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Indications and Regenerative Techniques for Lateral Window Sinus Floor Elevation With Ridge Augmentation.

Riccardo Scaini1,2, Muhammad H A Saleh3, Hong-Chang Lai4

  • 1IRCCS Galeazzi Sant'Ambrogio Hospital, Dental Clinic, Section of Implant Dentistry and Oral Rehabilitation, Milan, Italy.

Clinical Implant Dentistry and Related Research
|May 9, 2025
PubMed
Summary

Systemic conditions and local factors impact maxillary sinus elevation for dental implants. Tailored pre-operative assessments and advanced digital planning are crucial for successful outcomes.

Keywords:
alveolar ridge augmentationcomplicationsdental implantssinus floor augmentation

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Area of Science:

  • Dental Implantology
  • Oral and Maxillofacial Surgery
  • Regenerative Dentistry

Background:

  • Maxillary sinus elevation is vital for posterior maxilla bone augmentation in dental implantology.
  • Systemic conditions (e.g., diabetes, smoking) and local factors pose significant challenges to sinus lift procedures.
  • Evolving surgical techniques and digital planning aim to improve outcomes and mitigate risks.

Purpose of the Study:

  • To review the implications of various systemic and local conditions on maxillary sinus elevation.
  • To discuss the role of Digital Surgical Planning (DSP) in optimizing sinus lift procedures.
  • To examine surgical techniques, regenerative procedures, and post-operative care for sinus elevation.

Main Methods:

  • Comprehensive review of systemic conditions affecting sinus floor elevation.
  • Analysis of Digital Surgical Planning (DSP) protocol including CBCT and virtual planning.
  • Examination of lateral window antrostomy techniques, regenerative materials, and post-operative management.

Main Results:

  • Systemic conditions require tailored clinical considerations for risk mitigation.
  • Digital Surgical Planning (DSP) enhances predictability and optimizes surgical outcomes.
  • The lateral window approach offers significant advantages, including access and versatility, despite newer techniques.

Conclusions:

  • Implantologists must possess diverse skills and make evidence-based decisions for individual patient needs.
  • The lateral window sinus elevation technique remains a cornerstone of pre-prosthetic surgery due to its proven efficacy and adaptability.
  • Continuous advancements in methodologies and clinical practice ensure the ongoing relevance of the lateral window approach.