Cuốn sách này mô tả rất chi tiết hầu hết các kỹ thuật hiện đang được sử dụng để thực hiện các thủ thuật nâng xoang và được bổ sung bởi nhiều hình ảnh minh họa và hình vẽ hữu ích. Cuốn sách cũng có một chương giá trị về các biến chứng có thể xảy ra và cách điều trị chúng. Tất cả các phần thông tin rất hữu ích cho các bác sĩ lâm sàng muốn tìm hiểu thêm về chủ đề này. Điều thú vị hơn nữa đối với con mắt phê bình của tôi là chương về viễn cảnh tương lai, nơi các tác giả nhận thức rõ ràng rằng lượng kiến thức mà chúng ta có ngày nay vẫn chưa đủ để đưa ra các khuyến nghị đáng tin cậy về quy trình có thể là quy trình hiệu quả nhất cần tuân theo khi phục hồi hàm sau teo . Chúng tôi biết cách thực hiện nhiều quy trình phức tạp và sáng tạo, mặc dù chúng tôi vẫn chưa biết, khi nào và nếu chúng tôi nên thực hiện chúng và cách nào là hiệu quả nhất. Chúng tôi vẫn chưa biết liệu chúng tôi có cần sử dụng mảnh ghép hay không vào xoang và đâu có thể là vật liệu ghép tốt nhất. Do đó, tôi sẽ nhân cơ hội nhấn mạnh thêm một lần nữa nhu cầu của chúng tôi về nghiên cứu lâm sàng đáng tin cậy để cung cấp các lựa chọn điều trị tốt nhất cho bệnh nhân của chúng tôi. Cuốn sách này chỉ ra bao nhiêu giải pháp khả thi mà chúng ta có, điều này là tốt để biết, nhưng bây giờ chúng ta có những ưu tiên mới: chúng ta cần biết những thủ tục nào trong số các thủ tục được mô tả có liên quan đến tỷ lệ thành công cao hơn, ít biến chứng hơn, thời gian phục hồi ngắn hơn, v.v. Cuốn sách này do đó có thể là một động lực để cộng đồng nghiên cứu quốc tế ưu tiên một số lĩnh vực nghiên cứu nhằm tìm ra những câu trả lời lâm sàng mà chúng tôi thực sự cần. Chúng ta biết cách thực hiện các thủ thuật nâng xoang theo nhiều cách khác nhau, nhưng bây giờ chúng ta cũng cần biết tại sao chúng ta làm chúng, khi nào chúng ta nên làm và thủ thuật nào được sử dụng là hiệu quả nhất.
Ronald Younes · Nabih Nader Georges Khoury Editors Sinus Grafting Techniques A Step-by-Step Guide 123 Sinus Grafting Techniques www.pdflobby.com www.pdflobby.com Ronald Younes • Nabih Nader Georges Khoury Editors Sinus Grafting Techniques A Step-by-Step Guide www.pdflobby.com Editors Ronald Younes Department of Oral Surgery St Joseph University Beirut Lebanon Georges Khoury Department of implantology and bone reconstruction Paris-Diderot University Paris France Nabih Nader Department of Oral and Maxillofacial Surgery Lebanese University Beirut Lebanon Videos to this book can also be accessed at http://www.springerimages.com/videos/978-3-319-11448-4 ISBN 978-3-319-11447-7 ISBN 978-3-319-11448-4 DOI 10.1007/978-3-319-11448-4 Springer Cham Heidelberg New York Dordrecht London (eBook) Library of Congress Control Number: 2014959095 © Springer International Publishing Switzerland 2015 This work is subject to copyright All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's location, in its current version, and permission for use must always be obtained from Springer Permissions for use may be obtained through RightsLink at the Copyright Clearance Center Violations are liable to prosecution under the respective Copyright Law The use of general descriptive names, registered names, trademarks, service marks, etc in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made The publisher makes no warranty, express or implied, with respect to the material contained herein Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com) www.pdflobby.com Foreword This book describes very exhaustively most of the techniques currently used for performing sinus lift elevation procedures and is complemented by numerous useful illustrations and drawings The book also has a valuable chapter on possible complications and how to treat them All very useful pieces of information for clinicians willing to learn more on the subject Even more interesting to my critical eyes is the chapter on future perspectives where the authors are clearly aware that the amount of knowledge we have today is still insufficient to make reliable recommendations on which could be the most costeffective procedures to follow when rehabilitating posterior atrophic jaws We know how to perform many complex and innovative procedures, though we still not know, when and if we should perform them and which are the most