School of Dentistry, Taipei Medical University, Taipei, Taiwan, Republic of China.
Implant Dent. 2010 Aug;19(4):299-306. doi: 10.1097/ID.0b013e3181e417c1.
Sinus floor elevation can be done by lateral maxillary approach or crestal approach by osteotome techniques as a function of residual bone height. The osteotome technique has been developed for minor sinus floor elevation. This is a method with relatively high predictability but is technically demanding. During the past decade, different osteotome-mediated sinus floor elevation techniques have been developed to augment the sinus for predictable implant placement. All these methods aim to access a better, predictable sinus augmentation with low morbidity. Some of these techniques require special equipment or materials, complicated procedure, and a long learning curve. This article describes an innovative approach to sinus augmentation, namely, piezoelectric-assisted osteotome-mediated sinus floor elevation. This method uses a newly designed piezoelectric tip, which can perform sinus floor osteotomy in a simple and atraumatic way. This approach has the greatest advantages of good tactile sense in osteotomy, least perforation, patient comfort with the least and lightest malleting, and shortened surgery. This method may be the most favorable osteotome technique in the future.
鼻窦底提升可通过上颌骨外侧入路或经骨凿技术的牙槽嵴顶入路来完成，这取决于剩余骨高度。骨凿技术是为了进行较小的鼻窦底提升而开发的。这是一种具有较高可预测性但技术要求较高的方法。在过去的十年中，已经开发出了不同的骨凿介导的鼻窦底提升技术，以增加窦腔以实现可预测的种植体植入。所有这些方法都旨在获得更好、更可预测的鼻窦提升，同时降低发病率。其中一些技术需要特殊的设备或材料、复杂的程序和较长的学习曲线。本文介绍了一种创新的鼻窦提升方法，即压电辅助骨凿介导的鼻窦底提升。该方法使用了一种新设计的压电尖端，可以简单、无创地进行鼻窦底切开术。这种方法在切开术中具有最佳的触感、穿孔最少、患者舒适度最高、敲击声最轻且手术时间最短等优点。这种方法可能是未来最有利的骨凿技术。
