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Modified osteotome sinus floor elevation using combination platelet rich fibrin, bone graft materials, and immediate implant placement in the posterior maxilla.

Narang S, Parihar AS, Narang A, Arora S, Katoch V, Bhatia V - J Indian Soc Periodontol (2015 Jul-Aug)

Bottom Line: The osteotome technique is more predictable with simultaneous implant placement when there is <5-7 mm of preexisting alveolar bone height beneath sinus.Proper combination of platelet rich fibrin, mineralized freeze-dried human bone allograft, and autogenous bone has been recommended for this situation.The purpose of this article was to describe the proper method and materials which can grow >10 mm bone with osteotome technique and grafting materials where the edentulous posterior maxilla radio-graphically showed less bone between the alveolar crest and sinus floor.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology and Oral Implantology, People's College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.

ABSTRACT
The osteotome technique is more predictable with simultaneous implant placement when there is <5-7 mm of preexisting alveolar bone height beneath sinus. Proper combination of platelet rich fibrin, mineralized freeze-dried human bone allograft, and autogenous bone has been recommended for this situation. The purpose of this article was to describe the proper method and materials which can grow >10 mm bone with osteotome technique and grafting materials where the edentulous posterior maxilla radio-graphically showed less bone between the alveolar crest and sinus floor.

No MeSH data available.


Related in: MedlinePlus

(a) Preoperative radiograph before implant placement (b) Bone grafting during surgery with an osteotome technique (c) Eight months after implant placement
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Figure 2: (a) Preoperative radiograph before implant placement (b) Bone grafting during surgery with an osteotome technique (c) Eight months after implant placement

Mentions: Presurgical preparation included medical, dental, and computerized axial tomography (CAT) scan radiographic evaluations and basic dental therapy to alleviate preexisting medical-dental problems. Prior to implant surgery, informed consent for bone graft and sinus lifting of the implant, CAT scan consent was obtained from the patient. Patient received 625 mg augmentin (amoxicillin and clavulanate potassium) twice in a day before surgery. The patient was treated under oral sedation or intravenous sedations. Patient was treated with 5 mg of triazolam orally and then draped with sterile surgical barrier. Before a surgical procedure start, a full mouth prophylaxis was done on surgery patient. The posterior quadrant of the maxilla was anesthetized via local anesthesia injection 2% lidocaine HCL and epinephrine 1:100,000 in a 30-gauge needle. A direct, full thickness midcrestal incision with a #15 blade was made through the mucoperiosteum to the crest of the ridge. Full thickness reflection of buccal and palatal tissues exposed the alveolar ridge. To reflect the flap, molt elevator was used. The implant position was marked on the alveolar crest with a small trephine drill (Ø 2.0 mm). After locating the implant position, the preparation was widened with two sizes internally irrigated trephine (Ø 3.5 mm and Ø 4.25 mm) drill. Minimal pilot drilling (Ø 2.0 mm) was performed to a depth approximately 1 mm away from the sinus floor boundary. The osteotomy site was gently tapped with mallet and osteotome number three or four. Intra oral radiograph of the osteotomy site was taken to determine the position of the sinus membrane as seen in Figure 2a.


Modified osteotome sinus floor elevation using combination platelet rich fibrin, bone graft materials, and immediate implant placement in the posterior maxilla.

Narang S, Parihar AS, Narang A, Arora S, Katoch V, Bhatia V - J Indian Soc Periodontol (2015 Jul-Aug)

(a) Preoperative radiograph before implant placement (b) Bone grafting during surgery with an osteotome technique (c) Eight months after implant placement
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4555809&req=5

Figure 2: (a) Preoperative radiograph before implant placement (b) Bone grafting during surgery with an osteotome technique (c) Eight months after implant placement
Mentions: Presurgical preparation included medical, dental, and computerized axial tomography (CAT) scan radiographic evaluations and basic dental therapy to alleviate preexisting medical-dental problems. Prior to implant surgery, informed consent for bone graft and sinus lifting of the implant, CAT scan consent was obtained from the patient. Patient received 625 mg augmentin (amoxicillin and clavulanate potassium) twice in a day before surgery. The patient was treated under oral sedation or intravenous sedations. Patient was treated with 5 mg of triazolam orally and then draped with sterile surgical barrier. Before a surgical procedure start, a full mouth prophylaxis was done on surgery patient. The posterior quadrant of the maxilla was anesthetized via local anesthesia injection 2% lidocaine HCL and epinephrine 1:100,000 in a 30-gauge needle. A direct, full thickness midcrestal incision with a #15 blade was made through the mucoperiosteum to the crest of the ridge. Full thickness reflection of buccal and palatal tissues exposed the alveolar ridge. To reflect the flap, molt elevator was used. The implant position was marked on the alveolar crest with a small trephine drill (Ø 2.0 mm). After locating the implant position, the preparation was widened with two sizes internally irrigated trephine (Ø 3.5 mm and Ø 4.25 mm) drill. Minimal pilot drilling (Ø 2.0 mm) was performed to a depth approximately 1 mm away from the sinus floor boundary. The osteotomy site was gently tapped with mallet and osteotome number three or four. Intra oral radiograph of the osteotomy site was taken to determine the position of the sinus membrane as seen in Figure 2a.

Bottom Line: The osteotome technique is more predictable with simultaneous implant placement when there is <5-7 mm of preexisting alveolar bone height beneath sinus.Proper combination of platelet rich fibrin, mineralized freeze-dried human bone allograft, and autogenous bone has been recommended for this situation.The purpose of this article was to describe the proper method and materials which can grow >10 mm bone with osteotome technique and grafting materials where the edentulous posterior maxilla radio-graphically showed less bone between the alveolar crest and sinus floor.

View Article: PubMed Central - PubMed

Affiliation: Department of Periodontology and Oral Implantology, People's College of Dental Sciences and Research Centre, Bhopal, Madhya Pradesh, India.

ABSTRACT
The osteotome technique is more predictable with simultaneous implant placement when there is <5-7 mm of preexisting alveolar bone height beneath sinus. Proper combination of platelet rich fibrin, mineralized freeze-dried human bone allograft, and autogenous bone has been recommended for this situation. The purpose of this article was to describe the proper method and materials which can grow >10 mm bone with osteotome technique and grafting materials where the edentulous posterior maxilla radio-graphically showed less bone between the alveolar crest and sinus floor.

No MeSH data available.


Related in: MedlinePlus