (≤ 2 mm).
    • This technique offers a viable solution for complex cases requiring significant sinus floor elevation.
    • Long-term clinical outcomes support the reliability of this approach for implant dentistry.