-
Youssef posted an update
Hello everyone, wanted to ask a question that came to my mind. My colleague was doing a lateral window sinus lift after elevating the membrane, he mentioned he saw a small perforation in the mesial aspect. He then placed a resorbable collagen membrane like a parachute and compacted a little bit of bone not applying to much pressure. He did a cbct and we could see the membrane elevated but the bone wasnt fully compqcted to the palatal wall but w greyish area was seen palatally (possibly blod). What are the chances that this will naturally form bone?
Jedediah, Nolan and 2 others14 Comments-
Hello Youssef, thank you for posting the question. Do you have any pictures of the CBCT?
My understanding is that if the sinus membrane was stabilized, and you grafted it, and the patient has low contraindications, blood clots are likely to turn into bone.
2 -
I agree I think bone will form but it will take a long time to mature. If you wait only 6 mo the density may still be low. It is also possible to loose some height.
3-
@suredds Hey Nick! Good to see ya on here again 🙂 Dude remind me where you work again? I remember you worked at a pretty busy place and got lots of implant experience. It was at one of the implant DSO’s right?
-
@ivan-chicchon I work at an Affordable Dentures and Implants in Kansas City. Yes I am pretty busy. I have placed a number of implants during my 8 years there.
-
@suredds Ahh that’s right! Sweet. I’m sure you see all kinds of stuff there
-
-
-
-
0:17
-
Thank you everyone for responding. He just sent me the scans before and after the procedure although the sinus isn’t very visible i told him to make a new one but you can partially see where the bone was placed as well as the greyish area.
1 -
this is before and i am trying to attach the after
-
this is before and i am trying to attach the after
-
0:29
-
-
Hi, Youssef. An OMS in Texas here. A larger perforation of the sinus is obviously a concern but small perforation augmented with collagen membrane and bone graft should do well. I always do check before implant, and def wait closer to 6 months, although you do risk bone resorption if you wait long.
3-
@rodk thank you doc, much appreciated
-
-
If small perforation often will turn into bone, growth factors can help with those repairs and antibiotics and other medication can help as patient heals over the coming weeks. Pt. Expectations and instructions can be very useful especially in these situations.
-
