Table Of ContentRonald Younes · Nabih Nader
Georges Khoury Editors
Sinus Grafting
Techniques
A Step-by-Step Guide
123
Sinus Grafting Techniques
Ronald Younes (cid:129) Nabih Nader
Georges Khoury
Editors
Sinus Grafting Techniques
A Step-by-Step Guide
Editors
Ronald Younes Georges Khoury
Department of Oral Surgery Department of implantology
St. Joseph University and bone reconstruction
Beirut Paris-Diderot University
Lebanon Paris
France
Nabih Nader
Department of Oral and Maxillofacial
Surgery
Lebanese University
Beirut
Lebanon
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Foreword
This book describes very exhaustively most of the techniques currently used for
performing sinus lift elevation procedures and is complemented by numerous useful
illustrations and drawings. The book also has a valuable chapter on possible compli-
cations and how to treat them. All very useful pieces of information for clinicians
willing to learn more on the subject.
E ven more interesting to my critical eyes is the chapter on future perspectives
where the authors are clearly aware that the amount of knowledge we have today is
still insuffi cient to make reliable recommendations on which could be the most cost-
effective procedures to follow when rehabilitating posterior atrophic jaws. We do
know how to perform many complex and innovative procedures, though we still do
not know, when and if we should perform them and which are the most effective
ones. We still do not know if we need to use a graft or not into the sinus and which
could be the best graft materials. I will therefore take the opportunity to stress once
more the need we still have of reliable clinical research in order to provide the best
treatment options to our patients. This book showed how many possible solutions
we have, which is good to know, but now we have new priorities: we need to know
which among the described procedures are associated with higher success rates, less
complications, shorter rehabilitation periods, etc. This book therefore could be a
stimulus for the international research community to prioritise some research areas
in order to fi nd those clinical answers we badly need.
W e know how to do sinus elevation procedures in many different ways, but now
we need also to know why we do them, when we should do them and which of the
many procedures used are the most effective ones.
Marco Esposito
Freelance Researcher and Associate Professor,
Department of Biomaterials,
The Sahlgrenska Academy at Göteborg University, Sweden
Editor, Cochrane Oral Health Group,
School of Dentistry, The University of Manchester
Editor in chief, European Journal of Oral Implantology
v
Contents
1 Introduction and Scientifi c Background of Sinus
Floor Elevation (SFE) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Ronald Younes, Nabih Nader, and Georges Khoury
2 Anatomy and Related Pitfalls in Sinus Floor Elevation. . . . . . . . . . . . 9
Rufi no Felizardo
3 Clinical and Radiological Assessment and Planning in Sinus
Floor Elevation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Ibrahim Nasseh and Ronald Younes
4 Otorhinolaryngological Assessment and Physiopathology
of the Maxillary Sinus Prior to Bone Augmentation . . . . . . . . . . . . . . 53
Harry Maarek and Bahige Tourbah
5 Lateral Sinus Grafting Approach: Overview and Recent
Developments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 65
Ronald Younes and Maroun Boukaram
6 Crestal Sinus Floor Elevation (SFE) Approach: Overview
and Recent Developments. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 105
Nabih Nader, Maissa Aboul Hosn, and Ronald Younes
7 Use of Grafting Materials in Sinus Floor Elevation: Biologic
Basis and Current Updates. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 145
Georges Khoury, Pierre Lahoud, and Ronald Younes
8 Complications of Maxillary Sinus Bone Augmentation:
Prevention and Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Bahige Tourbah and Harry Maarek
9 Current State, Treatment Modalities, and Future Perspectives
of Sinus Floor Elevation (SFE). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 235
Ronald Younes, Georges Khoury, and Nabih Nader
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
vii
Contributors
Maroun Boukaram, DDS Department of Periodontology, Faculty of Dentistry ,
St Joseph University , Beirut , Lebanon
Rufi no Felizardo, DDS, PhD Department of Odontology-Anatomy
and Radiology unit , Paris-Diderot University and Rothschild Hospital (APHP) ,
Paris , France
Maissa Aboul Hosn , DDS Department of Oral and Maxillo-facial Surgery ,
Lebanese University, School of Dentistry , Beirut , Lebanon
Georges Khoury, DDS, MSc Department of implantology and bone
reconstruction , Paris-Diderot University , Paris , France
Pierre Lahoud , DDS Department of Oral Surgery, Faculty of Dentistry ,
Saint Joseph University , Beirut , Lebanon
Harry Maarek , MD Department of Otolaryngology-Head and Neck Surgery ,
Pitie Salpetriere Hospital , Paris , France
Nabih Nader, DDS Department of Oral and Maxillofacial Surgery ,
School of Dentistry, Lebanese University , Beirut , Lebanon
Ibrahim Nasseh, DDS, PhD, MBA Department of DentoMaxilloFacial
Radiology and Imaging , Lebanese University, School of Dentistry ,
Beirut , Lebanon
Bahige Tourbah Private Practice in Oral Implantology, Oral and Maxillofacial
Surgery Clinic , Montpellier , France
Ronald Younes, DDS, PhD Department of Oral Surgery,
Faculty of Dentistry , St Joseph University , Beirut , Lebanon
ix
