Sinus lift: updated classic and the latest author’s protocols

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9 lezioni (7o 30m)

7 CE Credits

7 CE Credits

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Descrizione

Updated classical protocols of maxillary sinus lift and simplified author's techniques in one course! 


You will learn:


– Open and closed sinus lift

– One-stage and two-stage sinus lift

– Piezosurgical sinus lift 

– Transcrestal sinus lift

– Lateral sinus lift

– Transalveolar sinus lift

– Sinus lift in Intralift and Sinus Pack techniques.


You will understand what materials and tools to use in each technique, as well as learn the features of working with I-PRF, L-PRF and hyaluronic acid during sinus lift.

Lezione 1.Golden Rules and Clinical Principles to know for a safe approach to the Maxillary Sinus

– 3D Anatomy and CBCT study

– Sinus presurgical evaluation 

– Schneiderian membrane pathology: elevate or wait?

– Decision tree for management of the maxillary sinus

– The ideal biomaterial

– Design, position and management of the antrostomy

– Perforations in relation to the membrane thickness

– Clinical cases.


Recommended for: Implantologists, Oral and maxillofacial surgeons.

Lezione 2.Different approaches in sinus lift

– Sinus lift: definition

– Literature review

– Decision making 

– Graft:


- Indications

- Types

- Newly formed bone

- Graft shrinkage.


– Implant survival rate

– Sinus grafting: materials

– Sinus lift surgical techniques

– Open vs. closed techniques 

– 1 stage vs. 2 stage approaches 

– Closed sinus lift:


- Instruments 

- Surgical protocol

- Clinical cases.


Recommended for: Implantologists, Oral and maxillofacial surgeons.

Lezione 3.Open sinus lift

– Open sinus lift:


- Instruments 

- Perforation rate

- Surgical protocol

- Advantages of piezo

- Usage of lateral window

- Membrane vs. bony window

- Clinical cases.


– Hyaluronic acid usage in sinus lift procedure.


Recommended for: Implantologists, Oral and maxillofacial surgeons.

Lezione 4.Advanced surgery on sinus lift

– Bone loss

– The graft integration

– Types of graft: onlay and inlay

– Donors sites

– Usage of different burs and piezosurgical approach

– Bone window: features and characteristics 

– Sinus lift: step-by-step protocol

– Complications management during and after the surgery

– Usage of biomaterials as bovine bone, synthetic bone and collagen membrane

– Different ways of doing sinus lift with L-PRF and I-PRF

– Pre-op and post-op medication

– The use of L-PRF and I-PRF membranes

– Sticky bone: step-by-step protocol

– Clinical cases.


Recommended for: Implantologists, Oral and maxillofacial surgeons.

Lezione 5.Biological aspects of sinus lift

– Sinus lift vs. short implants

– Histology of peri/endosteum: sinus membrane

– Grafting materials importance

– Bone augmentation: biologic aspects 

– Autologous vs. xenogenic vs. synthetic bone graft materials

– Physiology of bone regeneration

– Atraumatic transcrestal hydrodynamic ultrasonic cavitational sinus lift (INTRALIFT).


Recommended for: Implantologists, Oral and maxillofacial surgeons.

Lezione 6.Sinus lift techniques: lateral and transcrestal approach, Intralift

– Planning a sinus lift surgery

– Sinus anatomy

– Sinus membrane pathologies

– Indications for sinus lift 

– Risks in sinus lift surgery 

– Soft tissue protection

– Speed of bone healing

– Sinus lift techniques:


- Lateral approach 

- Transcrestal approach 

- INTRALIFT.


– Complications management: punctures or small ruptures

– Clinical advances

– Clinical cases.


Recommended for: Implantologists, Oral and maxillofacial surgeons.

Lezione 7.Sinus Pack Technique: how to stabilize the graft in cases of sinus membrane perforations

– Pack preparation: fast and safe

– Free graft technique 

– Membrane perforation 

– How to design and elevate the flap

– Teeth preservation 

– Antrostomy and Schneiderian membrane elevation: instruments and surgical management 

– Piezosurgical sinus pack

– Difficult antrostomy design 

– Low window technique 

– Big perforations management

– Transient sinusitis 

– Schneiderian membrane pathology management

– Clinical cases.


Recommended for: Implantologists, Oral and maxillofacial surgeons.

Lezione 8.Sinus lift: transalveolar technique (osteotome)

– Survival rate of dental implants 

– Bone resorption 

– Sinus cavity pneumatization

– Bone quality 

– Main problems to place implants 

– Rehabilitation with implants in the posterior maxilla

– Sinus lift techniques: review 

– Transalveolar sinus lift technique:


- Indications 

- Contraindications 

- Principles 

- Complications 

- Step-by-step surgical protocol 

- Clinical cases

- Advantages.


Recommended for: Implantologists, Oral and maxillofacial surgeons.

Lezione 9.Lateral sinus lift: recommendations for work organization and complications management

– Lateral window vs. transcrestal technique 

– A decision tree for minimally invasive management of the atrophic posterior maxilla 

– Pre-operative care 

– Patient examination:


- Medical history

- Clinical examination 

- X-Ray.


– Prophylaxis of bacterial endocarditis

– Clinical cases analysis:


- Osteonecrosis by bisphosphonates

- Cyst.


– Biopsy: technique 

– Treatment planning 

– Esthetic risk assessment (ERA). 

– Previous care:


- Selection of instruments and organization

- Hand washing

- Assessment and patient care

- Working position.


– Post-operative care:

 

- General recommendation

- Analgesia

- Antibiotic therapy 

- Patient instructions.


– Complications management:


- Membrane perforations 

- Bleeding

- Displacement of implant

- Implant loss

- Sinusitis

- Graft infection.


Recommended for: Implantologists, Oral and maxillofacial surgeons.

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Lettori 5

DDS,MS,PHD. Certificate in Periodontology from the Brazilian Dental Association (1995). Master in Science degree in Production Engineering from the Federal University of Santa Catarina (1997). Master in Science degree in Implantology from the Faculdade Sao Leopoldo Mandic in Sao Paulo (2004). PHD in Health Science from the Medical School of Pontificia Universidade Catolica do Parana (2010). Scientific Consultant of Neodent.
A proposito di me
Adjunct Professor of Oral Surgery and Implantology, Scientific Director and Coordinator of the II Level Master in Implantology, Catholic University of Sacred Heart - Gemelli Polyclinic Foundation, Rome. Active Member, Italian Society of Oral Surgery.
A proposito di me
Assistant lecturer at Univerity of Szeged. Certified Periodontics and Implantologist. Active member of International Team for Implantology (ITI) and European Federation of Periodontology (EFP).
A proposito di me
Founding Member of the TKW-Research-Group. Director of the Center for Facial Esthetics. President of the International Academy for Ultrasonic Surgery and Implantology. Co-Editor “International Journal of Oral and Craniofacial Science” (IJOCS).
A proposito di me

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