Osteotome Sinus Floor Elevation in Severely-Resorbed Residual Bone and Immediate Implant Placement without Bone Grafting

Continuous advancements in the field of implant dentistry have provided clinicians with various treatment options to facilitate the placement of dental implants in patients with vertical bone deficits in the posterior maxilla. Today, one of the most common ways to compensate for inadequate vertical bone height is to elevate the sinus floor by tenting of the schneiderian membrane by the implant which is guided by itself eliminating the need for bone graft. This chapter showes the osteotome sinusfloor elevation and immediate implant placement are also possible in severely resorbed alveolar bone without bone grafting in single or multible implant placements procedures. Extensive and traumatic conventional lateral approach for sinus lifting and grafting procedures can be avoided even in highly resorbed alveolar bone using this technique. The author hopes that this chapter will prove a valuable resources and references for clinicians placing implants in patients requiring sinus floor elevation in severely resorbed residual bone with simultaneous implant placement without bone grafting to minimize the risk complications and to ensure predictable and stable long term results.