Lateral Window Sinus Elevation Technique with Piezosurgery® and the placement of dental implants in two surgical stages.

Clinical situation pre-operatively

Atrophied posterior maxilla with insufficient bone height The distance between the top of residual alveolar crest and the floor of sinus : for ≠16 : 5,42 mm for ≠17 : 0,57mm

A technique for bone augmentation in this region by preparing a window in the lateral wall of the sinus was first published in 1980

my piezosurgery Piezoelectric surgery is an innovative device for general practitioners and experienced oral surgeons for implantology, periosurgery, endodontic surgery, and oral surgery. Compared to other osteotomy instruments, the advantages of ultrasonic surgical instruments are: 1) micrometric bone cut, 2) selective cut, and 3) clear surgical field.

Piezosurgery has been developed by Tomaso Vercellotti to overcome the limits of precision and intraoperatory safety existing in traditional bone cutting instruments. Piezosurgery allows to obtain high predictability and low morbidity in bone surgery.

Vercellotti T, Crovace A, Palermo A, Molfetta A. The piezoelectric osteotomy in orthopedics: Clinical and histological evaluations (Pilot study in animals) Mediterranean J Surg Med. 2001;9:89–96.

Initial lateral window osteotomy with a piezosurgery.

removal of the bony window

the lateral window

The CompuDent program is an effective tool in determining the volume of bone graft given its simplicity, rapidness and possibility of standardization in all pre-surgical procedures.

Donor tissue for sinus augmentation has been derived from various sources, including autogenous, human donor and bovine donor bone or in combination

According to this study : Anorganic bovine bone used alone appears to be a suitable material for sinus floor augmentation.

Congratulations!

Lateral Window Sinus Elevation Technique with Piezosurgery® and the placement of dental implants in two surgical stages.

Lateral Window Sinus Elevation Technique with Piezosurgery® and the placement of dental implants in two surgical stages.