effective ones We still not know if we need to use a graft or not into the sinus and which could be the best graft materials I will therefore take the opportunity to stress once more the need we still have of reliable clinical research in order to provide the best treatment options to our patients This book showed how many possible solutions we have, which is good to know, but now we have new priorities: we need to know which among the described procedures are associated with higher success rates, less complications, shorter rehabilitation periods, etc This book therefore could be a stimulus for the international research community to prioritise some research areas in order to find those clinical answers we badly need We know how to sinus elevation procedures in many different ways, but now we need also to know why we them, when we should them and which of the many procedures used are the most effective ones Marco Esposito Freelance Researcher and Associate Professor, Department of Biomaterials, The Sahlgrenska Academy at Göteborg University, Sweden Editor, Cochrane Oral Health Group, School of Dentistry, The University of Manchester Editor in chief, European Journal of Oral Implantology v www.pdflobby.com www.pdflobby.com Contents Introduction and Scientific Background of Sinus Floor Elevation (SFE) Ronald Younes, Nabih Nader, and Georges Khoury Anatomy and Related Pitfalls in Sinus Floor Elevation Rufino Felizardo Clinical and Radiological Assessment and Planning in Sinus Floor Elevation Ibrahim Nasseh and Ronald Younes 31 Otorhinolaryngological Assessment and Physiopathology of the Maxillary Sinus Prior to Bone Augmentation Harry Maarek and Bahige Tourbah 53 Lateral Sinus Grafting Approach: Overview and Recent Developments Ronald Younes and Maroun Boukaram 65 Crestal Sinus Floor Elevation (SFE) Approach: Overview and Recent Developments Nabih Nader, Maissa Aboul Hosn, and Ronald Younes 105 Use of Grafting Materials in Sinus Floor Elevation: Biologic Basis and Current Updates Georges Khoury, Pierre Lahoud, and Ronald Younes 145 Complications of Maxillary Sinus Bone Augmentation: Prevention and Management Bahige Tourbah and Harry Maarek 195 Current State, Treatment Modalities, and Future Perspectives of Sinus Floor Elevation (SFE) Ronald Younes, Georges Khoury, and Nabih Nader 235 Index 247 9 vii www.pdflobby.com www.pdflobby.com Contributors Maroun Boukaram, DDS Department of Periodontology, Faculty of Dentistry, St Joseph University, Beirut, Lebanon Rufino Felizardo, DDS, PhD Department of Odontology-Anatomy and Radiology unit, Paris-Diderot University and Rothschild Hospital (APHP), Paris, France Maissa Aboul Hosn, DDS Department of Oral and Maxillo-facial Surgery, Lebanese University, School of Dentistry, Beirut, Lebanon Georges Khoury, DDS, MSc Department of implantology and bone reconstruction, Paris-Diderot University, Paris, France Pierre Lahoud, DDS Department of Oral Surgery, Faculty of Dentistry, Saint Joseph University, Beirut, Lebanon Harry Maarek, MD Department of Otolaryngology-Head and Neck Surgery, Pitie Salpetriere Hospital, Paris, France Nabih Nader, DDS Department of Oral and Maxillofacial Surgery, School of Dentistry, Lebanese University, Beirut, Lebanon Ibrahim Nasseh, DDS, PhD, MBA Department of DentoMaxilloFacial Radiology and Imaging, Lebanese University, School of Dentistry, Beirut, Lebanon Bahige Tourbah Private Practice in Oral Implantology, Oral and Maxillofacial Surgery Clinic, Montpellier, France Ronald Younes, DDS, PhD Department of Oral Surgery, Faculty of Dentistry, St Joseph University, Beirut, Lebanon ix www.pdflobby.com www.pdflobby.com L + SI C + GBR/ onlay + DI C + GBR + DI C + onlay+/− expansion + SI C +/−GBR+/−SI C + SI IIP H≥ Zitzmann (1998) cl.A & B H: 4–6 H: 7–10 Jensen (1994) SA-2-B H:10–12 W: 2.5–5 SA-2 H: 10–12 W >5 Misch (1999) SA-1 H ≥ 12 W >5 cl B H: 7–9 Fugazzotto (2003) cl A H = 10 Simion et al (2004) cl.A H >6 BC-CEJ: cl.A H 4–8 W >5 BC-CEJ ++ Chiapasco et al (2008) Table 9.1 Overview of the SFE main classifications: treatment selection based on different parameters cl Bv H:6–9 BC-CEJ >3 W ≥5 cl Bc H: 6–9 BC-CEJ >3 W 8 (single) Stern and Green (2012) 240 R Younes et al cl.D H 3 cl.D H 3 cl B H 5 BC-CEJ − − cl F H:4–8 W