Lec 2 Sinus Lift Kinga Flashcards
Variation al sinus-lift Depends on?
1- variation of Technique
2- Variation of grafts
Mention different condition al sinus_lift?
Heigh of alevolar rifge correct by sanaz
if <1mm No opportunity for sinus_lift
if 1-5mm only open sinus without implantation)
if 5- 8mm sinus-lift (open_close) & implantation
if 8- 10mm Closed sinus_lift I implantation
if > 10mm No need for sinus lift
Key
If :1-5 mm
(fekonam yani lateral bad without imp yani inke bayad bezarim bemone badana behesh implant bezanim hamon moghe riskie
Mention diff Technique ?
1- Traditional_ lateral_opened (with drill or piezo
2- Cresta/ -closed (with osteotome)
3- with balloon (closed • Cresta)/ opened.-lateral)
Traditional_lateral-opened. explain?
1- window preparation
2- Preparation’ of membrane_folding of window
3- placing graft & membrane
4- transformation at graft (blood and…)
5- building up New implant
Lateral hast dge pas az baghal bayad vared shim pas wondow opening mikonim
Indication of Traditional?
-when vertical bone between 4-5mm or Less
- wide exploration (Wasmund flap)
- Deepest part al Lateral 3mm above the alveolar Ridge
should smatter than 20×15
Wasmund application
Wasmund - Trapezoidal, 4 Corner:
ASA (Antral cystotomy-Apicoectomy-Sinus closure)
Wasmund- Rehman:
Radix in Antro_sinus closure
Elevation of sinus membrane done with ?
Elevators
Advantage of Traditional technique?
Good view
Opportunity for larger grafts
Indirect manpiulation in the sinus
Correction during surgery is easier
Disadvantage of Traditional technique ?
- Relative or non-invasive
- Complicated at only one tooth loss-
(Key:بازده قديمي ها كم ) - wide exploration
Relative Contra. indication is
presence of septum.
Relative contraindication of Traditional is ?
presence of Septum.
Indication al method: Cresta/ -opened sinus lift
with osteotome?
I_Cresta bone height 5-8mm
2- Class ∞ (3) and iv (4) (dense bone drill are
needed)
اينا فكنم همون كلاس بون پارسال
sinus_lift with balloon: beginning & After that
beginnings : only with lateral window
After : Cresta exploration also Balloon Lift control
What is balloon Lift control system?
makes sinus_lift safer & widens in indication
Advantage of balloon system?
minimal in Vasile (ARE khodai)
publication about 1-0 M
Less intra ¢ between) and postoperative complication
safer in case I 1. one tooth loss
(يه بادكنك دارم دوسش دالم)
Disadvantage al balloon_Technic
balloon Rupture
premolar absence
No direct view
Difficult observe membrane perforation
Corriation of mambrane perforation is limited
Benign paroxysmal positional Vertigo (BPFV)-use of osteotome
(BPFV)
Benign paroxysmal positional Vertigo
Benign paroxysmal positional Vertigo (BPFV)
what is that?
dizziness, Vertigo nausea when
you move your head.
variation of sinus lift was:
Variation of technique
variation of grafts.
How to mine or Rea’ve our own bone?
Regarding own bone?
1- Drilling splinter
2- Filtered splinter
3- bone cylinder
4- bone granulate
5- Corticospongiosvs block
Intra oral bone: for grafting: where is the possible place to harvest …?
maxillary tuberosity
Retro molar
men turn
Google:
Mandibular symphasis and ramus
post instruction for grafting.
It is normal for some of the graft material to come out of the site. -There also may be a temporary white covering over the bone graft to protect it. The covering will usually fall out with in first week. -Do not vigorously rinse or spit for 3-5 days following the procedure.
extra oral bone for grafting? Place …?
Tibia
Ileum
Call varia (search google)
Allograft material (my info )
Allograft is derived from humans. The difference is that allograft is harvested from an individual other than the one receiving the graft. Allograft bone is taken from cadavers that have donated their bone so that it can be used for living people who are in need of it; it is typically sourced from a bone bank
Autograft material (my info)
Autograft (autogenous graft) refers to bone tissue harvested from and implanted in the same individual. Autograft preparations include aspirated bone marrow, cancellous or cortical bone, or vascularized grafts.
