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Simple technique using ridge spreaders to safely perform a transcrestal sinus floor elevation: a technical note.

Jonas Hue1, Leonardo Saigo2, Timothy J H Sng3

  • 1Department of Oral and Maxillofacial Surgery, National Dental Centre Singapore.

Journal of the Korean Association of Oral and Maxillofacial Surgeons
|August 29, 2025
PubMed
Summary

This study introduces a novel technique for transcrestal sinus floor elevation (tSFE) using ridge spreaders, minimizing the risk of Schneiderian membrane perforation during dental implant surgery.

Keywords:
Bone substitutesDental implantsMaxillary sinusOral surgical proceduresSinus floor augmentation

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Area of Science:

  • Dentistry
  • Oral Surgery
  • Implantology

Background:

  • Transcrestal sinus floor elevation (tSFE) is crucial for vertical bone augmentation in the posterior maxilla.
  • The conventional tSFE technique carries a risk of Schneiderian membrane perforation due to its blind nature.

Purpose of the Study:

  • To present a simple, controlled technique for tSFE using readily available ridge spreaders.
  • To demonstrate a method that avoids instrument entry into the maxillary sinus, reducing perforation risk.

Main Methods:

  • A novel tSFE technique utilizing ridge spreaders is described.
  • The procedure emphasizes slow, controlled bone manipulation without direct sinus cavity instrumentation.
  • The technique is illustrated in a clinical case with challenging anatomical features.

Main Results:

  • The presented technique allows for tSFE without perforating the Schneiderian membrane.
  • It utilizes existing surgical armamentarium, avoiding specialized drills or uncomfortable osteotomes.
  • Successful augmentation was achieved in a case with limited bone height and oblique sinus floor.

Conclusions:

  • This ridge spreader technique offers a safer and simpler alternative for tSFE.
  • It enhances predictability and patient comfort in sinus lift procedures.
  • The method is suitable for complex cases requiring vertical bone augmentation for dental implants.