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Video Details
The Management of a Septum and a Large Retention Cyst in the Sinus and Simultaneous Sinus Augmentation

Description:
While sinus augmentation has become a more routine surgical procedure in today's practice, there are often unique challenges to overcome such as septums, lack of primary crestal bone and retention cysts. This presentation aims to demonstrate the management of a large retention cyst at the same time as simultaneous sinus augmentation. Surgical protocol, complications and management will be discussed.

Date Added:
12/11/2012

Author(s):

Dong-Seok Sohn, DDS, PhD Dong-Seok Sohn, DDS, PhD
Dr. Dong-Seok Sohn received his DDD from 1989, DDS : School of Dentistry, Kyungbook National University in 1989. He complted training of oral and maxillofacial Surgery ...
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Online Videos / Surgery / Sinus Lift / The Management of a Septum and a Large Retention Cyst in the Sinus and Simultaneous Sinus Augmentation




Questions & Comments
Carl Choi - (11/2/2013 11:23 PM)

Thank you Dr. Sohn for all your excellence. I have 3 questions: 1)Since no bone graft was used in the sinus lift the implants alone served to maintain space to allow for new bone growth. If there was not enough vertical bone height to allow for simultaneous implant placement and a staged sinus lift is performed in the presence of a cyst, if no bone graft material is used (following your recommendation to reduce the risk of infection), what would serve to maintain space for new bone formation? The CGF would not seem to be able to maintain space by itself. 2)The cyst was decompressed by aspiration but not excised. Although it is smaller in the post-op films do you feel it needs definitive treatment? 3)Is CGF analgous to PRF-no activator required, simply centrifuge and use the platelet plug separated from the RBCs or compress in a compression tray? Thank you so much!

Dong Sohn - (12/16/2012 9:00 PM)

I mainly use fibrin gel in one staged sinus graft. But sometime I have used this with two staged procedure.
Result is almost same as that of bone graft.
Thank you DS.

alper gultekin - (12/16/2012 3:43 PM)

Great surgery. Do you use these growth factors only in one stage sinus surgery(implant insertion at the same time), or also use in two stage procedures? Do you always get the same results as bone grafts? Thanks

Sam Busich - (12/14/2012 8:14 AM)

Excellent Clinical Skill. Thank you for sharing. I learned much from your video. Sam

Dong Sohn - (12/13/2012 8:12 PM)

Thank you Dr.
Small retention cyst is not idientified with plain radiograph. But ignore this cyst when doing lat. approach.

CBCT is recommended for ddx cyst, mucosal thickening and sinustis.

DS

omid moghaddas - (12/13/2012 4:05 PM)

great job Dr Sohn.my question is how exactly it would be possible to diagnose retentio cyst radiographically,cause it didnt have the typic dome shaped appearance.tnx

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