Tips for a sinus augmentation (SurgicalMaster™ advice)

In this video, Dr. Simon gives a few tips about an upcoming sinus augmentation. He talks about a patient CT scan and gives a dentist advice on the recommended approach. It's short and sweet. There is obviously more to learn and apply and that will come in separate training. For more videos opt-in at www.surgicalmaster.com

[@stephenleung2703]

I have never placed a regular sized implant--just placement of a restoration afterwards, but I am always curious as to what the periodontist have to go through. By watching these videos, it gives me ideas as to what to request for and not ask for the moon! Thank you for all your hard work in putting all these videos together.

[@aviglik1]

Thank you Ziv for your very accurate explanation

[@markh981]

As always a great presentation. I wish you could post a video of this procedure.

[@shadabisiddiquekhan3453]

Thank you for wonderful presentation

[@dangvinhle1994]

thanks for your advice !!

[@blackhorse4166]

Thank you so much. It is very very helpful ❤️

[@paolocarlobiondo1]

Great video, need to see what to do with complications, thanks Dr.Biondo , Modena,Italy

[@AM-eu8eh]

Very useful video .In Australia this kit is not available when you log in and search shopping-instrumentation you will find only this kit ( Hammerless Crestal Sinus Lift )

[@MrGabicu]

Fain, multumesc ! cu respect, dr.Rednic Gavril, Romania !

[@hosseinrejali366]

very good presentation! Thanks

[@FL-gg4dq]

Great lecture

[@HStream623]

tkank you. because i want some information about sinus lifting .you video help me a lot .

[@suzzansue5906]

thank you! very useful. would you please tell us how do you handle bleeding, and decision on placing or delaying implant placement?

[@MohdAzeem-xb8bs]

Very knowledgeable video sir

[@jayams329]

Thank you so much dr.

[@amaldoar7089]

Doing great job

[@amitjain2901]

Great doc..thanks

[@reginaldodom1738]

Very informative thanks

[@hamidrezamoshfeghi8352]

Great tips doc would you mind explaining about piezoelectric units for sinus lifting and pros and cons of it compared to the traditional round burs and straight hand pieces

[@leilaGHAVAM]

Thanks, nice short video.How do you avoid the arty? How do you deal with the bleeding? Does the small vessel change the extent of your lateral window?

[@mattsunny]

Dr. Simon, you spoke about the blood vessel, if it is severed, and bleeding a lot, what specific protocol would you follow, any changes or just carry on with grafting and close the area..? Thank you.

[@dinamohamed5905]

Thanks very much

[@keldonselman7981]

Great lecture, I would like to ask a question; Is it possible to have a permanent headache after implantation of edentulous patient if the bone is thin and weak? Thanks for your answer

[@patricialao3562]

Am patricia well explained thank u so much, pls make a video about gingival grafting of anterior teeth with bone graft thank you very much, want to refresh my memory and knowledge about it

[@automech01]

Why dont you use an indirect crestal approach using the Osseodesification system?

[@mohamdnour]

thanks

[@claudioboggioni8568]

Hello. What sinus lift curette do you recomend?

[@KiranKs3760]

Kindly, share your tips on septate max.sinus

[@amjidmuhammad8122]

How about a crestal approach bone augmentation?

[@drmuhammadalsokaily8864]

What is the best bone graft. Can you do this technique without bio membrane.

[@ankitamota9900]

Hi Dr. Ziv, In the presentation you mentioned about the blood vessel passing through the lateral window, I would like to know that how should one avoid any damage or nick to the vessel if its passing within your window outline ? Also if you could suggest how to handle the vessel bleeding in case it's severed. Thank You for a wonderful presentation.

[@dentalking7859]

Ankita Mota hello Dr r u MDS doctor

[@javierruiz6146]

outstanding presentation very clear. thankyou. ¿ how you control the bleeding?

[@zivsim1]

Pressure, local anesthesia and gauze soaked in lidocaine and epi 1:50k

[@sanjaymathur9676]

Thanks

[@SaifKhan-ek5ik]

Good Some live video on sinus augmentation

[@AmrNawaf]

thanks a lot for this video. it is very useful tips. can you please describe more about surgical complexity level scale, or where I can read more .. thanks again..

[@zivsim1]

Thank you for the feedback. I came up with this complexity level determination some time ago. It's described in another video that demonstrates treatment of a lesion in the esthetic zone. kzbin.info/www/bejne/iZSXf6WIntGIjbs This is he link. Let me know if you have any questions.

[@AmrNawaf]

I liked it, thank you very much for sharing.

[@garettseeba3693]

Can you comment on how you deal with septations in the sinus.

[@zivsim1]

That depends where they are. Sometimes by creating two windows. And making the window very large. Total compartments are not easy to handle. Sorry I don't have magic. When I see a septa on the scan I take into account a perforation and need for management.

[@sartara7502]

Thanks for U

[@alessandrozussino9660]

hi Ziv, very usefull considerations about sinus lift but what about the vertical deficiency of the bony crest?do you think it 'd be better to perform a vertical gbr simultaneously or to correct it prosthetically maybe with some pink porcelain? thanks. sandro

[@zivsim1]

alessandro zussino It's possible to augment vertically. However, not easy to do and also not always predictable in this region. So unless the vertical deficiency is not severe it's better to compromise on a longer crown.

[@lalo5574]

alessandro zussino you could get a custom made 3D printed titanium mesh, along with autologous or allograft material with BMP-1 and create the vertical bone needed for an ideal prosthetic outcome or refer to a surgeon who is completing that type of technique. Dr Pikos in Florida is one provider that comes to mind...

[@elievictorwarde]

Thank you Ziv for this clear presentation. What is your attitude regarding the bony window wall when you use the piezzo , do you raise it up with the Shneiderian membrane and use it as roof of the sinus or you will replace it to close the lateral access ? Thanks again. Elie

[@zivsim1]

Thank you. I do use if as a roof and don't detach it. The membrane is more inductive for bone formation but in the big picture it doesn't matter in my opinion. Quite often the bony window comes out by itself and then i usually discard of it. There is an element of risk to remove the bone in terms of a perforation if there is an adhesion

[@elievictorwarde]

Thank you for your fast reply. I lift the bone window with the membrane. `It's safer and faster

[@user-qw5mc7jv4q]

Tell us something about GBR,please. I want to work with titanium membrane, thanks!

[@zivsim1]

I don't use it. Mostly refurb able collagen

[@drsireenali812]

What if the vessel was bleeding?shall I ligate it? And if the membrane was perforated?

[@proudly123]

CAUTERIZE IT..ITS MINUTE VESSEL AND WON'T BE AN ISSUE

[@asmaayoub5709]

Why you didn't skipped the window approach and just drilled for 2 mm with a round stone and a lot of irrigation and use the sinus lift instrument and add membrane and bone grafts and wait for 3 month for better and secured placement and avoid dislocations, avoid also bone resorption from reflection of the flap done for the window.

[@zivsim1]

Asma Ayoub it's an option but think it'll be more predictable with open approach.

[@gergisalkhouri3936]

Muchas gracias. Es muy útil. Saludos.

[@bobnovac3558]

If you care about your patient's then you will send them to specialists that have actual residency training. I condemn anyone for thinking they can perform at the level of a specialist without adequate training. If you need to watch a you tube video to learn a procedure then you are thinking unethically. Be careful and always remember lawyers, patients, dental/medical boards and specialists are unforgiving if you do harm.

[@Chet73]

Ok Bob.

[@caner1810]

Nothing new

[@automech01]

Why dont you use an indirect crestal approach using the Osseodesification system?