Sinus Lift: Lateral Approach

Sinus augmentation has become an integrated surgical phase in posterior maxillary implant prosthesis reconstruction. Since the residual alveolar bony height usually requires additional volume particularly at this anatomical region, sinus floor augmentation is advocated routinely. Over the years, Implant success rate is proved to be comparable to the one in the pristine bone, which is well documented in the literature. Anatomical aspects as well as surgeon skills are at most importance to achieve a predictable outcome. In this surgical session, the lateral osteotomy technique, the indications toward 1 or 2-stage approaches, the control of the Schneiderian membrane integrity as well as the management of intra- and post-operative complications are thoroughly explained and performed. In light of the excellent long-term implant success rate concurrent with the application of contemporary advanced techniques of the sinus augmentation via the lateral wall osteotomy approach, reduced invasiveness and less complicated occurrences have been observed. Maxillary sinus augmentation via the lateral approach technique, has been recognized for many years as a reliable, effective, and well-documented technique for bone augmentation in the posterior maxilla. A well-codified patient selection involving the rhinologist as an integral medical team would be significantly beneficial toward early diagnosis. In-depth knowledge of the anatomy, execution of a well standardized surgical technique, and understanding the complications, etiology and their management are prerequisites for reducing patient morbidity to minimal discomfort and a predictable successful outcome.