Maxillary sinus elevation has become the most predictable of the preprosthetic surgical augmentation techniques. Clinical studies have resulted in the publication of 10 evidence-based reviews relating to graft material selection. Positive outcomes, based on both histomorphometric analysis and the secondary outcome measure of implant survival, have been achieved with a variety of graft materials as well as without graft material. Successful outcomes are best achieved when intraoperative complications are avoided. The two most common complications are membrane perforation and profuse intraoperative bleeding. Lateral window surgical techniques have been developed that dramatically reduce the incidence of these complications. This presentation will discuss the history and the present state of graft material selection and describe the utilization of piezoelectric surgery and the DASK techniques for complication avoidance.
Stephen S. Wallace, DDS, received his dental degree from New York University (NYU) College of Dentistry. He is also a graduate of the Boston University School of Graduate Dentistry, where he received his certificate in periodontics in 1971. He is an associate professor in the Department of Periodontics at Columbia University and also continues to lecture at the NYU College of Dentistry in the Department of Continuing Education. Dr Wallace is a Diplomate of the International Congress of Oral Implantologists and a Fellow of the Academy of Osseointegration, where he currently serves as co-chairman of the Committee for Hands-On Education. He has authored over 30 peer-reviewed papers relating to implant dentistry, contributed numerous textbook chapters, and has co-edited a textbook on maxillary sinus elevation surgery. He maintains a private practice specializing in periodontics and implant dentistry in Waterbury, Connecticut.
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