DOI:

10.37988/1811-153X_2023_2_126

Dental implantation combined with internal sinus-lift and osseodensification techniques using triple-layered maxillary tuberosity autograft in conditions of alveolar bone atrophy: a case report

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Authors

  • V.A. Badalyan 1, 2, PhD in Medical sciences, full professor of the Dentistry Department; PhD in Medical Sciences, leading researcher at the Clinical and experimental implantology Division
    ORCID: 0000-0003-3885-9358
  • E.A. Levonian 1, postgraduate at the Dentistry Department
    ORCID: 0000-0002-1422-1862
  • A.A. Beglaryan 3, postgraduate at the Pediatric maxillo-facial surgery Department
    ORCID: 0000-0003-1133-5829
  • A.D. Posessor 2, postgraduate at the Clinical and experimental implantology Division
    ORCID: 0009-0009-9611-8145
  • Z.M. Stapanyan 2, PhD in Medical Sciences, researcher at the Clinical and experimental implantology Division
  • A.I. Zakharova 2, postgraduate at the Clinical and experimental implantology Division
    ORCID: 0009-0004-4390-7574
  • 1 Sechenov University, 119991, Moscow, Russia
  • 2 Central Research Institute of Dental and Maxillofacial Surgery, 119021, Moscow, Russia
  • 3 Moscow State University of Medicine and Dentistry, 127473, Moscow, Russia

Abstract

The presented clinical case is aimed to demonstrate the potential and the results of dental implantation combined with internal sinus-lift and osseodensification techniques using triple-layered maxillary tuberosity autograft at the missing tooth 2.5 site. The presented case describes the 48-year-old patient patient with missing tooth (K08.1) and insufficient bone volume rehabilitation performing classic dental implantation. Bone augmentation using maxillary tuberosity triple-layered autograft with soft tissue component with simultaneously implant placement and internal sinus lift combined with ossedensification was carried out. Combination of the described techniques provided less number of surgical procedures and entire implantation treatment morbidity reduction.
Results.
12 months after surgery and prosthetics there were no signs of oral mucosa inflammation.
Conclusion.
The osseodensification technique makes it possible for bone preservation while implant bed preparation, which results in transplanted graft size reduction. Hence, the surgical trauma is minimized. Triple-layered autograft with a soft tissue component harvested from maxillary tuberosity has to be congruent to the defect. Before maxillary tuberosity graft harvesting, it is critical to understand the anatomical features due to the close location of the maxillary sinus in order to avoid its perforation.

Key words:

dental implantation, osseodensification, internal sinus-lift, bone grafting, maxillary tuberosity

For Citation

[1]
Badalyan V.A., Levonian E.A., Beglaryan A.A., Posessor A.D., Stapanyan Z.M., Zakharova A.I. Dental implantation combined with internal sinus-lift and osseodensification techniques using triple-layered maxillary tuberosity autograft in conditions of alveolar bone atrophy: a case report. Clinical Dentistry (Russia).  2023; 26 (2): 126—131. DOI: 10.37988/1811-153X_2023_2_126

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Received

March 11, 2023

Accepted

May 21, 2023

Published on

July 6, 2023