Predictable sinus lifting. 5 approaches

– Maxillary sinus augmentation techniques;

– Ways to reduce the time of surgical treatment;

– Methods for stabilizing implants with immediate maxillary sinus grafting;

– Comparison of one-stage and two-stage maxillary sinus augmentation with implantation;

– The use of L-PRF as the sole grafting material;

– Intra-operative and post-operative complications of maxillary sinus augmentation: types, causes, methods of prevention and elimination, clinical cases.

- Infections (bacterial, fungal),

- Traumatizing of branches of the infraorbital nerve,

- Bleeding,

- Bad graft quality,

- Hemosinus,

- Schneider membrane perforations,

- Chronic maxillary sinusitis,

- Peri-implantitis.

– Anatomy of the maxillary sinus;

– Relative and absolute contraindications for maxillary sinus augmentation;

– Patient selection for maxillary sinus augmentation.

– Various technique of sinus augmentation:

- Lateral Sinus Augmentation,

- Crestal Sinus Augmentation,

- Obsolete Sinus Augmentation.

– Complications of sinus bone grafting:

- Fungal infection,

- Bacterial infection,

- Postoperative sinusitis,

- Chronic oroantral fistula.

– Sinus augmentation using Hydrodinamic Piezoelectric Internal Sinus Elevation (HPISE);

– Protrusion of the implant over maxillary sinus mucosa;

– Sinus augmentation: sinusitis-free, bone graft free, infection-free approaches;

– New bone formation in the maxillary sinus:

- Without bone grafts,

- Using only absorable gelatine sponge,

- Using peripheral venous blood,

- With bone grafts.

– Rate of postoperative sinusitis;

– Techniques of closing sinus membrane perforations;

– Simple 3-D augmentation using Sohn`s Augmentation-New Tenting Abutment (SANTA);

– Management and preventions of postoperative complications.

– Various crestal sinus augmentation;

– Advantages and disadvantages of conventional osteotome mediated sinus elevation;

– Management of complications associated with conventional crestal sinus augmentation;

– Minimally invasive Hydrodynamic piezoelectric Internal sinus elevation (HPISE);

– Flapless sinus augmentation.

– Fundamentals of sinus lift.

- Anatomy of maxillary sinus,

- Sinus vascularization,

- Age changes in maxillary sinus,

- Underwood`s septa,

- Colour of Schneider membrane.

– Pathological alterations of the maxillary sinus;

– Functional endoscopic sinus surgery (FESS);

– Standart maxillary sinus surgery protocol;

– Clinical indications of choosing graft material;

– Surgical instrunentations for sinus lift;

– The use of Metronidazole in combination with biomaterial;

– Surgical templates for sinus lift;

– Step-by-step protocols:

- Sinus lift with delayed implant placement,

- Sinus lift with simultaneous implant placement,

- Bilateral sinus lift and nose floor lift with simultaneous implant placement,

- Sinus lift in the presence of high Underwood`s septa,

- Simultaneous maxillary sinus lift and block grafting,

- Elevation of nose floor.

– Immediate and delayed complications.

– Ways of elimination of maxillary sinus memdrane perforations;

– Implants/teeth in the maxillary sinus cavity

- Causes,

- Diagnosis,

- Piezosurgical treatment with simultaneous sinus-lift,

- Clinical cases and long-term results.

– Maxillary sinusitis: classification, aetiology, clinical picture, diagnosis, treatment.

- Acute sinusitis,

- Chronic sinusitis (mucositis, pseudo-cyst, mycetome, mucocele,polyps, residual cyst).

– Step-by step videocases of piezosurgical treatment of maxillary sinus pathologies with simultaneous sinus-lift.

– Clinical cases of surgical revision of the maxillary sinus with simultaneous sinus-lifting:

- Mycetoma,

- Residual cyst,

- Implant in maxillary sinus cavity.

– Osteoma: characteristic, clinical cases;

– Oro-antral communications and fistulas: clinical cases, treatment, simultaneous sinus-lift;

– Management of infected biomaterial in maxillary sinus;

– Pre-surgical cinsiderations;

– Alternative methods.

- No interventions,

- Short implants,

- Tilted implants,

- Zygoma implants.

– Surgical kit for sinus-lift and exercises for manual training.

– Classification of different approaches (Lateral Window/Crestal Window/Osteotome technique);

– Decision Making Process;

– Important Anatomical limitations for Predictable management;

– The use of Growth Factor Therapy at Sinus Lift Procedures;

– Cases.

– Anatomy of maxillary sinus:

- Edentulism and bone resorption,

- Bony Septas and sinus floor irregularities,

- Vascularization,

- Innervation;

– Indications and contraindications for sinus augmentation;

– Sinus augmentation vs short implants;

– Diagnostic imaging and sinus lift surgery;

– Classification for treatment approach;

– Different techniques for maxillary sinus augmentation:

- Lateral window technique,

- Thin out technique,

- Replacable bony window approach,

- One-stage vs two stage lateral sinus floor elevation,

- Transcrestal sinus approach,

- Tatum osteotome technique,

- Osseodensification with Densah burs (Protocols 1,2,3),

- The Baloon sinus lift technique,

- Dr. Sohn transcrestal Hydrodynamic piezoelectric internal sinus elevation (HPISE),

- Palatal sinus elevation;

– Bone materials used for sinus floor augmentation;

– Graftless sinus floor elevation;

– Tooth extraction and immediate implant placement with sinus lift;

– Complication during sinus lift procedure and solutions;

– Sinus lift post-op instructions.