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The Joy of Sinus Grafting

Colin Campbell
by Colin Campbell on 22/01/18 18:00

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Sinus grafting in implant dentistry is becoming a dying art because it’s under pressure, as a procedure, from advances in implant dentistry that reduces it’s requirement dramatically.

This is not a million miles away from an apicectomy as a procedure that due to advances in endodontics and also many peoples urge to remove teeth and ‘just place an implant’ has led to a massive reduction in the apicectomy as a procedure carried out.

As a short aside here, and totally anecdotally, I’m soon to place an implant in the upper right central incisor for a gentlemen who I carried out an ‘NHS’ apicectomy 19 years ago. It’s only in the last few months that it itself has fractured at gingival level with still no sign of any infection associated with that procedure. Maybe that is the 1% that lasted 19 years after the 99% have already gone – who knows?

Let’s go back to the start, the sinus graft is a dying art and angled implants and cantilever bridges have reduced the number of sinus grafts being carried out by perhaps 50% or more.

It seems a bit harsh for a procedure that only really came into the mainstream about 15 years ago to find that the numbers are already dwindling.

The other aspect of sinus grafting which make it difficult to perform in general clinical practice is the general increase indemnity charges and the reduction in ability to access the amount of cases required to become proficient.

As always in these cases though, scarcity breeds demand and for the people who are able to carry out sinus grafting their demand increases as the number of people able to do it decreases; and the amount of people requiring stays the same or gradually rises as implant penetrates the population more.

So if you’re considering a course to move your implant dentistry from advanced to complex (sinus grafting is always consider complex) then you should bear these things in mind as you choose.

We designed a course some years ago following my visits to Graz in Austria and Bern in Switzerland and it spans over 3 days and takes place from the 19th – 21st April.

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We (at TCA) decided to split the course into 3 distinct elements.

  1. A hands on model and didactic teaching session on day 1 to give all the academic aspects of sinus grafting in one go including the findings of our own sinus grafting data now at 10 years
  2. A focused cadaver session at the West Midlands surgical centre providing delegates with the opportunity to perform sinus grafting (and other bone grafting procedures if they choose) in an all day hands on surgical session

 

Also included in this session is functional anatomy provided by our two maxillofacial surgeons Craig Wales and Colin McIver with an in depth look into the anatomy of the sinus from a functional point of view using endoscopic imaging and open examination.

We also keep these days fluid so for any delegates who are keen to provide other aspects of surgery or practice surgery procedures including block grafts, we allow them to do that at the same time.

  1. Day 3 ties everything together with two live surgeries carried out at The Campbell Clinic on our audio-visual system that is facilitated by a surgeon.

This enables delegates to watch sinus grafting being carried out on live patients and to discuss it with the surgeon during the procedure to get a full insight into what can go right or wrong (things often go wrong on those surgeries)

This then give delegates the chance to take the knowledge away, add it to the skills that they already have and to begin to implement this complex aspect of implant surgery into their own practice (mentoring advised for the first few cases at least).

The next addition of the course takes place on the 19th – 21st April and you can fInd more info here!

 

Blog post number: 1530

 

Ps. Coming up in June we welcome Jason Smithson to Nottingham for 2 day Hands on Advanced Composite Course. We're really excited to launch this with Jason and want to make sure you know where the info is in case you are interested! So for the next week or so you can find more info by following this link! 

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Colin Campbell
Written by Colin Campbell
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