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Osteotome Sinus Floor Elevation Technique and Immediate Implantation

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Fortbildungspunkte sammeln
Duration:

12:15 / 06:20

Surgeon:

Prof. Dr. Wachtel

During the following operation Prof. Wachtel (Munich) inserts an implant to replace the missing upper right molar. Before, an orthograde sinus floor elevation with an osteotome is conducted as part of this surgery in order to extent the sinus floor.

To begin with, the prospective position of the implant is marked on the gingiva using a splint and a periodontal probe. Afterwards, a full thickness flap is prepared and the position of the implant marked again using the same splint mentioned above. The implant whole is drilled carefully according to the predetermined bone thickness available so far (7mm in this case).

After widening the implant cavity to three millimeters, a cylindrical osteotome is brought into the cavity to gently feel and tap the compact layer of the sinus floor. Once the osteotome has cautiously broken through the sinus floor the Schneider membrane is carefully pushed upwards. Bone substitute (Bio-Oss) is inserted as a cushion to help elevating the membrane slowly from the floor. In this case three Bio-Oss fillings are applied and coronally condensed with the osteotome. The implant cavity is finalized by gently pushing the ostotome into the sinus area beyond the 7mm mark. After testing the stability of the newly created sinus floor, the implant cavity is reshaped, and the implant with a length of 11,5mm is inserted in an epicrestal position. Finally, the two flaps are replaced and vertical mattress (double sling) sutures are applied to ensure a stable wound closure.

 

Content of the expert video

The implant position is marked using a prosthodontic splint and a periodontal probe.
The implant position is marked using a prosthodontic splint and a periodontal probe.
A cylindrical osteotome is used to gently tap the compact layer of the sinus floor coronally.
A cylindrical osteotome is used to gently tap the compact layer of the sinus floor coronally.
The elevated sinus floor
The elevated sinus floor
The implant with a length of 11.5 mm is reaching into the sinus now.
The implant with a length of 11.5 mm is reaching into the sinus now.

The expert

Prof. Dr. Hannes Wachtel

Dental office in Munich

Hannes Wachtel received his dental degree in 1982 at the University of Tübingen, Germany. In 1982/83 he followed the Postgraduate Program in prosthodontics at the University of Southern California, Los Angeles, USA. Beginning of 1984, he served as Associate Professor in the Department of Periodontology at the Free University of Berlin for ten years and obtained his Ph.D. in 1992. Since 1994 he maintains a private clinic in Munich, together with Dr. Bolz, devoted to periodontology, implantology and restorative dentistry and established with his partner Dr. Bolz the Institute for Periodontolog ...more »
  • IDI-PARO
  • DZR
  • Health AG
  • W&H Deutschland GmbH
  • botiss dental Gmbh
  • Henry Schein
  • Mectron
  • CLINICAL HOUSE EUROPE
  • Zimmer Dental
  • BEGO Implant Systems GmbH & Co. KG
  • Sirona
  • CAMLOG
  • IPI München
  • Kuraray
  • Komet/Gebr. Brasseler GmbH &Co KG
  • DSI DentaScience Institute®
  • Dentsply Sirona Implants

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The Dental Online College is an online learning platform for dental surgeons and students. This service focuses on providing superior-quality professional training videos in the area of dental medicine that can be called up from an Internet platform. As a professional online training platform, the Dental Online College provides dental surgeons and students with instruction in surgical procedure, demonstrating challenging surgical techniques using easy to understand videos, and including interviews that provide further detail, video presentations, and documentation on performing the procedures in question.

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