Application of piezosurgery for transcrestal sinus lift during simultaneous implant placement: Case report
Introduction Implant placement is often complicated in the posterior maxilla by post-extraction bone resorption, pneumatization of maxillary sinuses, and poor quality of alveolar bone. In these situations, elevation of the maxillary sinus floor is one possible solution, which requires surgical maxil...
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| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Serbian Medical Society - Dental Section, Belgrade
2025-01-01
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| Series: | Stomatološki glasnik Srbije |
| Subjects: | |
| Online Access: | https://scindeks-clanci.ceon.rs/data/pdf/0039-1743/2025/0039-17432501035K.pdf |
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| Summary: | Introduction Implant placement is often complicated in the posterior maxilla by post-extraction bone resorption, pneumatization of maxillary sinuses, and poor quality of alveolar bone. In these situations, elevation of the maxillary sinus floor is one possible solution, which requires surgical maxillary sinus augmentation techniques that can convert part of the sinus cavity into bone suitable for implant placement. Case outline A 34-year-old female patient was referred for implant treatment of the posterior left maxilla. A radiographic assessment revealed an atrophied posterior maxilla in the region of 25, 26, and 27, with a residual alveolar ridge height of 6 mm. At site 26, a transcrestal sinus lift was performed using a piezoelectric-surgery technique. A xenograft mixed with hyaluronic acid was used as the graft material. After graft application, a two-stage endosseous implant (Bio3, Pforzheim, Germany) with dimensions 8 × 4.2 mm was placed in the prepared site. Conclusion Piezosurgery is an optimal option in all cases where sinus membrane elevation via the transcrestal approach is required, with the possibility of simultaneous implant placement when the residual alveolar ridge height is > 5 mm. |
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| ISSN: | 0039-1743 1452-3701 |