Peñarrocha-Diago MA, Galán-Gil S, Carrillo-García C, Peñarrocha-Diago D, Peñarrocha-Diago M. Transcrestal sinus lift and implant placement using the sinus balloon technique. Med Oral Patol Oral Cir Bucal. 2012 Jan 1;17 (1):e122-8.
Objective: A description is made of transcrestal sinus lift using the sinus balloon technique, evaluating the bone
height achieved and implant success one year after prosthetic loading.
Material and method: Between January and July 2007, transcrestal sinus lift using the sinus balloon technique
for dental implant placement was carried out in 6 patients. A panoramic X-ray study and maxillary computed
tomography scan were carried out before the operation, in order to discard possible sinus pathology. During the
intervention, the integrity of the sinus membrane was evaluated using a Medi Pack Pal endoscope (Farol Store and
Co., Tuttlingen, Germany), and the intraoperative complications were analyzed. The dental implants were placed
in the same surgical step in the presence of 3 mm or more of residual bone. Following the operation, panoramic
X-rays were used to assess the bone height gained. One year after prosthetic loading, the implant success rate was
determined based on the criteria of Buser.
Results: One patient was excluded due to Schneider’s membrane perforation as confirmed by endoscopy. Transcrestal sinus lift was carried out in 5 males with a mean age of 41.6 years (range 27-51), without antecedents of sinus disease. There were no intraoperative complications. In four patients the implants were placed simultaneous
to sinus lift, while in another case implant placement was postponed due to insufficient remaining bone height.
The mean gain in height after the operation was 8.7 mm. One year after prosthetic loading, the implant success
rate was 100%.
Conclusions: Transcrestal sinus lift using the sinus balloon technique is a minimally invasive procedure. In 5 patients the bone height gained proved sufficient to allow implant placement even in the presence of 3 mm of residual bone.