Crestal Approach Surgery and Management Of Sinus Lift Complications

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Prof. Tiziano TestoriMD, DDS, MSc, FICD
Access to the course is not limited in time
You can buy the entire course now at the new price - $19, instead of the old one - $320
Course program
Crestal Approach Surgery and Management Of Sinus Lift Complications
12 online lessons

An up-to-date, comprehensive guide to sinus lift surgery using the crestal approach.

Who the course is for:
This course is highly recommended to both experienced and less experienced professionals who want to master effective, fast, and minimally invasive sinus lift techniques.

Prof. Tiziano Testori welcomes you to “Crestal Approach Surgery and Management of Sinus Lift Complications”, the comprehensive learning experience focused on the latest innovations and surgical protocols in sinus lift with crestal approach.
Prof. Testori highlights that with over 40 sinus lift techniques available, achieving a consensus among experts is challenging. By enrolling in this course, you’ll benefit from the expertise of a world-renowned specialist and learn how to choose the most effective technique based on each patient's anatomy and the latest scientific research.
This course equips you with the necessary skills to immediately apply these techniques in your daily clinical practice and offers an extensive and current overview of the biological rationale, selection criteria, and step-by-step surgical procedures.
You will specifically learn about piezoelectric and osseodensification techniques and why they are considered the gold standard, the management of complications, and innovative flap designs (SAD and Lateral Window).

Topics covered in the course:
-Anatomy and biological rationale;
-How to choose between crestal, lateral, and short implants approaches;
-Newest findings in flap design and its relation with treatment invasiveness;
-Modern surgical trends and protocols: criss-cross incisions, periodontal flap design, and periosteal releasing incisions;
-Sinus lift complication management;
-Classification of sinus membrane perforations occurring during transcrestal sinus floor elevation and related treatments.

At the end of the course, you will be able to:
-Correctly perform the crestal approach for maxillary sinus lift;
-Gain full knowledge of simple, predictable, and fast maxillary sinus lift procedures;
-Minimize treatment invasiveness and optimize post-operative healing;
-Perform sinus lift and treat recessions concurrently;
-Understand the potential of Piezoelectric and Osseodensification techniques;
-Carefully choose between different therapeutic approaches;
-Manage common intra- and post-operative sinus lift complications such as sinus membrane perforations.
-94%
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You can buy the entire course now at the new price - $19, instead of the old one - $320
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Lecture 1 - Sinus lift procedures: a comprehensive overview and the potential of different treatment options
Here you can watch a five-minute fragment of the lesson
This first video lesson aims to introduce participants to the main topics of the course by giving an overview of the different treatment options for performing sinus lifts. Prof. Testori explains how difficult it is to find a consensus among experts on which is the gold standard between the crestal, lateral and short implants approach. Participants will be able to see how the invasiveness of these treatments does not come from the type of approach but from the design of the flap.

In particular, this lesson covers the following topics:
• Literature review: different treatment options
• Crestal vs Lateral vs Short Implants approaches
• Newest findings in flap design technique
• Anatomically oriented clinical suggestions to prevent intra- and post-op complications
• Correction of recessions on the adjacent teeth while elevating the sinus

Duration: 17 min
Lecture 2 - The evolution of the Lateral Approach: Lateral Window and Simplified Antrostomy Design
Here you can watch a five-minute fragment of the lesson
This lesson focuses on the evolution of the lateral approach that decreased the level of invasiveness of this procedure, making it similar to the crestal approach. Participants will note that this evolution is due to both the innovative flap design and the change in terms of antrostomy. The technique in question, called SAD (Simplified Antrostomy Design) simplifies sinus elevation and decreases the risk of membrane perforation. Finally, the Low Window Technique, a further evolution of the SAD technique that is even less invasive, is discussed.

In particular, this lesson covers the following topics:
• Simplified Antrostomy Design and Low Window Technique
• Revolutionary flap and antrostomy design
• Indications for the SAD technique
• Advantages and surgical protocol: SAD and Low Window Technique
• How to reach the maxillary sinus membrane
• How to identify the mesial sinus wall

Duration: 9 min
Lecture 3 - Crestal Approach: the decision tree algorithm
Here you can watch a five-minute fragment of the lesson
Prof. Tiziano Testori explains that there are more than 40 different techniques to perform the crestal approach, and how he has identified two techniques to be the gold standard: the SAD and the Low Window Technique. The speaker then discusses the decision-making algorithm through which he chooses between these different options depending on both sinus size and thickness.

