Dental CE Course: State of the Art with SInus Augmentation

2-Day Hands-On Training Course
Dates: July 31 & August 1st, 2009

The maxillary posterior edentulous region presents a challenging condition for dental implant placement. Alveolar bone resorbtion and increased pneumatization of the sinus cavity reduce the amount of alveolar bone necessary to maintain a predictable implant- supported prosthesis. This problem can be overcome by grafting the maxillary sinus floor which provides a sufficient quantity of bone for the placement of endosteal dental implants to support a prosthetic reconstruction.

Generally, dental implant placement associated with a sinus floor augmentation, can be performed in one or two surgical stages, depending on the residual alveolar bone height. A minimum of 4-5 mm is recommended for a one-stage surgical procedure (simultaneous implant placement). This was chosen arbitrarily as the minimal amount of bone, most likely because of its ability to provide initial implant stability and accurate implant inclination and parallelism. This is considered to be one of the most crucial factors for implant osseointegration. Improved initial implant stability provided by new surgical techniques and roughened implant surfaces have led some clinicians to advocate extending this treatment option to patients with < 3mm of residual bone height reporting long-term data on the survival of such implants. It has been reported that sinus floor augmentation with simultaneous implant placement can be performed in cases of 1-2mm of residual alveolar bone height with predictable results with a follow up of more than 10 years.

The purpose of this course is to give the theoretical background for doing these kinds of procedures as well as the step-by-step surgical guidelines using state of the art grafting materials, instrumentation and utilization of growth factors. Special emphasis will be given on complications and failures associated with sinus augmentations together with ways to avoid them both pre and post operatively.

All procedures will be shown on video and practical hands-on training will be performed on models.

Course Objectives:

After attending this course the participant will be able to:
-Diagnose and treatment plan the rehabilitation of the posterior maxilla.
-Evaluate the surgical approaches and techniques for sinus lifts.
-Comprehend different grafting materials for sinus augmentation.
-Comprehend the use of advanced surgical instrumentation such as Piezosurgery in sinus augmentation procedures.
-Learn how to utilize autologous growth factors.
-Learn to diagnose and treat complications associated with sinus augmentation procedures.