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Fig. 8. Postoperative panoramic radiograph taken a...

Fig. 8. Postoperative panoramic radiograph taken about 3 years after implant loading Fig. 8. Postoperative panoramic radiograph taken about 3 years after implant loading

Fig. 7. Radiographic findings on panoramic compute...

Fig. 7. Radiographic findings on panoramic computed tomography after nongrafted sinus lift with simultaneous implant placement. a Immediately. b At 6 months. c At 42 months Fig. 7. Radiographic findings on panoramic computed tomography after nongrafted sinus lift with simultaneous implant placement. a Immediately. b At 6 months. c At 42 months

Fig. 6. Radiographic findings on cross-sectional c...

Fig. 6. Radiographic findings on cross-sectional computed tomography in the right second molar region after nongrafted sinus lift with simultaneous implant placement. a Immediately. b At 6 months. c At 42 months Fig. 6. Radiographic findings on cross-sectional computed tomography in the right second molar region after nongrafted sinus lift with simultaneous implant placement. a Immediately....

Fig. 5. Clinical view of the repositioned bone win...

Fig. 5. Clinical view of the repositioned bone window with the HA/PLLA mesh plate device Fig. 5. Clinical view of the repositioned bone window with the HA/PLLA mesh plate device

Fig. 4. a Front view of the bone window with the H...

Fig. 4. a Front view of the bone window with the HA/PLLA mesh plate device fixed by a screw. b Lower view of the bone window with the HA/PLLA mesh plate device fixed by a screw Fig. 4. a Front view of the bone window with the HA/PLLA mesh plate device fixed by a screw. b Lower view of the bone window with the HA/PLLA mesh plate device fixed by a screw

Fig. 3. After the removal of the bone window, the ...

Fig. 3. After the removal of the bone window, the membrane was lifted upward, and the dental implants were placed without grafting materials Fig. 3. After the removal of the bone window, the membrane was lifted upward, and the dental implants were placed without grafting materials

About this article : Continuous intra-sinus bone r...

Kaneko, T., Nakamura, S., Hino, S. et al. Continuous intra-sinus bone regeneration after nongrafted sinus lift with a PLLA mesh plate device and dental implant placement in an atrophic posterior maxilla: a case report. Int J Implant Dent 2, 16 (2016). https://doi.org/10.1186/s40729-016-0049-z Download citation Received: 18 March 2016 Accepted: 01 June 2016 Published: 06 June 2016 DOI: https:/...

Rights and permissions : Continuous intra-sinus bo...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...

Additional information : Continuous intra-sinus bo...

Takahiro Kaneko, Satoshi Nakamura, Shunsuke Hino, Norio Horie, and Tetsuo Shimoyama declare that they have no competing interests. TK, SN, and SH were involved with the literature review and performance of the surgery. NH and TS suggested the treatment planning and were also involved with the surgeries. All authors read and approved the final manuscript.

Author information : Continuous intra-sinus bone r...

Department of Oral and Maxillofacial Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan Takahiro Kaneko, Satoshi Nakamura, Shunsuke Hino, Norio Horie & Tetsuo Shimoyama You can also search for this author in PubMed Google Scholar You can also search for this author in PubMed Google ...

Acknowledgements : Continuous intra-sinus bone reg...

None. None.

References : Continuous intra-sinus bone regenerat...

Atef M, Hakam MM, EIFaramawey MI, Abou EIFetouh A, Ekram M. Nongrafted sinus floor elevation with a space-maintaining titanium mesh: case-series study on four patients. Clin Oral Implants Res. 2011;23:100–5. Kaneko T, Masuda I, Horie N, Shimoyama T. New bone formation in nongrafted sinus lifting with space-maintaining management: a novel technique using a titanium bone fixation device. J Oral M...

References : Continuous intra-sinus bone regenerat...

Pjetursson BE, Tan WC, Zwahlen M, Lang NP. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. J Clin Periodontol. 2008;35:216–40. Tan WC, Lang NP, Zwahlen M, Pjetursson BE. A systematic review of the success of sinus floor elevation and survival of implants inserted in combination with sinus floor elevation. P...

Abbreviations : Continuous intra-sinus bone regene...

computed tomography bioresorbable unsintered hydroxyapatite combined with poly l-lactide

Consent : Continuous intra-sinus bone regeneration...

Written informed consent was obtained from the patient for publication of this report and all accompanying images.

Conclusions : Continuous intra-sinus bone regenera...

This nongrafted sinus-lifting procedure using an HA/PLLA mesh plate device helps to attain predictable bone formation. Stable membrane elevation by the HA/PLLA device for the long term could contribute to predictable bone formation in the sinus. The source of cell supply could possibly be the Schneiderian membrane, reflecting its osteogenic potential.

Case presentation : Continuous intra-sinus bone re...

In nongrafted sinus-lifting procedure, several devices such as titanium [12–14], hollow hydroxyapatite [15], and bioresorbable materials [16] have been used for space retention to maintain the lifted sinus membrane and the results of predictable bone formation have been reported in addition to histological examination. In this case, a mesh plate device consisting of HA/PLLA materials was applied...

