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Autogenous core lift technique: A novel method for indirect sinus lift

with addition of alloplastic phosphosilicate putty in atrophic maxilla


Pneumatisation of the sinus is a common occurrence after extraction of maxillary posterior teeth. Implant procedures require a clinically
acceptable level of bone to be present for implants to be placed in function. Residual bone with above 4 mm of height can be managed
using the indirect sinus lift procedure whereas bone height less than 4mm requires a direct sinus lift using lateral window approach. This
clinical case report describes the use of autogenous core used to lift the membrane in conjunction with calcium phosphosilicate putty
using minimal armamentarium thereby avoiding the associated morbidity and complications associated with a direct sinus lift
procedure.

CASE REPORT
Advantages :
-Ease Benefits
of procedure
of using putty:
Conclusion: -Preservation of bone
-Pneumatic
The autogenous core lift-Maintenance
technique pressure
in conjunction during
with syringing
alloplastic
of vascularity
calcium phosphosilicate-More putty-Alkaline environment
and osteotomes
bone allows for atraumatic
to implant contact
-Rapid providing
indirect sinus lifts up to 10mm thereby turnover greater
rate bone volume
-Composite
and stability in the posterior maxilla graft inimplant
for predictable conjunction
therapywith autogenous
Disadvantages : bone
-Technique sensitive
-Experienced operator
-Chances of membrane tear
-Need for favourable sinus
floor

DR.UMESH Y PAI,ASSOCIATE PROFESSOR,DEPT.OF PROSTHODONTICS,MCODS,MANGALORE