Keywords
Sinus Lift
Side Window
Surgery
Maxillary Sinus
Side Window
Surgery
Maxillary Sinus
How to Cite
Medeiros de Araújo Bacelar, S., & Gomes Guimarães Neto, U. (2019). SINUS LIFT: REALIZATION AND SURGICAL TECHNIQUES. Brazilian Journal of Implantology and Health Sciences, 1(5), 119–146. Retrieved from https://bjihs.emnuvens.com.br/bjihs/article/view/16
Abstract
Introduction: Implantology has been increasingly requested among edentulous patients who want to reestablish their masticatory function. However, in some cases, the bone deficit in the posterior maxilla due to pneumatization of the maxillary sinus makes the area unsuitable for receiving implants.
Objectives: This study aims to outline the main aspects related to the practice of modalities of maxillary sinus lift surgery. Addressing the surgical techniques, the anatomy of the maxillary sinus, specific indications and contraindications, as well as the risks and complications of the surgical procedure addressed, aiming to offer a better theoretical basis for the clinical practice of the implant dentist.
Methodology: In this research we used the online search engines: Pubmed, Scielo, Science Direct, and Google Scholar, performing the search through the keywords: “Maxillary sinus elevation”, “Maxillary sinus elevation techniques” , "Maxillary Sinus Anatomy", "Densah Burs Technique", "Summers Technique", "Meisinger Technique" and "Intralift Technique", which were then combined in multiple and successive ways.
Conclusion: Maxillary sinus elevation is a successful and effective proposal, with a high success rate for increased alveolar bone deficiency in the posterior maxilla.
References
1- Bezerra FJB, Lenharo A. Terapia clínica avançada em implantodontia. São Paulo: Artes Médicas, 2002.
2- Lim TJ, Csillag A, Irinakis T, Nokiani A, Wiebe CB. Intentional angulation of an implant to avoid a pneumatized maxillary sinus: a case report. Journal Canadian Dentist Association, Canadá, mar-2004; v. 70, n.3, p.164-166.
3- Matte EW. Enxerto de sínfise mandibular para a recuperação de rebordos reabsorvidos e colocação de implantes osseointegrados. Dissertação de mestrado - Faculdade de Odontologia, Universidade de São Paulo, 2000.
4- ARADA, Juan Marques Garcia, PEREZ, Zenon Coimbra. Phytotherapy in dentistry: survey of products of plant origin for health oral. Brazilian Journal of Implantology and Health Sciences. v.1, n.3, p. 35-40, 2019.
5- Pires, BM. Avaliação de diferentes técnicas de levantamento de seio maxilar (Sinus lift) destinadas a implantodontia: Revisão de literatura. Trabalho de Conclusão de Curso (Graduação) – UFRGS, Porto Alegre, 2012.
6- Ulm, C. W., et al. The edentulous maxillary alveolar process in the region of the maxillary sinus- a study of physical dimension. Int J Oral Maxillofac Surg, 1995; 24, pp. 279-282.
7- Summers, RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium, 1994; 15, pp. 152-158.
8- Lazzara, RJ. The sinus elevation procedure in endosseous implant therapy. Curr Opin Periodontol, 1996; 3, pp. 178-183.
9- Winter AA, Pollack AS, Odrich RB. Placement of implants in the severely atrophic posterior maxilla using localized management of the sinus floor: a preliminary study. International J Oral Maxillofacial Implants, Lombard, Sep-Oct 2002; v. 17, n. 5, p. 687-95.
10- Kfir, E., et al. Minimally invasive antral membrane balloon elevation followed by maxillary bone augmentation and implant fixation. J Oral Implantol, 2006; 32, pp. 26-33.
11- Kfir, E., et al. Minimally invasive antral membrane balloon elevation: report of 36 procedures. J Periodontol, 2007; 78, pp. 2032-2035.
12- Huwais, S. Osseodensifation facilited Densah lift protocol. 2018. Disponível em: https://versah.com/our-science/consultado em 10/07/2019.