Case presentation : Continuous intra-sinus bone re...

A 60-year-old healthy female, who desired dental implant therapy in the right molar region of the maxilla, was referred to the Department of Oral and Maxillofacial Surgery. Clinical examination revealed an edentulous maxilla from the right first premolar to the second molar region. Panoramic radiography showed atrophy of the maxillary alveolar ridge in the same site (Fig. 1), and the need for sin...

Background : Continuous intra-sinus bone regenerat...

Maxillary sinus lift is a bone augmentation procedure in the sinus that improves the alveolar crest height in atrophic posterior maxilla by forming new bone in the space created under the elevated sinus membrane. To date, numerous grafting materials have been used as a scaffold for new bone regeneration, including autogenous bone, bone graft substitutes, or their combination [1, 2]. Autogenous bon...

Abstract : Continuous intra-sinus bone regeneratio...

Sinus lift is a bone augmentation procedure that improves the alveolar crest height in an atrophic posterior maxilla. However, the regenerated bone volume can vary and generally has a tendency to decrease after sinus operation. This article describes nongrafted maxillary sinus lift using a bioresorbable unsintered hydroxyapatite combined with poly l-lactide (HA/PLLA) mesh plate device and dental i...

Fig. 7. Orthopantomograph 2 years after implant p...

Fig. 7. Orthopantomograph 2 years after implant placement

Fig. 6. Clinical picture 2 years after implant pl...

Fig. 6. Clinical picture 2 years after implant placement Fig. 6. Clinical picture 2 years after implant placement

Fig. 5. Occlusal view of implants after vertical r...

Fig. 5. Occlusal view of implants after vertical repositioning of the dental alveolus segment showing proper mesiodistal space and buccolingual spacing Fig. 5. Occlusal view of implants after vertical repositioning of the dental alveolus segment showing proper mesiodistal space and buccolingual spacing

Fig. 4. Vertical repositioning of dental alveolus ...

Fig. 4. Vertical repositioning of dental alveolus segment with placement of dental implants Fig. 4. Vertical repositioning of dental alveolus segment with placement of dental implants

Fig. 3. Direct sinus lift with implant osteotomy p...

Fig. 3. Direct sinus lift with implant osteotomy preparation Fig. 3. Direct sinus lift with implant osteotomy preparation

Fig. 2. Marked incision site for surgical access :...

Fig. 2. Marked incision site for surgical access Fig. 2. Marked incision site for surgical access

Fig. 1. Edentulous site with supra-eruption of opp...

Fig. 1. Edentulous site with supra-eruption of opposing dentition Fig. 1. Edentulous site with supra-eruption of opposing dentition

About this article : Maxillary segmental osteoperi...

Tsegga, T., Wright, T. Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implants: case report of a novel technique. Int J Implant Dent 3, 2 (2017). https://doi.org/10.1186/s40729-017-0067-5 Download citation Received: 06 December 2016 Accepted: 13 January 2017 Published: 19 January 2017 DOI: https://doi.org/10.1186/s40729-017-0067-5

Rights and permissions : Maxillary segmental osteo...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were m...

Author information : Maxillary segmental osteoperi...

Department of Oral & Maxillofacial Surgery, San Antonio Military Medical Center, 3551 Roger Brooke Dr., Ft. Sam Houston, 78234, TX, USA Tibebu Tsegga & Thomas Wright Department of Oral & Maxilofacial Surgery, Wilford Hall Ambulatory Surgical Center, 2200 Bergquist Dr, Suite 1, Lackland AFB, TX, 78236, USA Tibebu Tsegga & Thomas Wright You can also search for this author in PubMed Google S...

References : Maxillary segmental osteoperiosteal f...

Irinakis T. Efficacy of injectable demineralized bone matrix as graft material during sinus elevation surgery with simultaneous implant placement in the posterior maxilla: clinical evaluation of 49 sinuses. J Oral and Maxillofac Surg. 2011;69:134–41. Chiapasoo M, Casentini P, Zaniboni M. Bone augmentation procedures in implant dentistry. Int J Oral Maxillofac Implants. 2009;24:237–69. Jenson...

Conclusions : Maxillary segmental osteoperiosteal ...

This case highlights the evolving variations in dentoalveolar augmentation with an emphasis on concomitant implant placement. In the most traditional sense, a vertical osteoperiosteal flap technique would be bound with a stable basal bone that can be used to anchor simultaneous dental implant placement. Further refinement should consider minimizing crestal reflection and overall labial bone resorp...

Discussion : Maxillary segmental osteoperiosteal f...

A critical appraisal of the gingival architecture in the final end point of this case demonstrates some radiolucency through the soft tissue outlining the platform of the Nobel Biocare TiUnite implant. This would lead us to believe that either the transmucosal bone level placement attempt was inaccurate or excessive reflection of the labial tissue has caused some degree of resorption. This is anot...

Discussion : Maxillary segmental osteoperiosteal f...

A suitable alternative surgical management of this particular case might have been to simply perform an alveoloplasty to produce the desired inter-occlusal clearance and proceed with placement of implant and simultaneous direct sinus lift. That would have left more of the apical portion of the implant within the grafted sinus and possibly modified the location of keratinized band of tissue. The lo...

