HERZBERGER LANDSTRASSE 25A
37085 GOETTINGEN (GERMANY)
Videos of operations
At this place, you will find some small videos which we gathered for you and which are to make our treatment techniques more comprehensible. Please click on the camera icons or on the respective headlines!
The equipment for an endoscopic sinus floor augmentation consists of diamonded grinding tools, which exclude injuries of the mucosa of the maxillary sinus. A bowl-shaped knife is used for the detachment of the mucosa around the dental trepanation and is cutting on the edge. The sinus floor elevators are used for the through and through furcation enlargement of the mucosa of the maxillary sinus. A loop probe helps to unfold the subantral area during endoscopic control. The augmentation applicator supports the fractionated infilling of the subantral area with particular augmentation. The aggregation of the augmentation is supported by using a ball-shaped plugger.
Video: Opening of the subantral area
The opening of the subantral area is carried out with diamond burs under the exposure of the mucosa of the maxillary sinus. The mucosa is detached circularly with the bowl-shaped knife and the entrance into the subantral area is formed.
The preparation of the subantral area is continued up to the back wall of the maxillary sinus using the angular elevators. The mucosa of the maxillary sinus is lifted with the loop probe in such a way that an inspection of the subantral area can be carried out in a safe way.
After the preparation of the subantral area, the implant cavities are constructed. This involves shifting the drill dust from the cavity into the subantral area. This autogenous bone material can be used for augmentation later on. The endoscopic inspection of the implant cavity provides information about the structure of the implant’s mounting.
The augmentation requires a subantral area which is intact on all sides as well as safely bordered.
Cerasorb® was prepared as augmentation material by adding autogenous bone particles and autogenous blood. Spontaneous coagulation renders the augmentation easily processible. It gets inserted into the subantral area in small proportions via the dental trepanation.
The augmentation material gets displaced when screwing in the dental implant. This is a sign for the complete filling of the subantral area.
The case study dealt with a free-end situation in the first quadrant. Tooth 17 was temporarily left over as a bridge abutment until the exposure of the implants.
The titanium references show the planned position of the implant. In the area of the second premolar, the bone bed is 6 mm high. In the area of the first molar, there is a profound atrophy of below 3 mm. A one-stage approach with augmentation and simultaneous implant is to be carried out.
All in all, the SALSA technique allows minimisation of the invasiveness of the sinus floor augmentation by latero-basal through and through furcation enlargement of the mucosa of the maxillary sinus under endomicroscopic visualisation.
The bony access is reduced to the dimension of the tooth cavity. In detail, this results in the following advantages: – Maximum maintenance of bone substance by microsurgical access via supporting endoscopy – Safe exploration of the subantral area – Fractionated, endoscopically controlled augmentation and implantation – Minimal-invasive approach even in cases of profound atrophy – Standardised complication management in case of maxillary sinus septa and mucosa perforations – Reduced duration of treatment for primary implantation and under the use of satellite implants.
>> Graphics>> video sequence
by courtesy of Karl Storz Endoskope