Abstract:

Objective To introduce and evaluate the procedure and the effect of maxillary sinus lift with closed  technique by Summers osteotome, bone grafting and simultaneous implant placement. Methods 66 cases with severely resorbed alveolar bone in maxillary posterior region received sinus lift with Summers osteotome, simultaneously bone grafting and implants placement. The final restoration was finished at 6 months postoperatively. Results The operation procedure were eventless in the 66 cases, the sinus floor were elevated by 2- 5 mm, three- dimensional reconstruction of the CT scan pictures showed the smooth dome profile of the lifting sites and no signs of laceration on the membrane, and there were no maxillary antritis after operation. After 6 months, no significantly bone graft resorption and good osseointegration were noticed in X- ray imaging. The final restoration was finished at this time. 12- 24 months after the restoration, all implants inserted were remain, the hard and soft tissue were healthy, prosthesis were stable and functioned. X- ray showed good osseointegration in the lifting sites, the vertical resorption around the implants were less than 1 mm. Conclusion With properly use of Summers osteotome, scraps of the bone in the implant sockets can be pushed into the sinus, these autogenous bone scraps were in favor of the osseogenesis and the sinus floor can be easily elevated by the method with very infrequent complications. It enlarged indication of dental implants and avoided operation of harvesting autogenous bone in other site. The method is simple and valuable to clinical application.

Key words: Summers osteotome, maxillary sinus lift, dental implant, bone grafting