HW4: Lateral and Transalveolar Sinus Floor Elevation: State of the Art Selecting the Least Invasive and Predictable Approach (Hands-On Workshop)

Speakers

Ticketed Course

Cost: $1,625; limited attendance; lunch included

This unique hands-on course will present the most current scientific evidence and clinical practice advances in both lateral and transalveolar sinus augmentation surgery. We will address the confusion and disagreement that persists over when to use which approach as well as the limitations and risks of both. The lateral window osteotomy (LWO) has been the most frequently utilized and published approach to sinus augmentation, presumably because there are no bone height restrictions, and it provides the surgeon with more visual control; it is, however, considered to be invasive, time consuming, and expensive.

As a less invasive alternative to the LWO, transalveolar techniques can obtain a localized elevation of the sinus floor through a crestal osteotomy, minimizing the degree of flap elevation and eliminating the need for preparation of a larger bony window in the lateral aspect of the alveolus. Most clinicians are anxious to expand the clinical utilization of the minimally-invasive transalveolar approach, but are reluctant to do so, based on perceived limitations and confusion generated by the myriad of reported modifications, all proclaiming simplicity with more sinus elevation at reduced risk.Recently introduced burs have the potential to densify, expand, and apically displace the residual subantral alveolar bone improving primary stability and providing 2-7 mm of sinus floor elevation. Drs. Mazor and Toffler will share their clinical experience using these burs in the moderate to severely atrophic posterior maxilla and explain why osteotomes are now used less frequently. The doctors’ current transalveolar techniques have certainly broadened the clinical applications of the approach, but they have not yet eliminated the need for a more invasive lateral approach, in selected clinical situations, hence the need to be adept at both.

In addition, the hands-on model portion of the course will be used for piezoelectric surgical techniques, a sinus elevation kit approach to lateral window protocols, osseodensification using burs, and utilization of an autologous platelet concentrate to enhance healing and regeneration.

Join these two experienced clinicians and researchers in this intimate setting as they present their creative approaches to successful management of reduced subantral bone height, sharing procedural modifications and the newest instrumentation designed to improve the clinical experience for both the doctor and patient.

Educational Objectives:

• Examine sinus anatomy/CBCT analysis and the influence on procedural selection and outcome.
• Gain critical analysis of available transalveolar techniques.
• Consider whether osteotomes are obsolete.
• Adopt clinical application of piezoelectric devices in the transcrestal and lateral approaches.
• Examine the osseodensification application in simultaneous and staged sinus lifts.
• Review graft material selection.
• Recognize common intra- and postoperative complications: minimization and management.