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Endoscopically controlled sinus floor augmentation. A preliminary report.
Authors:Wilfried Engelke  Isabell Deckwer
Institution:Abteilung Zahndärztliche Chirurgie des Zentrums für Zahn‐, Mund‐und Kieferheilkunde der Universität Göttingen, Germany. Head: Univ.‐Prof. Dr Dr H.G. Jakobs
Abstract:Sinus augmentation has been advocated to be a surgical technique with predictable results in peri‐implant surgery. Endoscopic surgery of the maxillary sinus so far has been used as diagnostic procedure. In this paper, the use of endoscopy is described as a low invasive adjunctive technique in sinus floor augmentation. After preparation of the mucoperiosteum, bone grafts can be placed under endoscopic control between sinus floor and mucoperiosteum. A laterobasal approach via a small osteotomy and a transalveolar approach are possible for mucosal elevation and graft placement. First clinical results are reported. Endoscopic sinus lift may contribute to a reduction of perioperative morbidity, reduction of oroantal fistulae and control of graft position. The less invasive technique may allow to extend the indication for sinus augmentation.
Keywords:dental implants  sinuscopy  sinus floor augmentation  sinus lift  endoscopy
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