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10801 West 87th Street, Overland Park, KS 66214

ADVANCING THE ART AND SCIENCE OF DENTISTRY

MAXILLARY SINUS GRAFTING WITH IMPLANT PLACEMENT

One of dentistry’s goals is to make implant treatment available to all patients who may benefit from it. Unfortunately, the advanced bone loss that accompanies long-term wearing of upper complete denture or upper removable partial denture renders these same patients poor candidates for dental implant treatment.

The patient with advanced bone loss in the posterior upper jaw poses serious challenges for implant therapy. Generally, the type of bone available in the upper jaw is spongy bone with its large spaces and non-dense, soft nature. This is not the quality of bone suited for dental implant therapy. Another factor influencing dental implant treatment in the upper jaw is the loss of upper posterior teeth, so enlargement of the sinuses occurs, which encroaches on what little bone remains. Successful implant therapy in the maxillary jaw is dramatically reduced if poor bone quality is combined with a lack of sufficient bone height and density. Management of these conditions is accomplished with the use of sinus grafting and larger or wider and longer implants with a bioactive coating.

Subantral augmentation or sinus grafting is a way to improve results in the severely resorbed posterior upper jaw. By increasing bone in the sinus region, the subantral augmentation enables the practitioner to use larger and longer implants that are indicated in the posterior region to replace molars to withstand the biting forces exerted there. Sinus augmentation should be considered whenever a lack of alveolar bone height prevents the use of implants of 10mm in length. Ridge augmentation and/or bone expansion is also advisable if the alveolar bone width is less than 4mm.

To learn more about sinus grafting, implant placement and fixed bridgework in Overland Park, Kansas, call 913-492-2233 to schedule with our prosthodontist, Dr. EDward M. Amet, at Reconstructive and Implant Dental Center.

 

Original Apperance

Original Appearance

Initial Radiograph

Initial Radiograph

Original Appearance Intraoral

Original Appearance Intraoral

 

Start of Sinus Surgery

Start of Sinus Surgery

Lateral Entrance

Lateral Entrance Into Maxillary Sinus With “Collatape”

Grafting Into Sinus

Grafting Into Sinus Cavity

 

Suture Closure

Suture Closure of Opening Into Sinus

One Day Post-Op

One Day Post-Op From Surgery

Pre-Op Planning

Pre-Op Planning for Implant Placement

 

Completed Restorative

Completed Restorative Treatment of Lower Arch

 Planning for Aesthetics

Planning for Aesthetics of the Maxillary Bridge

Treatment Denture & Surgical

Treatment Denture & Surgical Template for Implant Guide

 

Holes in CT

Holes in CT scan Appliance for Radiopaque Composite

Simplant

“Simplant” Program for Implant Planning & Placement

Simplant Program

“Simplant” Program for Implant Planning & Placement

 

Holes in CT scan

Holes in CT scan Appliance Used for Implant Surgery

Holes in CT scan

Holes in CT scan Appliance Used for Implant Surgery

Primary Closure

Primary Closure Day of Surgery

 

Two Days

Two Days Post-Op From Surgery

Radiograph Two

Radiograph Two Days Post-Op from Surgery

Treatment Denture

Treatment Denture Used for Planning Aesthetics

 

Diagnostic Mounting

Diagnostic Mounting for Provisionals & Abutments

Diagnostic Wax-Up

Diagnostic Wax-Up

Wax-Up

Wax-Up for Custom Abutments

 

Provisionals Used

Provisionals Used During Initial Implant Loading

Provisionals Used

Provisionals Used During Initial Implant Loading

Final Radiograph

Final Radiograph

 

 Final Aesthetic Result

Final Aesthetic Result

15-Year Follow-Up

15-Year Follow-Up

Final Radiograph

Final Radiograph: 15-Year Follow-Up