Peizo round tip ?

Dear Dr Huang

This is a problem I have been facing lately; a sloped
sinus floor. For this case I would traditionally drill
to 6mm (about 1mm from the shortest distance of the
floor). But this usually makes osteotome very hard. I
would very nervously take a round bur to go deeper on
the mesial side (but this is very scary).

would peizo machine with a round tip be safer for
these kind of cases

thanks

** Hi Bill:

Nice to see you again !
A case you presented is nice case to practice osteotome sinus lift.
Leave 1 ~2 mm bone (drill preparation to 3.5mm) under sinus cavity plate, then use
medium size osteotome (with some bone graft) tapping into sinus cavity.
After sinus membrane lifting 3~4 mm in length, a little bit shifts mesially to lift sinus membrane
on the slope. More grafts and inserts a implant in.
Please try and hope you get through.
You may take a look my blog about this technic.
http://ajouimplant.blogspot.com/2007/07/osteotome-sinus-lift-augmentation.html
http://ajouimplant.blogspot.com/2007/11/nice-result-for-internal-sinus-lift.html


Good Luck

Dr Perio

Sinus Lift Complication after using Summer’s Ostetome Technique?

Dr. B. asks:
2 months ago I placed an implant in #14 area using a drill to prepare the osteotomy and Summer’s osteotome technique on the apical 3mm to raise the sinus floor. The procedure was uneventful and the area is healing very well. However the patient had emetic episodes on the night of the procedure and has been experiencing vertigo and light headedness since the procedure was performed especially when tilting her head backwards. Anybody have an idea what is going on here? Is any further treatment indicated at this time?