Minimally invasive antral membrane balloon elevation followed by maxillary bone augmentation and implant fixation

The Journal of Oral Implantology
Efraim KfirEdo Kaluski

Abstract

The posterior maxillary segment frequently suffers from insufficient bone mass to support dental implants. Current bone augmentation methods, including the lateral maxillary approach (ie, hinge osteotomy) and sinus elevation by osteotome, have many shortcomings. The objective of our study was to assess the safety and efficacy of minimally invasive antral membrane balloon elevation (MIAMBE) followed by bone augmentation and implant fixation (executed during the same procedure). Alveolar crest exposure and implant osteotomy were followed by sequential balloon inflations yielding > 10 mm MIAMBE. A mix of autologous fibrin and bone particles with bone speckles was injected beneath the antral membrane. Implants were fixated into the osteotomies, and primary closure was performed during the same sitting. A total of 24 patients were enrolled. Successful conclusion of this procedure was accomplished in 91.6% of the initial 12 patients and 100% in the second dozen cases without significant complications. Patient discomfort was minimal. Long-term follow up revealed satisfactory bone formation, resulting in adequate implant stability. We conclude that the protocol of MIAMBE results in an excellent success rate, low complication rate, mini...Continue Reading

References

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Citations

Dec 7, 2007·Journal of Periodontology·Efraim KfirEdo Kaluski
Dec 14, 2011·Medicina oral, patología oral y cirugía bucal·María Peñarrocha-DiagoMiguel Peñarrocha-Diago
Dec 7, 2011·Medicina oral, patología oral y cirugía bucal·R Velázquez-CayónJ-L Gutiérrez-Pérez
Apr 22, 2014·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Angelo TroedhanSiegfried Jank
Oct 16, 2014·Journal of Cranio-maxillo-facial Surgery : Official Publication of the European Association for Cranio-Maxillo-Facial Surgery·Udatta KherGeorgios A Kotsakis
Aug 18, 2009·Clinical Implant Dentistry and Related Research·Efraim KfirEdo Kaluski
Oct 27, 2009·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·Wael AttJörg Rudolf Strub
Mar 14, 2009·Clinical Oral Implants Research·Bernhard PommerGeorg Watzek
Aug 18, 2009·Clinical Implant Dentistry and Related Research·Florian Stelzle, Klaus-Ulrich Benner
Jan 30, 2013·Clinical Implant Dentistry and Related Research·Alessandro Pozzi, Peter K Moy
Mar 14, 2017·Implant Dentistry·Young-Kyun KimJi-Su Oh
Aug 30, 2018·Implant Dentistry·Lorenzo TavelliHom-Lay Wang

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