Osteotome Sinus Floor Elevation
Sinus floor elevation with osteotomes.
Osteotome sinus floor elevation. The surgery is more conservative sinus augmentation is localized there is a low rate of postoperative morbidity a shorter time to implant loading is possible than with the direct technique and. Indirect osteotome maxillary sinus floor elevation omsfe is generally employed when the residual bone height is equal to or greater than 6 mm 10. Two different applications of the osteotome technique are described. 2 11 12 the indirect osteotome technique offers a number of advantages.
This article describes a new methodology for augmentation of the bone at the sinus floor that is less invasive than previous techniques. Various techniques of sinus floor elevation sfe are described. Introduced by sum mers1in 1994 the baosfe proce dure uses tapered concave tipped osteotomes and graft materials to fa cilitate sinus floor elevation sfe with concurrent implant placement. In its origins it was performed with a special instrument known as a socket former which was used to infracture the sinus floor and to move it in a more apical direction.
Osteotomes are used to apically dis place the graft materials fracturing the sinus floor and elevating the schneiderian membrane. The two main ways to access the maxillary sinus cavity in order to elevate schneiderian membrane are. This procedure is called the osteotome technique. 1 university of pennsylvania philadelphia usa.
The lateral approach that it is the most known despite being invasive complicated and long lasting procedure 1 2 and the osteotome sinus floor elevation osfe which was first introduced by tatum 1986. In cases with higher resorption the direct sinus elevation technique is used. The elevation with osteotomes osfe from a crestal approach is a relatively new technique. First an implant site is created in a location that previously had inadequate bone for immediate fixation of an implant.