Dr. Justin Moody explains how to turn lateral wall sinus augmentation from a daunting to a satisfying and supportive procedure for dentists and patients.
Dr. Justin D. Moody discusses reliable and predictable bone growth
Since the beginning of implant dentistry, we have been on a quest to rebuild and restore lost bone from previously extracted molar sites. The mandible presents a greater challenge due to the inferior alveolar nerve position and the difficulty in horizontal/vertical bone grafting. Unlike its lower cousin, the maxillary molar, when lost has the maxillary sinus as a potential grafting site. This area is one of the most reliable and predictable places in the human body to grow bone.
The lateral wall sinus augmentation graft technique was first introduced to us at least 45 years ago by Dr. Hilt Tatum and others. I am sure that he was first viewed as a crazy or cowboy-like, but today the science is clear on its success, and many of today’s leading surgeons perform these procedures routinely, such as Dr. Michael Pikos, who has written an entire textbook on the subject.
Dental school would have you believe that if you are ever in the maxillary sinus with a root tip, dental implant, or grafting, your life will end along with the patients’. It is my favorite procedure to do as well as to teach for a number of reasons. First, technically it is not a difficult procedure at all. With the use of piezo technology, such as the Acteon® Piezotome® Cube, the access through the lateral wall and elevation of the membrane can be done safely and predictably. Second, with the use of the patient’s own growth factors obtained from a simple blood draw and the use of the IntraSpin® from BioHorizons®, we can have clinical results that allow for implant placement and ultimately tooth replacement solutions otherwise not possible.
Adding this procedure to your practice will open up so many more implant sites and the ability to help many more patients. Find a course that offers live surgery training so that you can gain the experience needed to return with the confidence and skill set to serve your patients.
Read more from Drs. Gregori M. Kurtzman and Douglas F. Dompkowski on lateral wall sinus augmentation in their article, “Lateral sinus augmentation: a safer technique,” here: https://implantpracticeus.com/lateral-sinus-augmentation-a-safer-technique/
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