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The Problems Of Transplantation In The Distal Region Of The Atrophic Upper Jaw - Implantation Techniques And Case Presentations

M. Krmpotić
D. Jelušić


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Full text: english pdf 67 Kb

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Abstract

The insertion of an implant in the distal region of the atrophic upper jaw is usually a technically demanding surgical intervention. Most commonly the problem is a lowered maxillary sinus. The presentation describes the bases of the following surgical techniques: 1. bypassing the sinus - insertion of the implant alongside the medial wall of the sinus (without penetration into the sinus cavity), with slight distal inclination; 2. transcrestal condensation of the sinus floor by osteotomes (Summers-technique) - combined preparation by drills and osteotomes with final osteotomy of the sinus floor without perforation of the mucous membrane; 3. open method of lifting the sinus floor by the vestibular approach - classical method of approach through the opening in the vestibular wall of the sinus, preparation and pressing of the mucous membrane, and inserting of material for augmentation (simultaneously with the insertion implant, or in two phases). Each method is supplemented with a presentation of clinical cases.
Knowledge of all three methods enables the experienced clinician to solve all situations in implantological treatment of distal regions in the upper jaw.

Keywords

Hrčak ID:

607

URI

https://hrcak.srce.hr/607

Publication date:

15.12.2005.

Article data in other languages: croatian

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