Bone suture and lateral sinus lift surgery

Removal of Maxillary Sinus Antrolith and Concomitant Intrasinus Augmentation

Maxillary sinus antrolithisis is a rare finding. Conservative surgical removal recommended. In the patients that need to maxillary intrasinus augmentation and antrolith is observed in preoperative radiography, 2 options remain. First, doing Caldwell-luc surgery to remove antrolith and delayed open sinus lift. Second way is removing antrolith and concomitant intrasinus augmentation.The first way has 2 disadvantages: prolonged waiting period and difficulty of open sinus lift in sinuses with scar and fibrosis. Coupling these 2 surgeries and using corticocancellous bone block as grafting material are recommended by us. Buccal fat pad is a good option to isolate this graft from maxillary sinus.

Indications for palatal sinus lift: Case series

Background:

Open sinus lift is indicated in posterior maxilla when subantral bone is insufficient for insertion of dental implants. Lateral approach is the most used technique. Sometimes, this surgery is difficult due to thick buccal bone or other anatomic variations of maxillary sinus.

Aim:

The aim of this study was to determine cases that palatal approach open sinus lift is indicated.

Settings and Design:

This study was a retrospective study.

Materials and Methods:

Archive files of Dental Implant Department of Mashhad Dental School were searched for palatal sinus lift. The reason for patients was noticed. Pre- and post-operative radiographs were evaluated.

Results:

Ten patients with palatal approach sinus lift were included. Seven patients had previous insufficient sinus lift, one patient had acute palatonasal recess, and two other patients had thick buccal bone.

Conclusion:

Palatal approach is maxillary open sinus lift is a useful auxiliary in patients with heavy buccal vestibule scar, thick buccal bone, deep palatonasal recess, and for reentry augmentation.