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Bilateral elevation of the maxillary sinus using two different techniques- case report

Background and Aim: A 56-year old female patient with bilateral free end, and two upper central incisors with two canines which are all compromised with irevirsible progressive paradontopathy wish to have implant-prosthetic rehabilitation. In mollar region, both maxillar sinuses are slouch too much so that there are no possibilities for sinus lifting intervention following with immediate implant placement. Methods and materials: Left sinus is upraised with lateral ingress and augmented harvested autologous bone mixed with Bio Oss, and right sinus with closed ingress method, seizing balloon technique (Meisinger Balloon Control lift set from Hager&Meisinger GmbH, Germany) and gained space augmented with Easy Graft (Tri-Calciumphosphate, DS-Dental, Swiss). After 8 months following sinus lifting, were placed four implants from „ Nobel Replace Groovy“ all 13mm size in each augmented side of region 3, 5, 6, 7 and on the opposit side as well. Results: Subsequently after 2 months following implant intervention was made suprastructure of fixed cheramical circular bridge from 16 to 26. Implant stability was measured with Osstell and was done by computerised densitometry in ten density points around each embedded implant before load of bridge construction and after. Afterwards was done statistical analysis of harvested measuring data, which was all documented with RTG shots and photos of surgical intervention and prosthetic making-of bridge. Conclusions : Gained data results are showing us that sinus lifting method with enclosed balloon approach techique can result in gaining enough area for implant placement as well as with opened approach technique. Furthermore Balloon technique is more over less traumatised experience for patient with a much fewer side effects and postoperational problems. In addition if we have sufficient bone width for the purpose of sinus lifting in favour of placing of two up to 3 implants in that area we can equaly sufficient use enclosed Balloon technique instead of opened lateral approach which is causing much more traumatised experience for patient and much more postoperational problems.

maxillary sinus floor elevation; dental implants; oral surgery

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