Dental Education
Online Dental Education Dental education lectures and videos Online dental ce Dental education articles Expert dental educators Dental products education Dental Community
 
Video Details
Internal Hydraulic Sinus Lift Procedure utilizing the Crestal Approach

Description:
In this video case report, “conservative” internal management of posterior maxilla is highlighted featuring new tools, techniques and biologics. Evaluation and Management of the deficient posterior region is handled by via CBCT Diagnostics and the CAS-KIT Crestal Approach Sinus Kit from Hiossen. Flap Reflection, Drilling sequence, Hydraulic Sinus Lifting of the Schniderian Membrane as well as the utilization of PRGF, Fibrin and Synthetic Bone Putty is highlighted in a conservative crestal approach. This is followed by final suturing using a horizontal and running mattress method.

Date Added:
9/18/2013

Author(s):

Maurice Salama, DMD Maurice Salama, DMD
Dr. Maurice A. Salama completed his undergraduate studies at the State University of New York at Binghamton in 1985, where he received his BS in Biology. Dr. Salama r...
[read more]

Recognized Institutes

Featured Products
B.T.I. Biotechnology Institute
PRGF Endoret


Online Videos / Surgery / Sinus Lift / Internal Hydraulic Sinus Lift Procedure utilizing the Crestal Approach




Questions & Comments
James Vu - (9/18/2018 2:35 PM)

Beautiful work. Probably the cleanest way of doing this lift I have ever seen being done. The PRGF membranes are so easy to work with vs conventional resorbable membranes. Awesome, thank you for this.

Maurice Salama - (11/8/2016 4:15 PM)

2cc water for 10mm lift. Typically only 0.5gm bone for crestal lift of 3-5mm and 2.0-4.0gms for lateral approach. Dr. Salama

Neda Nasr - (11/8/2016 4:01 AM)

thank you dr salama the video was wonder ful.could i ask how much bone graft material is need for every milimeter membran elevation? and how much watter is need for every milimeter elevation.?

Stephanie Maletter - (10/22/2015 8:41 AM)

Can you please tell me what type of handpiece is used with the Neobiotech SLA kit. It has to be a surgical handpiece (1:2.7) but it also has to be latch type. Please advise

Dimitris Chatziemmanouil - (11/1/2014 3:41 PM)

Thank you dr Salama for the quick response.

Maurice Salama - (11/1/2014 12:43 PM)

Dimitris; Thank you. Yes, if you see the video, I mention how the fluid comes back out of the crestal access. That is another way but with Valsalva I place a mirror over the access and if it becomes "fogged" then there is air escaping. Hope this clarifies things. Dr. Salama

Dimitris Chatziemmanouil - (11/1/2014 11:34 AM)

Thank you for the wonderful presentation Dr Salama. Isn't the Valsava test contraindicated for Crestal approach sinus lift because if there is not a perforation the membrane expands again on the sinus floor?Dr Mazor recommended the saline irrigation test to check for perforation. Is there any other safe way to check it?

Michael Zidile - (10/29/2014 10:18 PM)

Wonderful technique. Do you have the pre-and post-op radiographs available to view?

Maurice Salama - (10/28/2014 3:27 PM)

Mohammad and Darawsha; Thank you for your kind words. Regarding test for sinus perforation you must perform the Valsalva test. The Valsalva maneuver is performed by moderately forceful attempted exhalation against a closed airway, usually done by closing one's mouth, pinching one's nose shut while pressing out as if blowing up a balloon. If there is a large perforation I would access the sinus again laterally and seal the perforation with a collagen membrane and Fibrin. Typically I utilize 1-2gms of bone per side but it depends on the number of teeth involved. regards Dr. Salama

Related Videos
Advanced Simultaneous Bone Ridge Augmentation and Internal Sinus Elevation - Part 2 of 2 Premium Member Content

Advanced Simultaneous Bone Ridge Augmentation and Internal Sinus Elevation - Part 2 of 2
This video centric and surgically based presentation will highlight a few of these new tools in the augmentation of a severely resorbed posterior maxillary ridge in conjunction with a progressive crestal approach for sinus augmentation.

Presented By:: Maurice Salama, DMD
Presentation Style: Video
Community Rating:
 
Watch Now>>
Atraumatic Sinus Grafting Techniques Premium Member Content

Atraumatic Sinus Grafting Techniques
Dr. Samuel Lee outlines his thorough decision making criteria for choosing either a lateral or a crestal approach to sinus elevation and augmentation.