13- Baron, K. e Venkatram, N. Minimally invasive crestal approach sinus floor elavation using Densah Burs, and hydraulic utilising putty graft in Cartridge delivery. Clin Oral Implant Res, 2017; 28(4), pp. 203.
14- PARAGUASSU, Éber Coelho; LACERDA, Jamille dos Passos. Oral health of the elderly in Brazil: Systematic review. Brazilian Journal of Implantology and Health Sciences, v.1, n.2, p. 25-33, 2019.
15- Raja S. Management of the Posterior Maxilla With Sinus Lift: Review of Techniques. J Oral Maxillofac Surg. 2009; 67:1730-4.
16- Canullo L, Claudia D. Sinus Lift a Nanocrystal.ine Hydroxypatite Silica Gel in Severely Resorbed Maxillae: Histological Preliminary Study. Clin Implant Dent Relat Res. 2009; 11:7-13.
17- Tosoulis G, Yao S, Fine J. The Maxillary Sinus: Chal.enges and Treatments for Implant Placement. Compendium. 2011; 32:10–20.
18- Esposito M, Grusonvin M, Rees J, Karasoulos D, Felice P, Alissa R, et al. Effectiveness of sinus lift procedures for dental implant rehabilitation: a Cochrane systematic reviw. Eur J Oral Implantol. 2010; 3:7-26.
19- Somanathan R, S imunek A. Evaluation of the success of - Tricalciumphosphate and deproteinezed bovine bone in maxillary sinus augmentation using histomorphometry: A review. Acta Medica. 2006; 49:87-9.
20- Misch, Carl E. Implantes dentais contemporâneos. Rio de Janeiro: Elsevier, 2008.
21- Danesh-Sani SA, Loomer PM, Wallace SS. A comprehensive clinical review of maxillary sinus floor elevation: anatomy, techniques, biomaterials and complications. Br J Oral Maxillofac Surg. 2016; 54(7):724-30.
22- Kqiku L, Biblekaj R, Weiglein AH, Kqiku X, Stadtler P. Arterial blood architecture of the maxillary sinus in dentate specimens. Croat Med J. 2013; 54(2): 180-4.
23- Helmy MA. Maxillary Sinus Lifting: Review of the Two Main Approaches. Glob J Otolaryngology. 2017; 8(4):8-11.
24- Rosano G, Taschieri S, Gaudy JF, Weinstein T, Del Fabbro M. Maxillary sinus vascular anatomy and its relation to sinus lift surgery. Clin Oral Implants Res. 2011; 22(7):711–5.
25- Mohan N, Wolf J, Dym H. Maxillary Sinus Augmentation. Dent Clin North Am. 2015; 59(2):375-88.
26- Attar BM, Alaei S, Badrian H, Davoudi A. Clinical and radiological evaluation of implants placed with osteotome sinus lift technique: 19-month follow-up. Ann Maxillofac Surg. 2016; 6(2):190-4.
27- David GM, Vermudt A, Ghizoni JS, Pereira JR, Pamato S. Levantamento de Seio Maxilar: Uma Comparação de Técnicas. J Res Dent. 2018; 6(2):43-8.
28- Danesh-Sani SA, Loomer PM, Wallace SS. A comprehensive clinical review of maxillary sinus floor elevation: anatomy, techniques, biomaterials and complications. Br J Oral Maxillofacial Surg. 2016; 54(7):724-30.
29- Huwais S, Meyer EG. A Novel Osseous Densification Approach in Implant Osteotomy Preparation to Increase Biomechanical Primary Stability, Bone Mineral Density, and Bone-to-Implant Contact. International J Oral Maxillofacial Implants. 2017; 32(1):27-36.
30- Bravetti, MS. As Técnicas de Elevação do Seio Maxilar. Trabalho de Conclusão de Curso (Mestrado) – Faculdade de Ciências da Saúde da Universidade Fernando Pessoa. Porto, 2018.
