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Medical Forum / General / Dentistry / February 2007

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videos of sinus lift and implant surgery?

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JS - 17 Feb 2007 03:58 GMT
Does anyone know of a site that shows what goes on in the mouth during
an implant and/or a crestal sinus lift with osteotomes? I'd like to
see... No, not an animated video that makes it look like magic, a real
medical procedure video!

I found some on youtube but they weren't with osteotomes they were a
different type. I did find quite a few videos of implants on youtube
but have not had time to look at them all yet, thought maybe someone
here could direct me to a good one so I don't have to sort through
them all.
Steven Bornfeld - 17 Feb 2007 04:33 GMT
> Does anyone know of a site that shows what goes on in the mouth during
> an implant and/or a crestal sinus lift with osteotomes? I'd like to
[quoted text clipped - 6 lines]
> here could direct me to a good one so I don't have to sort through
> them all.

    I'm not a surgeon, Jim.  But I don't think the primary work is done
with osteotomes.  I've seen some in lectures, and osteotomes may have
been used to separate the cut segment.  But I think the primary cuts are
done with surgical burs.  Frankly, the videos I've seen aren't very easy
to orient myself with--they naturally want to zoom in on a small area,
and unless there's a clear shot at the teeth it's not really easy to
tell exactly where the cuts are being made.  But I got the general idea,
which actually might be better obtained by illustrations or yes,
animation.  It is often tough to visualize the sinus membrane, which is
mostly what I wanted to see.  And placement of graft material pretty
much obliterates whatever anatomy I could see anyway.
    My guess is that assisting on a surgery is really the only way to
really see what's going on.

Steve
JimSocal - 20 Feb 2007 11:11 GMT
>> Does anyone know of a site that shows what goes on in the mouth during
>> an implant and/or a crestal sinus lift with osteotomes? I'd like to
[quoted text clipped - 22 lines]
>
>Steve
Okay, I'll settle for animations of a sinus lift surgery.
Anyone know where I can see that?
I found this (http://www.youtube.com/watch?v=9UTPyhozpeA) on youtube,
Is this a sinus lift for implants without using osteotomes?

I've yet to find a good description of a crestal sinus lift with
osteotomes, with drawings or animation that explains it in layman's
terms and though I get the gist of it, I am curious to know more.
Still searching the net... Wish I could find one like those snazzy
implant animations...

Although I must say those implant animations are deceiving to patients
- they make it look much simpler and more straightforward than it
really is, as far as I'm concerned. So maybe it's good they don't do
that with sinus lifts.

I might now have let them do the sinus lift, had I known how traumatic
it was going to be. I guess I'm just a baby when it comes to having
surgeries, but part of it, too, was that I was not informed I'd be
having bone scraped from my jaw to graft under my sinuses, until I got
there. In fact, I was told I probably would not need a graft. So the
surprise (shock) of that was rather un-nerving as well. But in general
it was one of the most uncomfortable and painful things I've ever had
done, and the implants were no picnic either.
Steven Bornfeld - 20 Feb 2007 17:20 GMT
>>> Does anyone know of a site that shows what goes on in the mouth during
>>> an implant and/or a crestal sinus lift with osteotomes? I'd like to
[quoted text clipped - 46 lines]
> it was one of the most uncomfortable and painful things I've ever had
> done, and the implants were no picnic either.

    The need for an autogenous graft is not a minor detail, and certainly
should have been explained in detail.  That would have been far more
useful than watching gory videos.

Steve
JimSocal - 23 Feb 2007 08:34 GMT
>    The need for an autogenous graft is not a minor detail, and certainly
>should have been explained in detail.  That would have been far more
>useful than watching gory videos.
>
>Steve
I am 100% with you on that! The idea of watching the videos was my
own, after the fact, just for my own morbid curiosity.

Yes, I was very upset that the graft was not explained to me. It had
been mentioned as a possibility but I was led to believe it was not
going to be needed. Certainly, whenever that decision was made
(obviously it was made before I got there for the appt. that day), I
should have been informed and had the right to approve or disapprove.

However, I get the feeling that when you sign up for student
dentistry, even in the graduate program as this is, you kind of have
to accept a certain degree of, shall we say, "unprofessionalism". At
least that has been my experience. The way I look at it, I'll just be
happy if the actual operations, the implants and sinus lift, WORK, and
do not fail or are not done poorly!

The truth is, I would have most likely agreed to the graft, had I been
informed, anyway. But yes, I SHOULD have been told!

I *think* that the quality of work has been pretty good by my student
dentist, and certainly I have noticed the prof there at every major
stage, looking in every few minutes, sometimes hanging around,
sometimes showing the student a better technique. And after it was
said and done the prof said it was a good job. (Though maybe he always
says that, to make the patient feel better???)

But as for communication, it has been pretty poor. I almost never
discuss anything with the prof, he's very much always in the
background, not accessible to me, and sometimes I think he should be a
bigger part of the patient-relations aspect of it. I have come here
often to ask things only because I get the impression that my student
really can't answer the questions well or with authority and I do not
have access to the prof. I think this is a deficiency in this
particular school's system.

But as I say, I signed on, and now I just hope it all works out. At
this point I"ll just be happy if the sinus lift didn't screw up my
sinuses or cause me to have headaches for the rest of my life!
 
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