Microsurgical lateral sinus floor elevation (LSFE)

Outline

• Incision
• Flap mobilization
• Lateral sinus fenestration
• Elevation of the Schneiderian membrane
• Implant bed preparation
• Bone chip harvesting at the mandibular angle
• Filling of sinus lift lumen with autologous bone chips
• Implant insertion
• Covering the lateral sinus cavity with collagen membrane
• Wound closure

List of materials

• Zeiss Pro Dent microscope with beam splitter and Panasonic 3 CCD camera
• Scalpel holder (Ustomed) with Swann-Morton blades 15C and 12D
• Narrow rasp (Hu-Friedy)
• Micro-vacuum (Luer Lock Suction Tip, American Dental Systems)
• Disposable vacuum tube set (Bexamed)
• Disposable draping, Lindau (Aescologic)
• Piezosurgery with diamond ball (Mectron)
• Microforceps (Hu-Friedy)
• Excavator (Martin)
• Periodontometer, 1-mm gradation (Hu-Friedy)
• OsseoSpeed implant set, Dentsply Implants:
  • Marking drill
  • Twist drill, 2 mm
  • Depth gauge
  • Pilot drill, 2/3.2 mm
  • Twist drill, 3.2 mm
  • Tapered drill, 3.2/5 mm
  • OsseoSpeed TX implant, 5.0 × 11 mm
  • Closure screw, 4.5/5 mm
• Columbia curette (Ustomed)
• Micross scraper (Meta)
• Needle holder (Ustomed)
• Langenbeck wound retractor (Ustomed)
• Kelly scissors (Ustomed)
• Buchanan endodontic hand plugger (American Dental Systems)
• Resorbable collagen membrane (Resodont, Resorba)
• Ethilon 5-0 FS-3 (Ethicon)
• Prolene 6-0 DA-2 (Ethicon)