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Volume 36 , Issue 1
January/February 2016

Pages 111115

A Palatal Approach for a Sinus Augmentation Procedure

Hector L. Sarmiento, DMD, MSc/Badr Othman, BDS, MSc, DABOI/ID, FRDC(C)/Michael R. Norton, BDS, FDS, RCS(Ed)/Joseph P. Fiorellini, DMD, DMSc

PMID: 26697559
DOI: 10.11607/prd.2545

The purpose of this article is to demonstrate an alternative method for sinus augmentation through a palatal approach when complications do not allow the use of traditional approaches. A 50-year-old male patient presented with multiple previous sinus augmentation attempts. A cone beam computed tomography scan revealed bone graft material had consolidated on the buccal aspect of the lateral sinus wall only, preventing implant placement while not allowing access via a conventional lateral window technique to improve the graft bulk. A palatal approach was adopted as an alternative method of sinus entry and is presented in this case report. The authors suggest that a palatal approach technique is a safe and effective method to complete a sinus augmentation where a buccal approach is impractical.

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