Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. May 26, 2019; 7(10): 1234-1241
Published online May 26, 2019. doi: 10.12998/wjcc.v7.i10.1234
Minimally invasive endoscopic maxillary sinus lifting and immediate implant placement: A case report
Mahmoud Mudalal, Xiao-Lin Sun, Xue Li, Jiao Fang, Man-Lin Qi, Jia Wang, Liu-Yi Du, Yan-Min Zhou
Mahmoud Mudalal, Xiao-Lin Sun, Xue Li, Jiao Fang, Man-Lin Qi, Jia Wang, Liu-Yi Du, Yan-Min Zhou, Department of Dental Implantology, School and Hospital of Stomatology, Jilin University, Changchun 130021, Jilin Province, China
Author contributions: Zhou YM and Mudalal M contributed to study conception and design, reviewed the article, and contributed to manuscript writing and drafting; Sun XL and Li X reviewed the literature and contributed to manuscript drafting; Fang J and Du LY analyzed and interpreted the imaging findings; Qi ML was responsible for the revision of the manuscript for important intellectual content; all authors issued final approval of the version to be submitted.
Supported by Jilin Provincial Science and Technological Projects-International Cooperation, No. 20180414030GH; Jilin Provincial Sanitation and Health-Technical Innovation Fund, No. 2018J074.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yan-Min Zhou, DDS, PhD, Chairman, Chief Doctor, Full Professor, Department of Dental Implantology, School and Hospital of Stomatology, Jilin University, 1500 Qinghua Rd, Chaoyang District, Changchun 130021, Jilin Province, China. zhouym62@126.com
Telephone: +86-431-88958006
Received: January 29, 2019
Peer-review started: January 29, 2019
First decision: March 9, 2019
Revised: March 20, 2019
Accepted: March 26, 2019
Article in press: March 26, 2019
Published online: May 26, 2019
Processing time: 118 Days and 6.2 Hours
Abstract
BACKGROUND

This case report discusses a modified approach for maxillary sinus augmentation, in which platelet-rich fibrin, endoscope, simultaneous implant placement, and sinus floor elevation (PESS) were applied for a maxillary sinus floor lift in a 40-year-old patient.

CASE SUMMARY

A 40-year-old woman suffered missing upper right first molar. Implant stability quotient and cone-beam computed tomography (CBCT) were used to evaluate the diagnosis. CBCT showed insufficient posterior maxillary bone with a mean residual alveolar bone height of only 3.5 mm. The patient underwent a minimally invasive sinus floor elevation endoscopically. The sinus membrane was elevated in two stages, and a 12-mm implant was placed immediately. At 3 mo postoperatively, the final impressions were accomplished, and a full-ceramic crown was fit-placed. A 6-mo follow-up demonstrated satisfactory aesthetic and functional results.

CONCLUSION

This is the first report to use an endoscope for maxillary sinus floor lifting in cases with severe and insufficient bone height. This case report demonstrates the advantages of the PESS technique, which include minimal invasiveness with high precision, being applicable in cases with a residual alveolar bone height < 4 mm with a promising result, and a shortened treatment period from 12 to 3 mo.

Keywords: Maxillary sinus augmentation; Platelet-rich fibrin; Endoscope; Internal sinus floor elevation; Case report

Core tip: The advantages of the modified approach for maxillary sinus augmentation, in which platelet-rich fibrin, endoscope, simultaneous implant placement, and sinus floor elevation (PESS) are combined, include: (1) Being applicable in cases with a residual alveolar bone height < 4 mm; (2) Shortened treatment period from 12 to 3 mo; and (3) Minimally invasive procedure with high precision.