31- Lahens B, Lopez CD, Neiva RF, Bowers MM, Jimbo R, Bonfante EA, et al. The effect of osseodensification drilling for endosteal implants with different surface treatments: A study in sheep. J Biomed Mater Res Part B Appl Biomater. 2018; 1-9.
32- Alifarag AM, Lopez CD, Neiva RF, Tovar N, Witek L, Coelho PG. Temporal osseointegration: Early biomechanical stability through osseodensification. J Orthop Res. 2018; 36(9): 2516-23.
33- Podaropoulos L. Increasing the Stability of Dental Implants: the Concept of Osseodensification. Balk J Dent Med. 2017; 21(3):133-40.
34- Wankhede A, Wankhede S, Wasu S. Deceiving the Uncertainty of Primary Stability: Densah® Burs What. J Int Clin Dent Res Organ. 2017 ;9(2):52.
35- Oliveira PGFP de, Bergamo ETP, Neiva R, Bonfante EA, Witek L, Tovar N, et al. Osseodensification outperforms conventional implant subtractive instrumentation: A study in sheep. Mater Sci Eng C. 2018; 90: 300–7.
36- Peleg M, Mazor Z, Garg AK. Augmentation grafting of the maxillary sinus and simultaneous implant placement in patients with 3 to 5 mm of residual alveolar bone height. Int J Oral Maxillofac Implants. 1999; 14(4): 549–56.
37- Stern A, Green J. Sinus Lift Procedures: An Overview of Current Techniques. Dent Clin North Am. 2012; 56(1): 219–33.
38- Pal US, Sharma NK, Singh RK, Mahammad S, Mehrotra D, Singh N, et al. Direct vs.indirect sinus lift procedure : A comparison. Natl J Maxillofac Surg. 2012; 3(1):31-7.
39- PARAGUASSU, Éber Coelho et al. Qualidade de vida e satisfação em usuários de prótese total no estado do Amapá, Brasil. Revista Eletrônica Acervo Saúde, n. 27, p. e876-e876, 2019
40- Patil PS, ML B, Thakare KS. Sinus Bone Graft - Where and Where Not to be? – A Review. Periodontics Prosthodont. 2016; 2(3): 1-10.
41- Vazquez JCM, Rivera ASG de, Gil HS, Mifsut RS. Complication rate in 200 consecutive sinus lift procedures: Guidelines for prevention and treatment. J Oral Maxillofac Surg. 2014; 72(5): 892-901.
42- Guerrero JS. Lateral window sinus augmentation: Complications and outcomes of 101 consecutive procedures. Implant Dent. 2015; 24(3): 354-61.
43- Jensen OT, et al. Report of the sinus consensus conference of 1996. Int J Oral Maxillofac Implants, 1998; 13, pp. 11-45.
44- Toffler M. Osteotome-mediated sinus floor elevation: a clinical report. Int J Oral Maxillofac Implants, 2004; 19, pp. 266-273.
45- Macia Y. e Louise, F. (). The Intralift Technique. In practical osseous surgery in periodontics and implant dentistry. Wiley Blackwell. 2011; 12, pp. 147-156.
46- Garbacea A., et al. The incidence of maxillary sinus membrane perforation during endoscopically assessed crestal sinus floor elevation: a pilot study. J Oral Implantol, 2012; 38, pp. 345-359.
47- Stelze F, Benner KU. Evaluation of diferente methods of indirect sinus floor elevation for elevation heights of 10 mm: na experimental ex vivo study. Clin Implant Dent Relat Res, 2011; 13(2), pp. 124-133.
48- Fugazzoto, A. Immediate implant placement following a modified trephine/osteotome approach: success rate of 116 implants to 4 years in function. Int J Oral Maxillofac Implants, 2002; 17, pp. 113-120.
49- PARAGUASSU, Eber Coelho et al. Systematic review of the epidemiology of oral cancer in Brazil. International Journal of Innovation Education and Research, v. 7, n. 4, p. 366-374, 2019.
