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

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9 Lektionen (7S 30M)

7 CE Credits

7 CE Credits

Englisch

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Beschreibung

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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Lektion 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.

Der Kurs beinhaltet die nächsten Lektionen:

45M
Lektion 1

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

Pier Carmine Passarelli
33M
Lektion 2

Different approaches in sinus lift

László Párkányi
39M
Lektion 3

Open sinus lift

László Párkányi
1S 2M
Lektion 4

Advanced surgery on sinus lift

Mauro Gebran