Minimally invasive sinus surgery.

Minimally Invasive Sinus Surgery

New Implant Treatment Protocols for the Posterior Maxilla

* Language : English

* Author and Editor : Young-Ku Heo, DDS, MSD, PhD

* Co-Authors

Richard Leesungbok, DMD, MSD, PhD

Jung-Chul Park, DDS, MSD, PhD

Nam Yoon Michael Kim, DDS, MSD, PhD

Jongyub Kim, DDS, MS, CAGS, PhD

Chonghwa Kim, DDS, MS, FICD

Joongmin Kim, DDS, MS, PhD

Hyun-Chang Lim, DDS, MSD, PhD



| Chapter 1 | Understanding the Posterior Maxilla / Jung-Chul Park, Hyun-Chang Lim

Introduction / 2
Anatomy of the posterior maxilla / 3
Conventional sinus lift techniques / 15


| Chapter 2 | CMI Fixation: Types of Implant Fixation / Young-Ku Heo, Richard LEESUNGBOK

Conventional bone density classi cation / 26
Heo’s bone density classi cation / 28
CMI xation / 29
Charting methods of the CMI xation / 36


| Chapter 3 | Heo's Sinus CMI Classification / Young-Ku Heo

Heo's classi cation of Sinus CMI xation / 43
Sinus Class I CMI xation / 44
Sinus Class II CMI xation / 48
Sinus Class III CM/C xation / 56
Sinus Class IV CM/C xation / 56


| Chapter 4 | The SCA Technique: A New Sinus Crestal Approach Technique / Young-Ku Heo

New approach to achieve xation in the inferior cortical wall of the sinus / 60
The SCA technique / 61
Step by step procedure of the SCA technique / 74
Key factors for minimizing membrane tearing / 79


| Chapter 5 | Clinical Cases of the SCA Technique

Case 1: 8 Year follow-up case of Class III CMI/CM xation in the maxillary 1st and 2nd molar area / Jongyub Kim / 84
Case 2: Single tooth restoration with a Ti customized abutment supported by an implant with Class III CMI xation in the maxillary 1st molar area / Richard LEESUNGBOK / 88
Case 3: Delayed immediate placement with Class III M fixation using the SCA technique in the extraction socket of the maxillary left 1st molar/ Chonghwa Kim / 92
Case 4: Maxillary posterior multiple teeth replacement with Class I, II, and III CMI fixations / Young-Ku Heo / 95
Case 5: 10mm sinus lifting with the SCA technique in the severely concave sinus floor / Young-Ku Heo / 101
Case 6: 6 year result of a 7mm sinus elevation with the crestal approach utilizing micro-elevators / Jongyub Kim / 107
Case 7: Immediate placement with the crestal sinus elevation in limited available bone height/ Jung-Chul Park / 112
Case 8: 7 year long-term result of immediate placement with crestal sinus elevation/ Joongmin Kim / 116
Case 9: Class III M xation with sinus crestal elevation and GBR with a Ti mesh / Nam Yoon Michael Kim / 121
Class 10: 6 year result of simultaneous implant placement after sinus elevation through the crestal approach with the microelevators in the thin residual bone height/ Young-Ku Heo / 128
Case 11: Crestal and lateral sinus elevation with SCA and SLA techniques / Young-Ku Heo / 133


| Chapter 6 | The SLA Technique: A New Sinus Lateral Approach Technique / Young-Ku Heo

Conventional lateral window technique / 144
The SLA technique / 146
Basic procedures of the SLA technique with simultaneous implant placement / 162
Advantages of the SLA technique / 164
Complications and management / 173


| Chapter 7 | Clinical Cases of the SLA Technique

Case 1: 8-year result of a lateral window opening using a LS-reamer with a semilunar ap / Nam Yoon Michael Kim / 186
Case 2: 8-year result of a lateral window opening using an LS-reamer with a small vertical incision/ Young-Ku Heo / 191
Case 3: CMI implant surgery with SCA and SLA on the posterior maxilla / Richard LEESUNGBOK / 196
Case 4: Sinus Class III CM and Class IV CM/C xations with SCA and SLA techniques / Jongyub Kim / 204
Case 5: Immediate placement with SLA technique and small vertical incision / Chonghwa Kim / 212
Case 6: Simultaneous implant placement with C-reamer and full thickness ap: 5 year follow-up / Joongmin Kim / 218
Case 7: Immediate placement with sinus Class IV CM/C xation using SLA technique / Chonghwa Kim / 222
Case 8: Reduction crestal-alveoloplasty with sinus graft / Young-Ku Heo / 226
Case 9: Vertical alveolar ridge augmentation using a Ti-mesh SLA technique / Jung-Chul Park / 233
Case 10: Sinus membrane elevation of a complicated sinus septum area with vertical bone augmentation in severe defect area / Nam Yoon Michael Kim / 239


| Chapter 8 | Scientific Evidences for Predictability of the SCA/SLA Techniques, CMI Fixations, and Loading Protocols in the Posterior Maxilla

8-Year Retrospective Study on the SCA and SLA Techniques, and Sinus CMI Fixation and Loading Protocols in the Posterior Maxilla / 246
Early Loading of Splinted Implants Supporting a Two-unit Fixed Partial Denture in the Posterior Maxilla: 13-month Results from a Randomized Controlled Clinical Trial of Two Different Implant Systems / 263
Retrospective Results of Implants for Partially Edentulous Posterior Jaws According to Time Points of Early Loading / 268
The In uence of Sinus Membrane Thickness Upon Membrane Perforation During Transcrestal Sinus Lift Procedure / 270
Incidence of and Factors Associated with Sinus Membrane Perforation During Sinus Augmentation Using the Reamer Drilling Approach: A Double-Center Case Series / 279
A New Technique for Minimally Invasive Maxillary Lateral Sinus Augmentation: a Case Report / 286
Sinus Bone Grafting Technique Using Special Reamers and Microelevators / 290
Differences in Implant Stability Associated with Various Methods of Preparation of the Implant Bed: An in Vitro Study / 294
Comparison of Surgical Techniques to Enhance Primary Stability in the Thin Crestal Cortical Bone and Low-density Bone / 297