In particular, this lesson covers the following topics:
• The decision tree algorithm to select the proper treatment option
• The importance of understanding biology
• Indications for crestal approach based on sinus dimension and width
• One-stage vs Two-stage lateral approach
• One-stage vs Two-stage transcrestal approach
• Crestal bone height and bucco-palatal sinus width assessment

Duration: 6 min
Lecture 4 - Evolution of sinus lift procedures: Piezo Surgery and Osseodensification
Here you can watch a five-minute fragment of the lesson
In this lesson, Prof. Tiziano Testori discusses the evolution of parameters and indications concerning sinus augmentation procedures that have taken place in recent years. Participants will be able to observe how the continuous search for minimal invasiveness has led to the abandonment of techniques involving osteotomy in favor of techniques such as piezoelectric technique and osseodensification. The speaker explains why these treatment options are preferred and what the rationale behind clinical decision making is.

In particular, this lesson covers the following topics:
• Ethical reasons to minimize the invasiveness of sinus lift procedures
• The abandonment of the osteotomy techniques
• When to use piezoelectric and osseodensification techniques?
• The rationale behind the choice between crestal and lateral approach
• Presentation of a clinical case
• The assessment of both type of edentulism and bone features

Duration: 23 min
Lecture 5 - Sinus membrane perforations
Here you can watch a five-minute fragment of the lesson
How can we manage the perforation of the sinus membrane safely and effectively? Prof. Testori shows how to avoid this severe intraoperative complication and illustrates different types of perforations.

In particular, this lesson covers the following topics:
• PRF and short implant positioning to handle sinus membrane perforations
• Classification of sinus membrane perforations occurring during transcrestal sinus floor elevation and related treatments
• Sinus floor elevation using the transalveolar approach
• The relationship between using graft materials and gaining more bone

Duration: 12 min
Lecture 6 - Example of different clinical cases: step-by-step surgical protocol
Here you can watch a five-minute fragment of the lesson
In this lesson, various clinical cases are presented where patients have a good amount of remaining bone. Participants will be able to observe the implementation of the digital sinus protocol, which involves a top-down approach starting from implant length and the evaluation of the transmucosal channel.

In particular, this lesson covers the following topics:
• The Digital Sinus Protocol: top-down treatment
• Correct implant length assessment
• How to protect the membrane: PRF, L-PRF or collagen sponge
• Reaching the sinus floor with the piezo instrument

Duration: 9 min
Lecture 7 - Osseodensification technique
Here you can watch a five-minute fragment of the lesson
After discussing the piezoelectric technique, Prof. Testori focuses on osseodensification: a crestal approach technique that foresees the use of a counterclockwise running bur in a viscous material creating a hydrodynamic compression wave. Participants will notice how this technique is an easy and atraumatic way to achieve sinus lift.

In particular, this lesson covers the following topics:
• How to choose the size of the bur according to the size of the implant
• Post-op healing process
• The need of a good quantity of bone

Duration: 16 min
Lecture 8 - Management of post-op infections after sinus elevation surgery
Here you can watch a five-minute fragment of the lesson
Prof. Tiziano Testori discusses the management of post-op infections after sinus lift surgery. Participants will discover what’s the difference between a healthy and an unhealthy sinus and how to discriminate between a functional and a non-functional ostium.

In particular, this lesson covers the following topics:
• Post-op infections after sinus lift
• Biologically challenging patients
• Poor blood supply complications
• Partial or total graft removal
• Late post-op infections
• Pharmacological treatment after sinus surgery: clinical consensus and recommendations

Duration: 1 h 18 min
Lecture 9 - Clinical conclusions
Here you can watch a five-minute fragment of the lesson
This last video lesson is dedicated to summarizing the topics covered during the course, paying particular attention to the most recent developments in the field of flap design, identified as the key factor in reducing the invasiveness of sinus lift surgery.

Duration: 11 min
Lecture 10 - Clinical video: short implants + Versah crestal sinus lift
Here you can watch a five-minute fragment of the lesson
In this first of the two ReLIVE Surgeries which conclude this learning experience, Prof. Tiziano Testori shows the operating sequences of crestal sinus lift adopting the 'Versah' working protocol in combination with the use of short implants.

Duration: 27 min
Lecture 11 - Clinical video: Crestal sinus lift and multiple implant placement
Here you can watch a five-minute fragment of the lesson
In this final ReLIVE Surgery, Prof. Testori shows the treatment protocol for a crestal sinus lift and the insertion of a short implant in the left maxillary ridge and two implants in the right side.

Duration: 41 min
Lecture 12 - Maxillary sinus elevation - crestal approach with osseodensification
Here you can watch a five-minute fragment of the lesson
This innovative technique offers a minimally invasive and guided crestal approach. The fully guided procedure, including vertical guidance, uses next-generation tools that make surgery simple and fast. You will learn how to use these tools to achieve optimal results, reducing operative times and improving the patient experience.

Duration: 14 min
Special offer
Prof. Tiziano TestoriMD, DDS, MSc, FICD
Crestal Approach Surgery and Management Of Sinus Lift Complications
Access to the course is unlimited in time!
$19 $320
The special offer is limited
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