International Journal of Experimental Dental Science

Register      Login

VOLUME 10 , ISSUE 1 ( January-June, 2021 ) > List of Articles

CASE REPORT

Osseodensification-driven Maxillary Sinus Lift along with Sticky Bone Augmentation: A Novel Concept for Dental Implant Placement

Sumit Munjal, Seema Munjal

Keywords : Crestal sinus lift, Osseodensification, Sinus membrane, Sticky bone

Citation Information : Munjal S, Munjal S. Osseodensification-driven Maxillary Sinus Lift along with Sticky Bone Augmentation: A Novel Concept for Dental Implant Placement. Int J Experiment Dent Sci 2021; 10 (1):45-47.

DOI: 10.5005/jp-journals-10029-1219

License: CC BY-NC 4.0

Published Online: 11-08-2021

Copyright Statement:  Copyright © 2021; The Author(s).


Abstract

Aim and objective: The purpose is to present a novel technique for normal sinus lift in the upper jaw that is feasible in cases where other approaches are contraindicated. Acknowledging indigenous growth factors and precise osseodensification (OD) significantly reduces biological costs. Background: The lowest success of implant rehabilitation in the posterior maxilla has made the surgeons ponder on the frequent reduction of alveolar ridge height beneath the sinus. Although the direct sinus lift and osteotomes addressed the issue, the associated risks of parasthesia, perforation, and patient morbidity were a point of concern. Case description: A 51-year-old male patient's blood was centrifuged emulating a standard protocol. Densah Burs were used to prepare the fixture site on OD principles. Next, the platelet-rich fibrin (PRF) extracted from the spin-off was mixed with the graft NB Dental Morsels, to form a sticky bone. As planned, the 3.75 × 10 mm implant, drove the material under 35 rpm into the final desired osteotomy depth. Upon ensuring a 25-Ncm torque stability, a healing abutment was tightened over it and the flap was sutured finally. Conclusion: The explicated implant methodology is feasible in a dental setup for its ease and non-invasiveness. Clinical significance: A relatively new technique demonstrated in our study provides a choice of modality in sinus floor elevation (SFE) in such circumstances.


HTML PDF Share
  1. Misch CE. Rationale for dental implants. In: Misch CE, ed. Contemporary implant dentistry. St. Louis: Mosby; 1999. pp. 3–12.
  2. Mendonca G, Mendonca GB, Fernandes-Neto AJ, et al. Management of fractured dental implants; a case report. Implant Dent 2009;18(1):10–16. DOI: 10.1097/ID.0b013e318192cafe.
  3. Misch CE. Density of bone: effect on treatment plans, surgical approach, healing, and progressive loading. Int J Oral Implant 1990;6(2):23–31.
  4. Ulm CW, Solar P, Krennmair G, et al. Incidence and suggested surgical management of septa in sinus-lift procedures. Int J Oral Maxillofac Implants 1995;10(4):462–465.
  5. Munjal S, Munjal S, Hazari P, et al. Evaluation of specifi cally designed implants placed in the low-density jaw bones: a clinico-radiographical study. Contemp Clin Dent 2015;6(1):40–43. DOI: 10.4103/0976-237X.149290.
  6. Tan WC, Lang NP, Zwahlen M, et al. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. Part II: transalveolar technique. J Clin Periodontol 2008;35(Suppl):241–254. DOI: 10.1111/j.1600-051X.2008.01273.x.
  7. Huwais S, Meyer EG. A novel osseous densification approach in implant osteotomy preparation to increase biomechanical primary stability, bone mineral density, and bone-to-implant contact. Int J Oral Maxillofac Implant 2017;32(1):27–36. DOI: 10.11607/jomi.4817.
  8. Trisi P, Perfetti G, Baldoni E, et al. Implant micromotion is related to peak insertion torque and bone density. Clin Oral Implants Res 2009;20(5):467–471. DOI: 10.1111/j.1600-0501.2008.01679.x.
  9. Munjal S, Munjal S. Short (5.0 x 5.0 mm) dental implant placement: a case report with 3 year follow up. Mod App Dent Oral Health 2019;4(1):316–319.
  10. Dohan DM, Choukroun J, Diss A, et al. Platelet-rich fibrin (PRF): a second-generation platelet concentrate. Part I: technological concepts and evolution. Oral Surg Oral Med Oral Pathol Oral Radiol 2006;101(3):37–44. DOI: 10.1016/j.tripleo.2005.07.008.
  11. Soni R, Priya A, Yadav H, et al. Bone augmentation with sticky bone and platelet-rich fibrin by ridge-split technique and nasal floor engagement for immediate loading of dental implant after extracting impacted canine. Natl J Maxillofac Surg 2019;10(1):98–101. DOI: 10.4103/njms.NJMS_37_18.
  12. Munjal S, Munjal S. Immediate implant loading: current concepts: a case report. J Orofac Res 2011;1:34–38.
  13. Padhye NM, Padhye AM, Bhatavadekar NB. Osseodensification -- a systematic review and qualitative analysis of published literature. J Oral Biol Craniofac Res 2020;10(1):375–380. DOI: 10.1016/j.jobcr.2019.10.002.
PDF Share
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.