Table of Contents

1. Introduction

 

2. Proceedings of the 4th ITI Consensus Conference and Literature Review: Sinus Floor Elevation Procedures
2.1 Consensus Statements
2.2 Proposed Clinical Approaches
2.3 Literature Review
2.3.1 Maxillary Sinus Floor Elevation - Lateral Window Technique
2.3.2 Maxillary Sinus Floor Elevation - Transcrestal Technique

 

3. Preoperative Assessment and Planning for Sinus Floor Elevation Procedures
3.1 Anatomy
3.2 Medical History
3.2.1 General Health Status
3.2.2 Concomitant Medications
3.2.3 Allergies
3.2.4 Tobacco and Alcohol
3.2.5 Compliance
3.3 Clinical Examination
3.3.1 Indications and Contraindications for SFE
3.3.2 Local Risk Factors
3.3.3 Informed Consent
3.4 Radiography, Cone-Beam CT, and Conventional CT for Implant Treatment Involving the Maxillary Sinus
3.4.1 Radiographic Techniques and Radiation Exposure
3.4.2 Characteristics of Various Examination Techniques
3.4.3 Clinical Application of CT Images
3.5 Non-Grafting Alternatives to SFE
3.5.1 Short Implants
3.5.2 Angled/Tilted Implants
3.5.3 Zygomatic Implants
3.6 Lateral Window Versus Transcrestal SFE
3.7 Simultaneous Versus Staged SFE

 

4. Treatment Options for Sinus Floor Elevation
4.1 Diagnosis and Treatment Planning
4.1.1 Diagnosis
4.1.2 Classification and Treatment Options
4.2 Materials and Instrumentation
4.2.1 Instrumentation for SFE
4.2.2 Biomaterials
4.2.3 Implant Design
4.3 Surgical Techniques
4.3.1 Transcrestal Technique
4.3.2 Lateral Window Technique
4.3.3 Timetable
4.3.4 Harvesting Site
4.3.5 Managing Septa and Compromised Cases

 

5. Guidelines for Choosing the Surgical Technique and Grafting Protocol for Sinus Floor Elevation

 

6. Clinical Case Presentations
Transcrestal Protocols
6.1 Implant Placement with Simultaneous SFE: Transcrestal Technique with DBBM
6.2 Implant Placement with Simultaneous SFE: Transcrestal Technique with DBBM
Lateral Window Protocols
6.3 Implant Placement with Simultaneous SFE: Lateral Window Technique with a Composite Graft
6.4 Bilateral Implant Placement with Simultaneous SFE: Lateral Window Technique with a Composite Graft
6.5 SFE with BCP using a Staged Approach
6.6 SFE with a Composite Graft using a Combined Simultaneous and Staged Approach
6.7 Bilateral SFE with Transcrestal and Lateral Window Technique using Various Composite Grafts
6.8 SFE with a Composite Graft using a Staged Approach
6.9 Combined SFE and Horizontal Ridge Augmentation with Autologous Block Grafts, BCP, and GBR using a Staged Approach
6.10 SFE with Particulated Autografts Combined with Vertical Ridge Augmentation using Onlay Block Grafts and a Staged Approach
6.11 Bilateral SFE in the Edentulous Maxilla with DBBM using a Staged Approach
6.12 SFE with Particulated Autografts Combined with Vertical Ridge Augmentation using Onlay Grafts and a Staged Approach
6.13 SFE with a Composite Graft Combined with Vertical Ridge Augmentation using Onlay Grafts and a Staged Approach

 

7. Complications with Sinus Floor Elevation Procedures
7.1 Intraoperative Complications
7.2 Postoperative Complications
7.3 Case Presentations of Failures and Complications
7.3.1 Membrane Perforation
7.3.2 Soft Tissue Dehiscence and Correction after SFE with Vertical and Horizontal Bone Grafting
7.3.3 Sinusitis after Undetected Membrane Perforation during Surgery
7.3.4 Bilateral Sinus Infection after Perforation due to Residual Non-resorbable Barrier Fragments
7.3.5 Implant Loss due to Unsuccessful Osseointegration
7.4 Conclusions

 

8. References
8.1 References for Literature Review (Chapter 2.3)
8.2 Literature/References

ITI International Team for Implantology
ITI Headquarters
Peter Merian-Strasse 88
4052 Basel
Switzerland

Phone +41 61 270 83 83
Fax +41 61 270 83 84
E-Mail headquarters@iti.org 

ITI International Team for Implantology | Peter Merian-Strasse 88 | 4052 Basel | Switzerland | Phone +41 61 270 83 83 | Fax +41 61 270 83 84 | headquarters@iti.org