50- Khatiblou FA. Sinus floor augmentation and simultaneous implant placement, part I: the 1-stage approach. J Oral Implantology, Abington, 2005; v. 31, n. 4, p. 205-8.
51- Wheeler SL, Holmes RE, Calhoun CJ. Six-year clinical and histologic study of sinus-lift grafts. Int J Oral Maxillofacial Implants, Lombard, Jan-Feb 1996; v. 11, n. 1, p. 26-34.
52- Paraguassu EC, Voss D, Alcolumbre SB, Bacelar IF, Sousa EDP, Carneiro Junior JT. Association of Bacterial Endocarditis and Buccomaxillofacial Surgery: Review of Current Medical Literature. June 2019; Oral Health and Dental Management- Vol. 18- No.3, p.1-4.
2- Lim TJ, Csillag A, Irinakis T, Nokiani A, Wiebe CB. Intentional angulation of an implant to avoid a pneumatized maxillary sinus: a case report. Journal Canadian Dentist Association, Canadá, mar-2004; v. 70, n.3, p.164-166.
3- Matte EW. Enxerto de sínfise mandibular para a recuperação de rebordos reabsorvidos e colocação de implantes osseointegrados. Dissertação de mestrado - Faculdade de Odontologia, Universidade de São Paulo, 2000.
4- ARADA, Juan Marques Garcia, PEREZ, Zenon Coimbra. Phytotherapy in dentistry: survey of products of plant origin for health oral. Brazilian Journal of Implantology and Health Sciences. v.1, n.3, p. 35-40, 2019.
5- Pires, BM. Avaliação de diferentes técnicas de levantamento de seio maxilar (Sinus lift) destinadas a implantodontia: Revisão de literatura. Trabalho de Conclusão de Curso (Graduação) – UFRGS, Porto Alegre, 2012.
6- Ulm, C. W., et al. The edentulous maxillary alveolar process in the region of the maxillary sinus- a study of physical dimension. Int J Oral Maxillofac Surg, 1995; 24, pp. 279-282.
7- Summers, RB. A new concept in maxillary implant surgery: the osteotome technique. Compendium, 1994; 15, pp. 152-158.
8- Lazzara, RJ. The sinus elevation procedure in endosseous implant therapy. Curr Opin Periodontol, 1996; 3, pp. 178-183.
9- Winter AA, Pollack AS, Odrich RB. Placement of implants in the severely atrophic posterior maxilla using localized management of the sinus floor: a preliminary study. International J Oral Maxillofacial Implants, Lombard, Sep-Oct 2002; v. 17, n. 5, p. 687-95.
10- Kfir, E., et al. Minimally invasive antral membrane balloon elevation followed by maxillary bone augmentation and implant fixation. J Oral Implantol, 2006; 32, pp. 26-33.
11- Kfir, E., et al. Minimally invasive antral membrane balloon elevation: report of 36 procedures. J Periodontol, 2007; 78, pp. 2032-2035.
12- Huwais, S. Osseodensifation facilited Densah lift protocol. 2018. Disponível em: https://versah.com/our-science/consultado em 10/07/2019.
13- Baron, K. e Venkatram, N. Minimally invasive crestal approach sinus floor elavation using Densah Burs, and hydraulic utilising putty graft in Cartridge delivery. Clin Oral Implant Res, 2017; 28(4), pp. 203.
14- PARAGUASSU, Éber Coelho; LACERDA, Jamille dos Passos. Oral health of the elderly in Brazil: Systematic review. Brazilian Journal of Implantology and Health Sciences, v.1, n.2, p. 25-33, 2019.
15- Raja S. Management of the Posterior Maxilla With Sinus Lift: Review of Techniques. J Oral Maxillofac Surg. 2009; 67:1730-4.
16- Canullo L, Claudia D. Sinus Lift a Nanocrystal.ine Hydroxypatite Silica Gel in Severely Resorbed Maxillae: Histological Preliminary Study. Clin Implant Dent Relat Res. 2009; 11:7-13.
