The Relation between Morphology of Maxillary Sinus after Augmentation in Three Classification Methods and Residual Bone Height: A Retrospective Study
Table 2
Protocol designed for the study.
Appointment
Procedures
1 h before the procedure
Prophylactic antibiotic treatment (1 g of amoxicillin 1 h before the procedure).
During procedure
Rinse with a mouthwash containing chlorhexidine gluconate 0.2% solution for 1 minute.
Injection of articaine hydrochloride and epinephrine tartrate for anesthesia.
Create a crystal incision without vertical extensions along the maxillary ridge.
Exposure of the alveolar ridge.
Preparation of the implant sites.
Preservation of the sinus bottom bone (1 mm).
An S-reamer with a suitable diameter and stopper was chosen for specific cases to remove the remaining bone from the sinus floor. During this process, appropriate pressure was applied to push into the sinus by 1 mm with the reamer.
A sense of loss (completely remove of sinus floor)—check along the sidewall of the prepared cavity.
Or, remain on the floor—grinding of the remaining bone with a longer stopper.
Nasal aspiration—to check whether the sinus floor mucosa was perforated.
Implant placement.
After surgery
Routine preventive antibiotic treatment.
An antibacterial mouth rinse, systemic antibiotics, nasal drops, and inhalants.