Case Presentation : Maxillary segmental osteoperio...

A 35-year-old female with a 10-year history of partial acquired edentulism at site numbers 3 and 4 presented to our clinic for dental implant evaluation. Preoperative clinical examination revealed a reproducible intercuspation, well-delineated band of keratinized tissue, and decreased inter-occlusal clearance to allow for optimal dimension of prosthetic crowns (Fig. 1). Radiographs demonstrated e...

Background : Maxillary segmental osteoperiosteal f...

Obtaining proper occlusal clearance to allow for a single unit crown restoration is a fundamental prerequisite for dental implant restoration. Long-standing edentulous sites are often fraught with disuse atrophy and unopposed supra-eruption of the opposing dentition. In the posterior maxillae/mandible, there are vital structures that have to be mobilized in order to allow space for either bone tra...

Abstract : Maxillary segmental osteoperiosteal fla...

Dental restorative space from the opposing dentition requires adequate distance for restorative material for an acceptable restoration. Typically, long-standing edentulous alveolar ridges will have vertical and or horizontal defects that require alveolar ridge augmentation for ideal dental implant restorations. Along with these defects, one will see the opposing dentition supra erupt which can obl...

About this article : Maxillary segmental osteoperi...

Tsegga, T., Wright, T. Maxillary segmental osteoperiosteal flap with simultaneous placement of dental implants: case report of a novel technique. Int J Implant Dent 3, 2 (2017). https://doi.org/10.1186/s40729-017-0067-5 Download citation Received: 06 December 2016 Accepted: 13 January 2017 Published: 19 January 2017 DOI: https://doi.org/10.1186/s40729-017-0067-5

Rights and permissions : Maxillary segmental osteo...

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were...

Author information : Maxillary segmental osteoperi...

Department of Oral & Maxillofacial Surgery, San Antonio Military Medical Center, 3551 Roger Brooke Dr., Ft. Sam Houston, 78234, TX, USA Tibebu Tsegga & Thomas Wright Department of Oral & Maxilofacial Surgery, Wilford Hall Ambulatory Surgical Center, 2200 Bergquist Dr, Suite 1, Lackland AFB, TX, 78236, USA Tibebu Tsegga & Thomas Wright You can also search for this author in ...

References : Maxillary segmental osteoperiosteal f...

Irinakis T. Efficacy of injectable demineralized bone matrix as graft material during sinus elevation surgery with simultaneous implant placement in the posterior maxilla: clinical evaluation of 49 sinuses. J Oral and Maxillofac Surg. 2011;69:134–41. Chiapasoo M, Casentini P, Zaniboni M. Bone augmentation procedures in implant dentistry. Int J Oral Maxillofac Implants. 2009;24:237–69. Jenson...

Conclusions : Maxillary segmental osteoperiosteal ...

This case highlights the evolving variations in dentoalveolar augmentation with an emphasis on concomitant implant placement. In the most traditional sense, a vertical osteoperiosteal flap technique would be bound with a stable basal bone that can be used to anchor simultaneous dental implant placement. Further refinement should consider minimizing crestal reflection and overall labial bone resorp...

Discussion : Maxillary segmental osteoperiosteal f...

A critical appraisal of the gingival architecture in the final end point of this case demonstrates some radiolucency through the soft tissue outlining the platform of the Nobel Biocare TiUnite implant. This would lead us to believe that either the transmucosal bone level placement attempt was inaccurate or excessive reflection of the labial tissue has caused some degree of resorption. This is anot...

Discussion : Maxillary segmental osteoperiosteal f...

A suitable alternative surgical management of this particular case might have been to simply perform an alveoloplasty to produce the desired inter-occlusal clearance and proceed with placement of implant and simultaneous direct sinus lift. That would have left more of the apical portion of the implant within the grafted sinus and possibly modified the location of keratinized band of tissue. The lo...

Case Presentation : Maxillary segmental osteoperio...

A 35-year-old female with a 10-year history of partial acquired edentulism at site numbers 3 and 4 presented to our clinic for dental implant evaluation. Preoperative clinical examination revealed a reproducible intercuspation, well-delineated band of keratinized tissue, and decreased inter-occlusal clearance to allow for optimal dimension of prosthetic crowns (Fig. 1). Radiographs demonstrated e...

Background : Maxillary segmental osteoperiosteal f...

Obtaining proper occlusal clearance to allow for a single unit crown restoration is a fundamental prerequisite for dental implant restoration. Long-standing edentulous sites are often fraught with disuse atrophy and unopposed supra-eruption of the opposing dentition. In the posterior maxillae/mandible, there are vital structures that have to be mobilized in order to allow space for either bone tra...

Abstract : Maxillary segmental osteoperiosteal fla...

Dental restorative space from the opposing dentition requires adequate distance for restorative material for an acceptable restoration. Typically, long-standing edentulous alveolar ridges will have vertical and or horizontal defects that require alveolar ridge augmentation for ideal dental implant restorations. Along with these defects, one will see the opposing dentition supra erupt which can obl...