17- Tosoulis G, Yao S, Fine J. The Maxillary Sinus: Chal.enges and Treatments for Implant Placement. Compendium. 2011; 32:10–20.
18- Esposito M, Grusonvin M, Rees J, Karasoulos D, Felice P, Alissa R, et al. Effectiveness of sinus lift procedures for dental implant rehabilitation: a Cochrane systematic reviw. Eur J Oral Implantol. 2010; 3:7-26.
19- Somanathan R, S imunek A. Evaluation of the success of - Tricalciumphosphate and deproteinezed bovine bone in maxillary sinus augmentation using histomorphometry: A review. Acta Medica. 2006; 49:87-9.
20- Misch, Carl E. Implantes dentais contemporâneos. Rio de Janeiro: Elsevier, 2008.
21- Danesh-Sani SA, Loomer PM, Wallace SS. A comprehensive clinical review of maxillary sinus floor elevation: anatomy, techniques, biomaterials and complications. Br J Oral Maxillofac Surg. 2016; 54(7):724-30.
22- Kqiku L, Biblekaj R, Weiglein AH, Kqiku X, Stadtler P. Arterial blood architecture of the maxillary sinus in dentate specimens. Croat Med J. 2013; 54(2): 180-4.
23- Helmy MA. Maxillary Sinus Lifting: Review of the Two Main Approaches. Glob J Otolaryngology. 2017; 8(4):8-11.
24- Rosano G, Taschieri S, Gaudy JF, Weinstein T, Del Fabbro M. Maxillary sinus vascular anatomy and its relation to sinus lift surgery. Clin Oral Implants Res. 2011; 22(7):711–5.
25- Mohan N, Wolf J, Dym H. Maxillary Sinus Augmentation. Dent Clin North Am. 2015; 59(2):375-88.
26- Attar BM, Alaei S, Badrian H, Davoudi A. Clinical and radiological evaluation of implants placed with osteotome sinus lift technique: 19-month follow-up. Ann Maxillofac Surg. 2016; 6(2):190-4.
27- David GM, Vermudt A, Ghizoni JS, Pereira JR, Pamato S. Levantamento de Seio Maxilar: Uma Comparação de Técnicas. J Res Dent. 2018; 6(2):43-8.
28- Danesh-Sani SA, Loomer PM, Wallace SS. A comprehensive clinical review of maxillary sinus floor elevation: anatomy, techniques, biomaterials and complications. Br J Oral Maxillofacial Surg. 2016; 54(7):724-30.
29- Huwais S, Meyer EG. A Novel Osseous Densification Approach in Implant Osteotomy Preparation to Increase Biomechanical Primary Stability, Bone Mineral Density, and Bone-to-Implant Contact. International J Oral Maxillofacial Implants. 2017; 32(1):27-36.
30- Bravetti, MS. As Técnicas de Elevação do Seio Maxilar. Trabalho de Conclusão de Curso (Mestrado) – Faculdade de Ciências da Saúde da Universidade Fernando Pessoa. Porto, 2018.
31- Lahens B, Lopez CD, Neiva RF, Bowers MM, Jimbo R, Bonfante EA, et al. The effect of osseodensification drilling for endosteal implants with different surface treatments: A study in sheep. J Biomed Mater Res Part B Appl Biomater. 2018; 1-9.
32- Alifarag AM, Lopez CD, Neiva RF, Tovar N, Witek L, Coelho PG. Temporal osseointegration: Early biomechanical stability through osseodensification. J Orthop Res. 2018; 36(9): 2516-23.
33- Podaropoulos L. Increasing the Stability of Dental Implants: the Concept of Osseodensification. Balk J Dent Med. 2017; 21(3):133-40.
34- Wankhede A, Wankhede S, Wasu S. Deceiving the Uncertainty of Primary Stability: Densah® Burs What. J Int Clin Dent Res Organ. 2017 ;9(2):52.
