Various surgical techniques for sinus elevation surgery exist today, and all are associated with very high levels of success when used with proper indications. Three evidence-based reviews published in the last 4 years on the lateral window technique are in agreement with respect to the most important clinical decisions that we make in sinus grafting. A biologic surgical approach is necessary that will further aid in the accomplishment of the all-important goal of formation of vital bone. This presentation will describe these evidence-based decisions, along with a biologic rationale for their clinical success. Possibilities for enhancement offered by newer graft materials and growth factor applications will be addressed. The relationship of sinus membrane perforations to successful therapy, a surgical technique that avoids perforations, and clinical techniques to repair large perforations should they occur will also be discussed.

Stephen Wallace, DDS, is an associate professor in the Department of Implant Dentistry at New York University and maintains a private practice for periodontics, bone regeneration, and implant dentistry in Waterbury, Connecticut. He holds a specialist certificate in periodontics. He lectures nationally and internationally on implant dentistry and periodontics. Dr Wallace is the author of an evidence-based review of the sinus augmentation procedure published in the Annals of Periodontology as well over 25 journal articles and textbook chapters. He is co-editor of a textbook on sinus elevation surgery that was recently published in Italy.