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American Association of Oral and Maxillofacial Surgeons
AAOMS 91st Annual Meeting, Scientific Sessions and Exhibition

Surgical Mini-Lectures and Clinics

Wednesday, October 14, 2009
11:30AM - 1:30PM

M611

Ridge Expansion and Trans-Alveolar Sinus Elevation

Handouts Not
Currently Available

Daniel R. Cullum, DDS
Private Practice
Coeur d'Alene, ID

Synopsis

Ridge expansion techniques utilize the biologic healing potential of bone like an extraction site and allow simultaneous insertion of appropriately sized implants to reproduce the functional proportions of the dentoalveolar complex. Ridge expansion develops a vascular "bone flap" and enables trans-alveolar access to the sinus floor for elevation with "osteotome", "palatal in-fracture", or "contiguous sinus floor elevation" techniques. The role of micro flaps, split thickness flaps, free and pedicle grafts and adjunctive periodontal "plastic" techniques for soft tissue augmentation will be demonstrated. Utilization of the healing potential of these tissues can reduce the time, discomfort and expense often associated with conventional grafting techniques.

Learning Objectives

At the conclusion of this presentation, participants should be able to:

  1. Reduce treatment time and expenses for patients with the application of ridge expansion techniques for single stage implant placement.
  2. Identify defects at inadequate implant recipient sites appropriate for implant reconstruction with ridge expansion and trans-alveolar sinus elevation.
  3. Identify and manage the low sinus with trans-alveolar sinus elevation techniques at the time of tooth extraction.

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