J Adv Periodontol Implant Dent. 2021;13(1): 35-42.
doi: 10.34172/japid.2021.004
  Abstract View: 224
  PDF Download: 165


Different techniques in transalveolar maxillary sinus elevation: A literature review

Ardeshir Lafzi 1 ORCID logo, Fazele Atarbashi-Moghadam 1* ORCID logo, Reza Amid 1 ORCID logo, Soran Sijanivandi 2 ORCID logo

1 Department of Periodontics, Dental School, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Dental Research Center, Research Institute of Dental Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran


Dental implant treatment in the posterior maxilla encounters bone quality and quantity problems. Sinus elevation is a predictable technique to overcome height deficiency in this area. Transalveolar sinus elevation is a technique that is less invasive and less time-consuming, first introduced for ridges with at least 5 mm of bone height. Many modifications and innovative equipment have been introduced for this technique. This review aimed to explain the modifications of this technique with their indications and benefits. An exhaustive search in PubMed Central and Scopus electronic databases was performed until December 2020. Articles were selected that introduced new techniques for the transalveolar maxillary sinus approach that had clinical cases with full texts available in the English language. Finally, twenty-six articles were included. The data were categorized and discussed in five groups, including expansion-based techniques, drill-based techniques, hydraulic pressure techniques, piezoelectric surgery, and balloon techniques. The operator’s choice for transalveolar approach techniques for sinus floor elevation can be based on the clinician’s skill, bone volume, and access to equipment. If possible, a technique with simultaneous implant placement should be preferred.
Keywords: Dental implant, Maxillary sinus, Sinus floor augmentation, Transalveolar maxillary sinus elevation
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Submitted: 30 Dec 2020
Revision: 07 Feb 2021
Accepted: 14 Mar 2021
ePublished: 09 Jun 2021
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