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Duration: 1 hour, 5 minutes, 59 seconds

Author: Dr. Sascha A. Jovanovic

The Benefits of Sinus Augmentation using the Osteotome and Lateral Window Technique with Implant Placement

Sinus augmentation is a dental procedure that aims to increase the amount of bone in the posterior maxilla, specifically in the region of the maxillary sinus. This procedure is often performed to provide adequate bone volume for dental implant placement.

The Osteotome Technique: A Simplified Approach

The osteotome technique is a simplified approach to sinus augmentation. It involves the use of specially designed instruments called osteotomes to gently lift the sinus membrane and then pack bone graft material into the created space. This technique eliminates the need for more invasive procedures such as the lateral window approach.

The Cresto Osteotome: A Different Approach

One variation of the osteotome technique is the use of the cresto osteotome. This instrument features a curved tip that allows for easier access to the sinus floor, facilitating the lifting of the sinus membrane. The cresto osteotome approach is preferred by some clinicians due to its simplicity and reduced risk of complications.

The Lateral Window Approach: A Routine Technique

The lateral window approach is another common technique used in sinus augmentation. It involves creating a window in the lateral wall of the maxillary sinus, providing direct access to the sinus floor. This approach offers greater visibility and ease of manipulation compared to the osteotome technique.

Combining Lateral Window Approach with Ridge Augmentation: A Future Discussion

While the lateral window approach is considered a routine technique, there is ongoing research and discussion regarding its combination with ridge augmentation. This advanced technique aims to enhance both bone height and width in the posterior maxilla, optimizing the success and stability of dental implant placement.

Contraindications for Sinus Augmentation

While sinus augmentation can be a highly successful procedure, it is important to consider certain contraindications before proceeding with treatment. These include:

Smoking Over 10 Cigarettes per Day

Smoking has been shown to impair the healing process and increase the risk of complications in dental implant surgeries. Therefore, individuals who smoke more than 10 cigarettes per day may be advised against sinus augmentation to minimize the chances of implant failure.

Severe Sinusitis

Active sinus infections or severe sinusitis can compromise the success of sinus augmentation and implant placement. Treating the sinus infection and waiting until the sinuses are clear before proceeding with treatment is important to ensure optimal outcomes.

Inadequate Bone Quality or Quantity

If the patient’s jawbone lacks adequate height or width to support dental implants, sinus augmentation may not be feasible. In such cases, alternative procedures like bone grafting or zygomatic implants may need to be considered.


Sinus augmentation using the osteotome and lateral window technique with implant placement is a valuable option for patients with insufficient bone in the posterior maxilla. The osteotome technique provides a simplified approach, while the lateral window approach offers greater visibility and versatility. The collaboration between these techniques and ridge augmentation shows promise for future advancements in the field. However, it is crucial to assess contraindications such as smoking and sinus infections before proceeding with sinus augmentation. By understanding these factors, dental professionals can ensure successful outcomes and improved patient satisfaction.

Frequently Asked Questions (FAQs)

1. How long does the sinus augmentation procedure take?

The duration of the sinus augmentation procedure may vary depending on the complexity of the case. On average, it can take between 1 to 2 hours to complete. Your dentist will provide you with a more accurate estimate after a thorough evaluation.

2. Is sinus augmentation a painful procedure?

Sinus augmentation is performed under local anesthesia, ensuring that you will not feel any pain during the procedure. Some post-operative discomfort and swelling are normal, but these can be managed with proper pain medication prescribed by your dentist.

3. How long do I have to wait before getting dental implants after sinus augmentation?

After sinus augmentation, it is typically recommended to wait for around 4 to 6 months for the bone graft to integrate with your natural bone. This waiting period allows for optimal implant stability and success.

4. Are there any risks or complications associated with sinus augmentation?

As with any surgical procedure, there are potential risks and complications involved in sinus augmentation. These include infection, bleeding, sinus membrane perforation, and graft failure. However, with proper planning and the expertise of a skilled dental professional, the risks can be minimized.

5. How long do dental implants last after sinus augmentation?

Dental implants, when cared for properly, have the potential to last a lifetime. Regular dental hygiene practices, such as brushing, flossing, and regular dental check-ups, can help ensure the longevity of your dental implants.

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