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Digitally Guided Lateral Sinus Floor Elevation With Simultaneous Implant Placement: 3 Case Reports With Technical
Priscila C Meneghetti1,2, Hamoun Sabri3,4, Ebrahim Dastouri3
1Postgraduate Program, Dental School, Pontifical University Catholic of Rio Grande do Sul, Porto Alegre, Brazil.
The Journal of Oral Implantology
|September 14, 2023
Summary
A novel digital surgical guide simplifies maxillary sinus floor elevation (LSFE) and implant placement. This technique enhances predictability and reduces complications in posterior maxilla bone augmentation.
Area of Science:
- Oral and Maxillofacial Surgery
- Dental Implantology
- Biomaterials Engineering
Background:
- Lateral window sinus floor elevation (LSFE) is crucial for posterior maxillary implant placement.
- Accurate sinus access is challenging despite advanced imaging like cone-beam computed tomography (CBCT).
- Predicting implant and window location remains difficult with conventional methods.
Observation:
- A fully digital workflow utilizing CBCT and intraoral scans was employed.
- A 3D-designed, teeth-supported surgical guide was fabricated.
- The guide facilitated precise lateral window preparation and simultaneous implant placement.
Findings:
- The digital surgical guide accurately directed the sinus window opening.
- The technique enabled ideal 3D implant positioning.
- This digital approach simplified the LSFE procedure.
Implications:
- Digital surgical guides offer a predictable and efficient method for LSFE.
- Reduced surgical time and lower complication rates are anticipated.
- This workflow enhances outcomes for dental implant therapy in the posterior maxilla.
