SINUS LIFTING SURGERY WITH SIMULTANEOUS SANATION OF THE LOWER SECTIONS OF THE MAXILLARY SINUS

Abstract

This article presents a new method of reconstruction of the atrophied distal alveolar process of the maxilla in patients with chronic polyposis sinusitis that we have developed and introduced into clinical practice. The method provides for bone grafting using open sinus inlay technique with simultaneous removal of polyps from the maxillary sinus and immediate or delayed placement of dental implants. Previously, the presence of extranasal sinus polyps was a contraindication to sinus lifting surgery. Treatment required an additional stage of the sinus sanation, which is possible only in the in-patient department, prolongs the rehabilitation time for patients with tooth loss, and extends the prosthetics period for dental implants. Moreover, it is not always possible to predict the exact time of the in-patient stage of treatment because of the individual characteristics of the body and the risk of possible complications, which in turn can increase the total period of surgical treatment. The developed method makes it possible to exclude the stage of in-patient treatment involving sanation of the maxillary sinus in this category of patients and thus reduces the duration of surgical treatment by 3–4 months.