Abstract
Purpose
Maxillary sinus augmentation surgery is frequently employed to provide adequate vertical bony dimensions in posterior maxillary sites. When significant gain in bone height is sought for, an invasive lateral-window approach is routinely used to achieve sinus floor elevation. The minimally invasive antral membrane elevation technique was initially conceived as a surgical improvisation that has been shown to lead to up to, or exceeding, 10 mm of bone height, while enhancing the safety profile of the transalveolar sinus augmentation technique. This approach is based on the use of hydraulic pressure that is applied to the schneiderian membrane via a saline-inflatable balloon. Even though this technique has been shown to be a safe and efficacious treatment modality, the need for specialized equipment, training, and corresponding costs may hinder its widespread application. The purpose of this clinical paper is to introduce a simplified approach to the minimally invasive antral membrane elevation technique.
Methods
The simplified minimally invasive antral membrane elevation technique is based on the application of hydraulic pressure by a viscous bone graft that acts as an incompressible fluid. The specific clinical steps of this technique will be demonstrated to illustrate how grafting of the maxillary sinus is achieved simultaneously with the atraumatic elevation of the schneiderian membrane, thus resulting in even less operative time.
Conclusions
This simplified technique may make the minimally invasive antral membrane elevation technique more accessible to implant surgeons as it eliminates the need for purchase of specialized equipment and aids in further decrease of intra-operative time accomplished with the original technique.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Kfir E, Kfir V, Mijiritsky E, Rafaeloff R, Kaluski E (2006) Minimally invasive antral membrane balloon elevation followed by maxillary bone augmentation and implant fixation. J Oral Implantol 32(1):26–33
Nkenke E, Schlegel A, Schultze-Mosgau S, Neukam FW, Wiltfang J (2002) The endoscopically controlled osteotome sinus floor elevation: a preliminary prospective study. Int J Oral Maxillofac Implants 17(4):557–566
Summers RB (1994) A new concept in maxillary implant surgery: the osteotome technique. Compend 15(2):152, 54–6, 58 passim; quiz 62
Mazor Z, Peleg M, Gross M (1999) Sinus augmentation for single-tooth replacement in the posterior maxilla: a 3-year follow-up clinical report. Int J Oral Maxillofac Implants 14(1):55–60
Kfir E, Kfir V, Eliav E, Kaluski E (2007) Minimally invasive antral membrane balloon elevation: report of 36 procedures. J Periodontol 78(10):2032–2035
Kfir E, Goldstein M, Yerushalmi I et al (2009) Minimally invasive antral membrane balloon elevation—results of a multicenter registry. Clin Implant Dent Relat Res 11(Suppl 1):e83–e91
Kfir E, Kfir V, Kaluski E, Mazor Z, Goldstein M (2011) Minimally invasive antral membrane balloon elevation for single-tooth implant placement. Quintessence Int 42(8):645–650
Kfir E, Kfir V, Goldstein M, Mazor Z, Kaluski E (2012) Minimally invasive subnasal elevation and antral membrane balloon elevation along with bone augmentation and implants placement. J Oral Implantol 38(4):365–376
Hernandez-Alfaro F, Torradeflot MM, Marti C (2008) Prevalence and management of Schneiderian membrane perforations during sinus-lift procedures. Clin Oral Implants Res 19(1):91–98
Kotsakis G, Chrepa V, Marcou N, Prasad H, Hinrichs J (2012) Flapless alveolar ridge preservation utilizing the “socket-plug” technique: clinical technique and review of the literature. J Oral Implantol
Vance GS, Greenwell H, Miller RL et al (2004) Comparison of an allograft in an experimental putty carrier and a bovine-derived xenograft used in ridge preservation: a clinical and histologic study in humans. Int J Oral Maxillofac Implants 19(4):491–497
Galindo-Moreno P, Avila G, Fernandez-Barbero JE et al (2008) Clinical and histologic comparison of two different composite grafts for sinus augmentation: a pilot clinical trial. Clin Oral Implants Res 19(8):755–759
Mahesh L, Kotsakis G, Venkataraman N, Shukla S, Prasad H (2013) Ridge preservation with the socket-plug technique utilizing an alloplastic putty bone substitute or a particulate xenograft: a histological pilot study. J Oral Implantol
Kotsakis GA, Salama M, Chrepa V, Hinrichs JE, Gaillard P (2014) A randomized, blinded, controlled clinical study of particulate anorganic bovine bone mineral and calcium phosphosilicate putty bone substitutes for socket preservation. Int J Oral Maxillofac Implants 29(1):141–151
Sinaiski EG (2011) Potential flows for incompressible fluids, in hydromechanics: theory and fundamentals. Wiley-VCH Verlag GmbH & Co KGaA, Weinheim
Kovalchuk NM, Starov VM (2012) Aggregation in colloidal suspensions: effect of colloidal forces and hydrodynamic interactions. Adv Colloid Interface Sci 179–182:99–106
Dickinson E (2013) Structure and rheology of colloidal particle gels: insight from computer simulation. Adv Colloid Interface Sci
Dholey S, Gupta AS (2013) Unsteady separated stagnation-point flow of an incompressible viscous fluid on the surface of a moving porous plate. Phys Fluids 25(2):023601
Kfir E, Goldstein M, Rafaelov R et al (2009) Minimally invasive antral membrane balloon elevation in the presence of antral septa: a report of 26 procedures. J Oral Implantol 35(5):257–267
Mazor Z, Kfir E, Lorean A, Mijiritsky E, Horowitz RA (2011) Flapless approach to maxillary sinus augmentation using minimally invasive antral membrane balloon elevation. Implant Dent 20(6):434–438
Ferrigno N, Laureti M, Fanali S (2006) Dental implants placement in conjunction with osteotome sinus floor elevation: a 12-year life-table analysis from a prospective study on 588 ITI implants. Clin Oral Implants Res 17(2):194–205
Del Fabbro M, Corbella S, Weinstein T, Ceresoli V, Taschieri S (2012) Implant survival rates after osteotome-mediated maxillary sinus augmentation: a systematic review. Clin Implant Dent Relat Res 14(Suppl 1):e159–e168
Romero-Millan J, Martorell-Calatayud L, Penarrocha M, Garcia-Mira B (2012) Indirect osteotome maxillary sinus floor elevation: an update. J Oral Implantol 38(6):799–804
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kotsakis, G.A., Mazor, Z. A simplified approach to the minimally invasive antral membrane elevation technique utilizing a viscoelastic medium for hydraulic sinus floor elevation. Oral Maxillofac Surg 19, 97–101 (2015). https://doi.org/10.1007/s10006-014-0473-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10006-014-0473-2