Paradigm Shift in the Management of the Atrophic Posterior Maxilla
When the posterior maxilla is atrophic, the reference standard of care would be to perform sinus augmentation with an autologous bone graft through the lateral approach and delayed implant placement. However, placement of short implants with the osteotome sinus floor elevation technique and without...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2014/486949 |
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| _version_ | 1841524535037263872 |
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| author | Rabah Nedir Nathalie Nurdin Paul Khoury Marc El Hage Semaan Abi Najm Mark Bischof |
| author_facet | Rabah Nedir Nathalie Nurdin Paul Khoury Marc El Hage Semaan Abi Najm Mark Bischof |
| author_sort | Rabah Nedir |
| collection | DOAJ |
| description | When the posterior maxilla is atrophic, the reference standard of care would be to perform sinus augmentation with an autologous bone graft through the lateral approach and delayed implant placement. However, placement of short implants with the osteotome sinus floor elevation technique and without graft can be proposed for an efficient treatment of clinical cases with a maxillary residual bone height of 4 to 8 mm. The use of grafting material is recommended only when the residual bone height is ≤4 mm. Indications of the lateral sinus floor elevation are limited to cases with a residual bone height ≤ 2 mm and fused corticals, uncompleted healing of the edentulous site, and absence of flat cortical bone crest or when the patient wishes to wear a removable prosthesis during the healing period. The presented case report illustrates osteotome sinus floor elevation with and without grafting and simultaneous implant placement in extreme conditions: atrophic maxilla, short implant placement, reduced healing time, and single crown rehabilitation. After 6 years, all placed implants were functional with an endosinus bone gain. |
| format | Article |
| id | doaj-art-438ca0b6aa6c44df86f4a9d8901049f7 |
| institution | Kabale University |
| issn | 2090-6447 2090-6455 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Dentistry |
| spelling | doaj-art-438ca0b6aa6c44df86f4a9d8901049f72025-02-03T05:52:51ZengWileyCase Reports in Dentistry2090-64472090-64552014-01-01201410.1155/2014/486949486949Paradigm Shift in the Management of the Atrophic Posterior MaxillaRabah Nedir0Nathalie Nurdin1Paul Khoury2Marc El Hage3Semaan Abi Najm4Mark Bischof5Ardentis Clinique Dentaire Vevey, Swiss Dental Clinics Group, Rue du Collège 3, 1800 Vevey, SwitzerlandArdentis Clinique Dentaire Vevey, Swiss Dental Clinics Group, Rue du Collège 3, 1800 Vevey, SwitzerlandArdentis Clinique Dentaire Vevey, Swiss Dental Clinics Group, Rue du Collège 3, 1800 Vevey, SwitzerlandDepartment of Oral and Maxillofacial Surgery, Oral Surgery and Implantology Unit, Geneva University Hospitals, Rue Barthélemy-Menn 19, 1205 Geneva, SwitzerlandDepartment of Oral and Maxillofacial Surgery, Oral Surgery and Implantology Unit, Geneva University Hospitals, Rue Barthélemy-Menn 19, 1205 Geneva, SwitzerlandArdentis Clinique Dentaire Lausanne, Swiss Dental Clinics Group, Voie du Chariot 6, 1003 Lausanne, SwitzerlandWhen the posterior maxilla is atrophic, the reference standard of care would be to perform sinus augmentation with an autologous bone graft through the lateral approach and delayed implant placement. However, placement of short implants with the osteotome sinus floor elevation technique and without graft can be proposed for an efficient treatment of clinical cases with a maxillary residual bone height of 4 to 8 mm. The use of grafting material is recommended only when the residual bone height is ≤4 mm. Indications of the lateral sinus floor elevation are limited to cases with a residual bone height ≤ 2 mm and fused corticals, uncompleted healing of the edentulous site, and absence of flat cortical bone crest or when the patient wishes to wear a removable prosthesis during the healing period. The presented case report illustrates osteotome sinus floor elevation with and without grafting and simultaneous implant placement in extreme conditions: atrophic maxilla, short implant placement, reduced healing time, and single crown rehabilitation. After 6 years, all placed implants were functional with an endosinus bone gain.http://dx.doi.org/10.1155/2014/486949 |
| spellingShingle | Rabah Nedir Nathalie Nurdin Paul Khoury Marc El Hage Semaan Abi Najm Mark Bischof Paradigm Shift in the Management of the Atrophic Posterior Maxilla Case Reports in Dentistry |
| title | Paradigm Shift in the Management of the Atrophic Posterior Maxilla |
| title_full | Paradigm Shift in the Management of the Atrophic Posterior Maxilla |
| title_fullStr | Paradigm Shift in the Management of the Atrophic Posterior Maxilla |
| title_full_unstemmed | Paradigm Shift in the Management of the Atrophic Posterior Maxilla |
| title_short | Paradigm Shift in the Management of the Atrophic Posterior Maxilla |
| title_sort | paradigm shift in the management of the atrophic posterior maxilla |
| url | http://dx.doi.org/10.1155/2014/486949 |
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