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Microscope-Assisted Maxillary Sinus Augmentation: A Case Series.

Benyapha Sirinirund, Hsun-Laing Chan, Diego Velasquez

    The International Journal of Periodontics & Restorative Dentistry
    |July 30, 2021
    PubMed
    Summary
    This summary is machine-generated.

    Operating microscope (OM) assisted sinus augmentation shows significant bone gain and 100% implant success. This minimally invasive technique improves visualization for delicate procedures in private practice.

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    Area of Science:

    • Dentistry
    • Oral Surgery
    • Periodontology

    Background:

    • Minimally invasive microsurgery using an operating microscope (OM) enhances wound healing in periodontal procedures.
    • The application of OM in maxillary sinus augmentation remains less explored in private practice.

    Purpose of the Study:

    • To evaluate the efficacy and clinical usefulness of operating microscope (OM)-assisted maxillary sinus augmentation in a private practice setting.
    • To assess bone gain and implant success rates following OM-assisted sinus augmentation procedures.

    Main Methods:

    • A case series involving 12 vertical sinus augmentations (VSAs) and 8 lateral sinus augmentations (LSAs) using OM.
    • Procedures included flap reflection, osteotomy, sinus membrane elevation, and implant placement under OM visualization.
    • Radiographic assessment of bone height gain after a minimum 6-month healing period.

    Main Results:

    • Mean vertical bone gain was 4.82 ± 1.31 mm for VSAs and 8.36 ± 1.45 mm for LSAs.
    • A 100% implant success rate was achieved in all cases.
    • One instance of sinus membrane perforation occurred during VSA surgery.

    Conclusions:

    • Operating microscope (OM)-assisted maxillary sinus augmentation offers superior clinical visualization.
    • This technique facilitates precise manipulation of hard and soft tissues, leading to favorable outcomes.
    • OM is a valuable tool for enhancing sinus augmentation procedures in private practice settings.