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Medical Forum / General / Dentistry / November 2005Bone graft for a dental implant
Hi I am planning to have a crown put in for a tooth in the upper right side towards the back (tooth #3). The tooth there was extracted about a year ago. Since there is not enough bone, a bone graft needs to be done for the dental implant to be put in.There are 2 procedures to do this. The first procedure involves sinus floor uplifting via surgery (believe this procedure is called Sinus Floor Elevation). The 2nd procedure is newer Hydraulic Sinus Condensing for Implant Placement apparently does not need sinus surgery but instead a hole is drilled from the mouth itself upwards and bone graft is pushed thru. The 2nd technique is supposed to be less invasive. It comes from Dental Implant Institute of Las Vegas (http://www.diilv.com/hydraulic.htm). Does anyone have any experience with the newer 2nd procedure in terms of effectiveness, reliabilily and longevity? Thanks Bob > Hi > [quoted text clipped - 16 lines] > Thanks > Bob I've never seen this particular technique. The idea is apparently just a methodology for sinus lifts, not a new procedure per se. It does sound interesting, and hopefully our favorite OMF surgeon Dr. King will be around to comment. Steve  SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Hi >> [quoted text clipped - 23 lines] > >Steve Hey Folks, Tenting up the sinus from the oral cavity and then grafting is a nice technique. The limiting factor is how much bone height do you have in the area. You still need to secure the implant so if you only have 2-3mm of bone height below the sinus, the former (sinus lift) will be necessary followed by healing then implant placement. I have done many of the so called 'hydraulic technique' and all but one didnt work out. The implant failed to integrate. Very predictable and less painful then the actual sinus lift. Dave >>>Hi >>> [quoted text clipped - 37 lines] > > Dave So, here the idea is to keep the fixture out of the sinus, and not specifically to graft. Thanks, Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 >> Hey Folks, >> [quoted text clipped - 15 lines] >Thanks, >Steve Yea, especially since keeping them in bone is what they were designed for ;) If a patient has around 6-8 mm of bone at the lowest extent of the sinus, I begin the implant site like any other except I dont sink to the max depth. I usually stop one drill shy of the final width then osteotome the intact 2mm of floor superiorly. Now I pack the bone apically, sink the implant to depth, close in a water tight fashion then wait. If the implant would entire the sinus by only a mm or two, I do the same thing except I dont bother with adding the extra bone. I let mother nature do her thing after the implant tents up the floor. Dave > Yea, especially since keeping them in bone is what they were designed > for ;) [quoted text clipped - 3 lines] > the max depth. I usually stop one drill shy of the final width then > osteotome the intact 2mm of floor superiorly. There ya go, verbifying a noun again. Now I pack the bone > apically, sink the implant to depth, close in a water tight fashion > then wait. [quoted text clipped - 4 lines] > > Dave We love mother nature. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001 > I let >> mother nature do her thing after the implant tents up the floor. [quoted text clipped - 4 lines] > >Steve Except when she throws tantrums like Katrina and Rita. -- W_B Take out the G'RBAGE wubbabubbazG@RBAGEyahoo.com >Hey Folks, > [quoted text clipped - 6 lines] >I have done many of the so called 'hydraulic technique' >***and all but one didnt work out.**** The implant failed to integrate. Very predictable >and less painful then the actual sinus lift. > >Dave In the above, do you mean ALL worked out, except one, or only one worked out? >>Hey Folks, >> [quoted text clipped - 14 lines] >In the above, do you mean ALL worked out, except one, or only one >worked out? The former. Graft area healed well but the implant failed to integrate. Replaced the implant three months later which succesfully integrated the second time around. |
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