35- Oliveira PGFP de, Bergamo ETP, Neiva R, Bonfante EA, Witek L, Tovar N, et al. Osseodensification outperforms conventional implant subtractive instrumentation: A study in sheep. Mater Sci Eng C. 2018; 90: 300–7.
36- Peleg M, Mazor Z, Garg AK. Augmentation grafting of the maxillary sinus and simultaneous implant placement in patients with 3 to 5 mm of residual alveolar bone height. Int J Oral Maxillofac Implants. 1999; 14(4): 549–56.
37- Stern A, Green J. Sinus Lift Procedures: An Overview of Current Techniques. Dent Clin North Am. 2012; 56(1): 219–33.
38- Pal US, Sharma NK, Singh RK, Mahammad S, Mehrotra D, Singh N, et al. Direct vs.indirect sinus lift procedure : A comparison. Natl J Maxillofac Surg. 2012; 3(1):31-7.
39- PARAGUASSU, Éber Coelho et al. Qualidade de vida e satisfação em usuários de prótese total no estado do Amapá, Brasil. Revista Eletrônica Acervo Saúde, n. 27, p. e876-e876, 2019
40- Patil PS, ML B, Thakare KS. Sinus Bone Graft - Where and Where Not to be? – A Review. Periodontics Prosthodont. 2016; 2(3): 1-10.
41- Vazquez JCM, Rivera ASG de, Gil HS, Mifsut RS. Complication rate in 200 consecutive sinus lift procedures: Guidelines for prevention and treatment. J Oral Maxillofac Surg. 2014; 72(5): 892-901.
42- Guerrero JS. Lateral window sinus augmentation: Complications and outcomes of 101 consecutive procedures. Implant Dent. 2015; 24(3): 354-61.
43- Jensen OT, et al. Report of the sinus consensus conference of 1996. Int J Oral Maxillofac Implants, 1998; 13, pp. 11-45.
44- Toffler M. Osteotome-mediated sinus floor elevation: a clinical report. Int J Oral Maxillofac Implants, 2004; 19, pp. 266-273.
45- Macia Y. e Louise, F. (). The Intralift Technique. In practical osseous surgery in periodontics and implant dentistry. Wiley Blackwell. 2011; 12, pp. 147-156.
46- Garbacea A., et al. The incidence of maxillary sinus membrane perforation during endoscopically assessed crestal sinus floor elevation: a pilot study. J Oral Implantol, 2012; 38, pp. 345-359.
47- Stelze F, Benner KU. Evaluation of diferente methods of indirect sinus floor elevation for elevation heights of 10 mm: na experimental ex vivo study. Clin Implant Dent Relat Res, 2011; 13(2), pp. 124-133.
48- Fugazzoto, A. Immediate implant placement following a modified trephine/osteotome approach: success rate of 116 implants to 4 years in function. Int J Oral Maxillofac Implants, 2002; 17, pp. 113-120.
49- PARAGUASSU, Eber Coelho et al. Systematic review of the epidemiology of oral cancer in Brazil. International Journal of Innovation Education and Research, v. 7, n. 4, p. 366-374, 2019.
50- Khatiblou FA. Sinus floor augmentation and simultaneous implant placement, part I: the 1-stage approach. J Oral Implantology, Abington, 2005; v. 31, n. 4, p. 205-8.
51- Wheeler SL, Holmes RE, Calhoun CJ. Six-year clinical and histologic study of sinus-lift grafts. Int J Oral Maxillofacial Implants, Lombard, Jan-Feb 1996; v. 11, n. 1, p. 26-34.
52- Paraguassu EC, Voss D, Alcolumbre SB, Bacelar IF, Sousa EDP, Carneiro Junior JT. Association of Bacterial Endocarditis and Buccomaxillofacial Surgery: Review of Current Medical Literature. June 2019; Oral Health and Dental Management- Vol. 18- No.3, p.1-4.
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