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The Palatal Approach for Direct Maxillary Sinus Floor Elevation: A Case Report.

Ioannis Kormas1,2, Alessandro Pedercini1, David B Paulson1

  • 1Division of Periodontology, Department of Developmental and Surgical Sciences, School of Dentistry, University of Minnesota, Minneapolis, Minnesota, USA.

Clinical Advances in Periodontics
|July 10, 2021
PubMed
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This study introduces a novel palatal approach for maxillary sinus floor elevation in complex cases with unfavorable anatomy. This technique offers a viable alternative when traditional methods face limitations due to thick bone walls or septa.

Area of Science:

  • Dentistry
  • Oral Surgery
  • Maxillofacial Surgery

Background:

  • Traditional maxillary sinus floor elevation techniques (direct/indirect) are standard but have limitations.
  • Unfavorable sinus anatomy and thick lateral bony walls can complicate these procedures.

Observation:

  • A case presentation details a 42-year-old female requiring sinus floor elevation after a failed prior attempt.
  • Anatomical limitations included a thick buccal wall (6-9 mm) and sinus septa.
  • Access to the sinus membrane was achieved from the palatal side.

Findings:

  • The palatal approach facilitated successful sinus augmentation despite anatomical challenges.
  • This method enabled future dental implant placement.

Implications:

Keywords:
Cone-beam computed tomographydental implantssinus floor augmentation

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  • The palatal approach is a valid alternative for sinus floor elevation in select cases with anatomical limitations.
  • This technique expands treatment options for complex maxillary sinus augmentation.
  • Successful augmentation allows for predictable dental implant restoration.