SINUS LIFT BY LATERAL APPROACH WITH SIMULTANEOUS IMPLANT PLACEMENT USING PLATELET-RICH FIBRIN AS SOLE GRAFTING MATERIAL. CASE REPORT

Abstract

Introduction: The lack of sufficient bone in the distal part of the upper jaw is often a problem in the planning and placement of dental implants. In the lateral sinus lift, autogenous bone and other different bone substitutes are used alone and in combination to ensure sufficient bone volume. Recently, the use of PRF alone and in combination with various bone substitute materials in sinus lift procedures revealed promising clinical results. Case report: Patient is a 56-year-old male with missing upper right molars and a residual bone height of 2.8 to 5.1 mm. A lateral sinus lift was performed using PRF alone. After filling the sinus cavity with PRF was inserted four dental implants. Conclusion: The presented clinical case reveals rapid and uncomplicated post-operative period. The implant stability, measured in the fourth month, was with very good. The x-ray (CBCT) examination revealed the rapid formation of a new bone structure around the implants and good osteointegration as early as 4 months after the procedure. The clinical and radiographic results support the use of PRF as a sole graft material for lifting the sinus floor with simultaneous placement of dental implants.

Keywords

• A-PRF
• lateral sinus lift
• dental implants
• bone substitute