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Dr. J. from asks:
I have a patient who needs dental implants placed in his maxillary second premolar and first molar areas. I would like to do a sinus lift procedure and have heard about the balloon technique where that is used to raised the membrane and create space for a bone graft. I would like to know if any of you have done this procedure and what kind of experiences did you have? What are the positive and is there anything I need to look out for?
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7 Responses to “ Sinus Lift with Balloon? ”
I have used the balloon with mixed results. If you are not careful you can create a very large rupture of the sinus membrane. I still prefer elevating the membrane the old fashioned way.
I have found that in most instances at the premolar area a sinus lift procedure will provide the added bone height needed for implant placement. Looking for 3-5 mm of added height I have found using oseotomes to develope the osteomoty site to be effective and speedy. make a small incision through the tissue, locator drill through the cortical bone, drill just short of the sinus to say 3.4 mm then use the oseotomes to penetrate the floor of the sinus, continue to the proper size for the selected implant, now place your chosen grafting material into the sinus through the osteotomy site to develope the height needed and place the implant. There should be 5-6 mm of sound bone to stabalize the implant durung healing and provide sound bone strength upon exposure. Balloon is a bit largefor most single implant procedures, there is a mini balloon availiable I believe. Might do well for single site but I find more trouble than using oseotomes. Buy a good set, they are worth it on your first case. You must prepare the patient for “Maxwell’s silver hammer”.
good day im actually looking for a balloon sinus lift where can i possible avail this im here at dubai united arab of emirates
See:
Br J Oral Maxillofac Surg. 2003 Apr;41(2):120-1. * Muronoi M, * Xu H, * Shimizu Y, * Ooya K. Division of Oral Pathology, Tohoku University Graduate School of Dentistry, Sendai, Japan.)
“The use of a haemostatic nasal balloon has three major advantages: a low risk of perforation of the sinus membrane even in anatomically complex conditions, a low incidence of infection and bleeding, and a shorter operating time.”
I use the Physioline Sinus Lifting kit out of Italy and distributed by Sabra Dental. Very clever use of drills and osteotomes. Of course, the one area of concern is that piece of bone between the membrane and the drill you finished last. I place a wad of fast resorbing collagen when I mallet; does anyone have a better solution to the infracture? Mini balloon? Piezo tips? Thanks!
This week I attemted a localized sinus lift for tooth #14. Extracted atraumatically 4 mos ago, Puros graft. No perf, great tissue. On reentering for the initial osteotomy, I experienced a perf at 5mm on the buccal aspect of the palatal root wall. Couldnt see it on the PA before or after. So I grafted and she’ll get another attempt in a few months. Would this have been a good balloon situation? Next time she will need a CT.
As far as localised osteotomies, I now go to a 5mm width with the osteotomy before the upfracture and use a 5mm osteotome. Thank you Dr Craig Cooper (past president of AAID). That one little pearl has made this procedure much more predictable for me. The cortical piece that goes with the upfracture is usually clearly visible on the PA and serves as a good tent for the MFDB I use. Bill
how popular is the balloon implant in the sinus to help you breathe …..where can you have it done at……..I hear its alot more better than the regular sinus operation to help a person breathe..
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