In the latest *Just Ask* session hosted by the EAO, Professor Tiziano Testori, a world-renowned expert in sinus lifts, shared his insights on the procedure and recent advancements in the field. Testori, with over 40 years of experience, discussed various techniques for sinus lifts, the evolution of surgical practices, and the importance of understanding sinus physiology.
Testori emphasized that the lateral approach for sinus lifting, often seen as more invasive, remains a safe and predictable procedure, especially when there's minimal bone in the posterior region. He assured that the method, though older, is still highly relevant and effective. Recent changes to the technique, such as more minimally invasive flap designs, have improved the procedure, reducing post-operative complications like swelling and bleeding.
He also explored the importance of pre-surgical diagnostics, urging practitioners to check for an open osteum in the sinus via CBCT scans, as this is crucial for a successful sinus lift. Testori noted that thickened mucosa is not necessarily a contraindication for the procedure as long as the osteum remains open.
In terms of patient assessment, he recommended classifying cases based on difficulty, helping practitioners gauge when to attempt a sinus lift and when to consider alternatives like short implants. Testori also shared a simplified sinus anatomy design to reduce perforation rates and increase predictability in the procedure.
Towards the end, he touched upon advancements like osteodensification, a technique gaining popularity in sinus lifts. While promising, Testori cautioned against its overuse, particularly by less experienced practitioners, and recommended it primarily for cases with 3-4mm of bone.
This session provided a wealth of practical advice for dental professionals, from novices to seasoned surgeons, offering a blend of classic and modern techniques for performing sinus lifts successfully. Testori's commitment to evidence-based practices and ongoing research ensures that the procedure remains a cornerstone of implant dentistry.