Nieinwazyjny zabieg podniesienia dna zatoki szczękowej. Opis przypadku

Dariusz Krzywicki, Aneta Wrzosek, *Piotr Wesołowski, Andrzej Wojtowicz

Summary
Introduction: The maxillary sinus is the largest of the paranasal sinuses. Atrophy of the alveolar process comes as a result of tooth loss in the posterior region of the jaw. Insufficient amount of bone separating the maxillary sinus floor from the top of alveolar ridge makes implant treatment impossible. The aim of sinus floor elevation is to produce a space for the implant, without interruption Schneiderian mucosa. Recent advances in the field of implantology can reduce invasiveness and extent of the surgery to a minimum.
Aim: The aim of this study was to describe clinical maxillary sinus floor elevation using a cassette Cas-Kit.
Material and methods: 40 year old patient was admitted to the Department of Oral Surgery, Medical University IS, in order to plan implant treatment. CT examination showed a lack of teeth 15, 16 in the upper right side and the absence of teeth 25, 26, 27 in the upper left side. The treatment plan included at first the insertion of the implant in place of missing teeth 15-16 and in the second stage – reconstruction of the alveolar process on the left side with the bone block.
Results: Under local anesthesia the surgery of the maxillary sinus floor elevation on the right side with the simultaneous installation of the implant in place of the missing 15-16 was performed. The procedure was performed with as minimal invasiveness in soft and hard tissues, as it is possible for this type of procedure.
Conclusions: Cartridge Cas-Kit seems to be the optimal tool for the closed method of lifting of the sinus. Prior to each surgery a de-tailed analysis of the amount of bone and alveolar recess of the maxillary sinus should be carried out by means of CT scans (CBCT).

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