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Published in French in Tropical Dental Journal Volume 44 - December 2021 pages 5-12
Article Open access
Authors : M. Tlili, M. Mlouka, F. Khanfir, A.M. Hamrouni, M.S. Khalfi, F. Ben Amor - Tunisia
Suite aux avulsions dentaires en secteur maxillaire postérieur, le remodelage osseux et la pneumatisation du sinus maxillaire entraînent une résorption osseuse compromettant la réhabilitation implantaire.
Le recours à un soulevé du plancher sinusien trouve son indication dans ces cas, et permet la correction du défaut osseux vertical. Bien que les techniques conventionnelles de Tatum -pour l’abord latéral- et Summers -pour l’abord crestal- soient encore largement utilisées, de nouvelles approches minimalement invasives ont été proposées pour réduire le risque de complications, notamment la perforation de la membrane de Schneider, et permettre un acte chirurgical mieux guidé et plus simple à maitriser. Le kit SCA (Sinus Crestal Approach, Neobiotech- Corée du Sud) fait partie de ces alternatives mises à la disposition du chirurgien-dentiste.
Le but de cet article était de décrire le protocole opératoire du Rehaussement Sinusien (RS) par abord crestal en ayant recours au kit SCA, et de le comparer à la technique conventionnelle de Summers.
After tooth extraction in the posterior maxillary sector, bone remodelling and pneumatisation of the maxillary sinus lead to bone resorption compromising implant rehabilitation. The use of a sinus floor elevation is indicated in these cases and allows the correction of the vertical bone defect. Although the conventional techniques of Tatum -for the lateral approach- and Summers -for the crestal approach- are still widely used, new minimally invasive approaches have been proposed to reduce the risk of complications, in particular the perforation of Schneider's membrane, and to allow a better guided and more easily controlled surgical procedure. The SCA kit (Sinus Crestal Approach, Neobiotech - South Korea) is one of these alternatives available to the dental surgeon.
The aim of this article was to describe the surgical protocol for Sinus Enhancement (SE) using the SCA kit, and to compare it with the conventional Summers technique.
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