Clinical Maxillary Sinus Elevation Surgery

Maxillary sinus elevation, followed by placement of a wide variety of grafting materials, has been the generally accepted surgical protocol for the development of bone in the sinus cavity. Over the years, various techniques have been proposed for maxillary sinus elevation, which differ in surgical approach, bone graft materials, and advanced technology application for hard tissue and soft tissue management.

Dr. Kao and a team of experts begin by discussing anatomy, radiographic image applications and limitations, and then provide step-by-step clinical procedures for the lateral window technique, including piezosurgery, and the trans-alveolar methods, including balloon and controlled hydostatic sinus elevation. Also included are chapters on post-operative care and complication management.

Dr. Daniel W.K. Kao is the CEO of Washington Dental Group and also a clinical assistant professor of periodontics at University of Pennsylvania School of Dental Medicine. Dr. Kao is also a Diplomate of the American Board of Periodontology. His research interests include the clinical applications of growth factors (BMP, PDGFs), the relationship of systemic disease and periodontal disease, and dental implant studies. Dr. Kao lectures at dentistry conferences both nationally and internationally.

Contributors vii

Acknowledgments ix

Introduction xi

Chapter 1 Anatomy and Physiology of the Maxillary Sinus 1
Harold A. DeHaven, Jr.

Chapter 2 The Applications and Limitations of Conventional Radiographic Imaging Techniques 9
Hua-Hong Chien and Curtis S.K. Chen

Chapter 3 The Applications and Limitations of Advanced (3-Dimensional) Radiographic Imaging Techniques 31
Chih-Jaan Tai, Dimitris N. Tatakis, and Hua-Hong Chien

Chapter 4 Conventional Instruments Preparation and Preclinical Training of the Lateral Window Technique 57
Daniel W.K. Kao

Chapter 5 Clinical Procedures of the Lateral Window Technique 67
Daniel W.K. Kao

Chapter 6 Avoiding and Managing Complications for the Lateral Window Technique 79
Paul A. Levi and Eduardo Marcuschamer

Chapter 7 Advanced Techniques of the Lateral Window Technique 105
Daniel W.K. Kao and Mana K. Nejadi

Chapter 8 Basic Instruments and Materials of the Transalveolar Approach: Osteotome Technique 113
Daniel W.K. Kao and Elana E. Walker

Chapter 9 Clinical Procedures of the Transalveolar Osteotome Approach 117
Daniel W.K. Kao

Chapter 10 Postoperation Management of the Transalveolar Osteotome Approach 127
Gail G. Childers

Chapter 11 Advanced Techniques of the Transalveolar Approach 135
Daniel W.K. Kao

Chapter 12 Decision Tree for Maxillary Sinus Elevation Options 149
David Minjoon Kim and Daniel Kuan-te Ho

Chapter 13 Choices of Bone Graft Materials 157
David Minjoon Kim and Daniel Kuan-te Ho

Chapter 14 Review of Dental Implant Success and Survival Rates 165
Wai S. Cheung

Index 179

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