Otolaryngologie : accès libre

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Sinus Lift Procedure and Immediate Implant Placing: A Piezo-Surgery and Platelet Rich Plasma Approach: A Case Report

Luca Barbera, Emrah Mat and Monica Ahmed

Insufficient bone volume is a common problem occurring during the rehabilitation of the edentulous posterior maxilla with implant supported prostheses. The bone available for implant placement may be limited by the presence of the maxillary sinus together with loss of alveolar bone height and it may be increased by augmentation. This case report presents the rehabilitation of the right maxillary molar region using direct sinus lift followed by immediate placement of two Implants. It helps in reducing the treatment time and increases the patient comfort. Recently, several clinical studies have been performed to evaluate the use of Platelet-rich Plasma (PRP) in maxillary sinus augmentation. Aim of this case report is to evaluate Surgical Procedure of Sinus lifting associated with PRP use and Piezosurgical technique to open the lateral window and to elevate Schneider Membrane before implant positioning and intrasinusal bone augmentation procedures. Our conclusion is that Piezosurgery and Platelet Rich Plasma can make sinus lift procedure safer with a slightly faster recovery time. However it remain a good alternative (worldwide recognized by results) to other procedure only for skilled Practitioner if performed after scheduling a seriously therapeutic Programme. Inclusion criteria, procedural steps and healing time must be strictly observed. Overall, results, encourage us to follow choosen scheme for the future.