1)
Which is the initial bone ridge heigth required for this technique
?
For a good stability of the implant, the technique requires a bone
ridge heigth of 4mm or more
2) Is it
possible to use threaded implants with this technique?
You can use any shape of implants : after the lifting of the membrane
with the grafting material, you just need to prepare the final site
choosing between the final drill or the thread tap depending on the
implant you want to insert.
3) Which
grafting materials can we use ?
The best grafting material is the autogenous bone which, according
to the availability, is mixed in different proportion with DFDBA ±
70%, and resorbable TCP ±30%, changing the proportion according to
the available quantity of autogenous bone.
4) How big
is the amount of grafting material that I should insert for the positioning
of the implant ?
It's hard to answer because it strictly depends on the shape of the
sinus : points of reference can be given only from intraoperative
x-ray following the Rinn technique.
5)
How long do we have to wait before loading the implants ?
As for all the implants inserted with any sinus lifting technique
we have to follow the progressive loading technique. The exposure
time of the implants is related to the initial heigth of the crestal
bone : when it is 6-7mm or more, we can expose after 6-7 months, when
it's less we must delay the exosure to about 10 months postoperatively.
6) How long
after the surgery can the patient wear his old prosthesis again ?
After about 10 days, unless complications .It's important to unload
the prosthesis on the fresh wound to avoid compression.
7) What
is the correct prophilaxis after this surgery ?
Daily disinfection of the oral cavity and a broad spectrum antibiotic
for 1 week.
8) Which
is the advantage of the drills versus the osteotomes ? .
The technique is straight forward and atraumatic; and since the cortical
bone is perforated and not fractured, the risk of accidental laceration
of the membrane is prevented. Using the specific sequence of drills,
the clinician slowly approaches the Schneiderian membrane. The shape
of the drill tip prevents the perforation of the membrane.