Presented By:: Samuel Lee, DDS
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Sinus Augmentation - Current and Future Trends - Part 2 Premium Member Content

Sinus Augmentation - Current and Future Trends - Part 2
Dr. Ziv Mazor details the latest innovations in sinus augmentation.

Presented By:: Ziv Mazor, DMD
Presentation Style: Lecture
Community Rating:
 
Watch Now>>
Related Courses
Innovative New Technique for Minimally Invasive Crestal Sinus Lift Approach Premium Member Content

Innovative New Technique for Minimally Invasive Crestal Sinus Lift Approach
This webinar will describe the protocol for a trans-crestal sinus lift by using an innovative product called the Magnetic Mallet. This technique allows the clinician to perform a sinus lift and same time osseodensification with immediate implant placement, in an atraumatic and conservative fashion. Dr Baldi will describe the benefits he has seen in his daily practice as well as the additional opportunities in treating "everyday cases" with this magnetic dynamic technology.

Presented By:: Domenico Baldi, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Emerging Concepts in Sinus Augmentation; Atraumatic and Efficient Crestal and Lateral Access Techniques Premium Member Content

Emerging Concepts in Sinus Augmentation; Atraumatic and Efficient Crestal and Lateral Access Techniques
This presentation will highlight through in depth clinical case documentation, the new and evolving role of instrumentation for access to the Sinus for Bone Augmentation. Efficiency and minimally invasive approaches which increase success and minimize complications will be highlighted. Posterior Maxillary reconstruction often involves Sinus Augmentation and Implants then inserted into the grafted site. A knowledge of useful and clinically manageable techniques that provide access but minimize large surgical flaps and sinus membrane perforations are keys to success.

Presented By:: Samuel Lee, DDS
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Sinus Augmentation - Current and Future Trends Premium Member Content

Sinus Augmentation - Current and Future Trends
In this presentation, Dr. Ziv Mazor reviews present techniques as well as detailing the latest innovations in sinus augmentation. Specifically, Dr. Mazor pays special focus to new materials and techniques involving both the crestal as well as the lateral window approach.

Presented By:: Ziv Mazor, DMD
Presentation Style: Online Self-Study Course
CE Hours: 1 CEU (Continuing Education Unit)
Watch Now>>
Related Articles
The Piezoelectric Bony Window Osteotomy and Sinus Membrane Elevation

The Piezoelectric Bony Window Osteotomy and Sinus Membrane Elevation
Introduction of a New Technique for Simplification of the Sinus Augmentation Procedure

Author(s): Tomaso Vercellotti, MD, DDS;Myron Nevins, DDS;Sergio De Paoli, MD, DDS
View Article>>
Indirect Sinus Lift with CPS Putty

Indirect Sinus Lift with CPS Putty
In situations where lack of bone volume is related to an enlarged maxillary sinus, elevation of the sinus floor has been advocated for implant placement.

Author(s): Lanka Mahesh, BDS, MBA;Dr. Manesh Lahori; Dr. Sagrika Shukla; Dr. Prerna Kaushik
View Article>>
Alternative Applications of Guided Surgery: Precise Outlining of the Lateral Window in Antral Sinus Bone Grafting

Alternative Applications of Guided Surgery: Precise Outlining of the Lateral Window in Antral Sinus Bone Grafting
Computed tomography (CT) and the application of CT-based guided implant surgery allow clinicians to provide enhanced precision and accuracy in implant surgery. Because of the difficulty in transferring a patient’s often complex anatomic sinus configurations, as viewed on a preoperative CT scan, into precise osteotomy cuts at antral bone graft surgery, a prototype cutting guide was developed. The surgical guide was developed through the use of CT imaging and the stereolithographic process to precisely position the lateral window, facilitating schneiderian membrane elevation. This report demonstrates the step-by-step method to perform precise guided sinus window preparation using computer software and a stereolithographically generated surgical guide.

Author(s): George A. Mandelaris, DDS, MS;Alan L. Rosenfeld, DDS, FACD
View Article>>
Contact Us | Privacy Policy | Terms of Use
©2019

Preferred Language: English Flag
Contact Us · Login ·