FCE3: Avoiding and Managing Sinus Complications

Speakers

Paul Fugazzotto

Takumi Umemura

Stephen S. Wallace

Arthur Wu

Moderator

Shota Tsuji

Barry D. Wagenberg

Course Description

Sinus augmentation via elevation surgery is a predictable therapeutic technique to restore the atrophic maxilla and permit implant placement to help restore the dentition. Each surgical step, however, may give rise to complications.

Arthur Wu, MD
Dr. Wu will discuss relevant sinonasal anatomy and the causes and treatment of odontogenic sinusitis via radiographic diagnosis. Certain situations require referral to an otolaryngologist prior to dental intervention. Medical and surgical treatments will be discussed along with their relative success rates.

Tiziano Testori, DDS, MD
Dr. Testori will discuss anatomical limitations which may pose a problem for surgical intervention. He will also make recommendations to treat these complications when they arise.

Paul Fugazzotto, DDS
Dr. Fugazzotto will go over the desired goals of sinus augmentation in different scenarios, which modalities are necessary to have the least impact on the patient, and how to avoid complications. He will also present long-term data to substantiate each treatment.

Takumi Umemura, DDS
Dr. Umemura will concentrate his presentation on repairing sinus membrane perforations during the elevations utilizing different chemicals; platelet-rich fibrin (PRF), autologous fibrin glue (AGF), and the utilization of a microscope which simplifies repair with minimal invasive techniques compared to traditional methods.

Educational Objectives

· Analyze the Goals of Therapy: necessity and type of treatment.
· Define the odontogenic origins of the anatomy of the sinus.
· Recognize when to seek a medical consultation and treatment prior to dental intervention.
· Evaluate the sinus for anatomical limitations, septa, vessels, and the thickness of the membrane.
· Identify the timing of sinus complications and how to prevent and treat sinus complications.
· Learn which treatment modality will attain the goal of the surgery with the least impact on the patient.
· Examine if the long-term data supports the treatment selection.
· Understand how the use of a microscope can help minimize invasiveness.
· How to avoid complications which might occur intraoperatively, during early or late healing.

CE hours: 1.5

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